Director of Insurance Plan Management

📋 Description

• Lead strategic negotiations with commercial and government-sponsored dental payers to secure
• Develop, evaluate, and present financial pro formas, scenario models, and sensitivity analyses to
• Manage market-level payer portfolio strategies by evaluating payer mix, identifying opportunities
• Analyze competitor positioning, payer strategies, regulatory developments, and internal performance
• Collaborate with field operations and clinical leadership to align plan participation decisions
• Build and maintain senior-level relationships with payer organizations, establishing regular

🎯 Requirements

• Bachelor's degree in Business, Healthcare Administration, Economics, or a related field. An MBA or
• At least 10 years of experience in payer relations, payer operations, insurance plan management, or
• Deep understanding of dental reimbursement models, including fee-for-service (FFS), preferred
• Strong knowledge of dental coding, claims processes, reimbursement dynamics, payer policies, and
• Advanced financial and analytical capabilities, including expert-level Excel or Google Sheets
• Demonstrated ability to evaluate complex contract terms, quantify financial trade-offs, and

🎁 Benefits

• The opportunity to lead high-impact payer negotiations that directly influence revenue growth
• A senior leadership role with ownership of insurance plan strategy, contract negotiations, and
• Opportunities to collaborate with executive stakeholders and cross-functional teams spanning
• The ability to shape negotiation frameworks, establish scalable processes, and influence
• A dynamic, growth-oriented work environment with opportunities to drive innovation and continuous
• A partially remote working environment.