Director of Contracting – Payor Relations

Riccobene Associates Family Dentistry

. Set and run the enterprise payor strategy for the DSO across commercial dental PPO plans, leased and umbrella networks, medical plans for oral surgery, and government programs .

Posted 10/11/2026full-timeCary • North Carolina • United StatesLeadWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in payor contracting and network management, with a strong focus on financial modeling, negotiation of dental PPO fee schedules, and provider credentialing. Proven ability to collaborate with cross-functional teams and present data-driven recommendations to executive leadership.

Highest-signal resume keywords

Payor ContractingDental PPO Fee Schedule NegotiationFinancial ModelingProvider CredentialingData-Driven Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Financial ModelingCDT CodingClaim AdjudicationNegotiationNetwork ManagementRevenue Cycle ManagementAcquisition IntegrationOral Surgery Medical BillingMedicaid Dental ProgramsExcel

Soft Skills

Direct CommunicationConfidence in Presenting

Tools & Technologies

CAQH

Certifications & Qualifications

Bachelor's DegreeMBAMHA

Industry Keywords

DSOMulti-Site HealthcarePrivate EquityGovernment ProgramsInsurance Regulations

About the role

Key responsibilities & impact

Set and run the enterprise payor strategy for the DSO across commercial dental PPO plans, leased and umbrella networks, medical plans for oral surgery, and government programs
Lead fee schedule negotiations and renegotiations with national and regional carriers, including separate specialty schedules
Decide between direct contracts and leased network access for each payor
Recommend out-of-network or termination moves backed by revenue and patient retention modeling
Build and maintain a payor scorecard covering volume, net collection rate, write-offs, and reimbursement on top procedure codes
Model the financial impact of proposed contracts and supply rate assumptions for budgets and board reporting
Coordinate provider credentialing and payor enrollment so dentists are in network by their first patient day
Act as senior escalation point with payors for systemic denials, underpayments, downgrades, and recoupment demands
Assess payor contracts in acquisition diligence and lead contract integration after close
Partner with Revenue Cycle, Operations, Clinical Leadership, and Compliance on payment accuracy, front office education, and payor policy changes
Monitor state insurance regulations affecting payor contracts
Report directly to the Chief Financial Officer

Requirements

What you’ll need

Bachelor's degree in business, finance, healthcare administration, or a related field; MBA or MHA a plus
8 or more years in payor contracting, network management, or managed care, including at least 3 years leading negotiations
Hands-on experience negotiating dental PPO fee schedules for a multi-location group, or from the payor or network side
Working knowledge of CDT coding, dental benefit design, leased networks, and claim adjudication
Strong Excel-based financial modeling, with a record of documented rate improvements
Experience with provider credentialing and enrollment, including CAQH
DSO, multi-site healthcare, or private equity backed experience preferred
Experience with acquisition integration, oral surgery medical billing, or Medicaid dental programs is a plus
Direct, data-first communication style and confidence presenting recommendations to a CFO and board
Up to 20% travel

Benefits

Comp & perks

Competitive base salary with annual bonus opportunity tied to results
Medical, dental, vision, and 401(k) benefits
Paid time off
401(k)
401(k) matching
Dental insurance
Disability insurance
Employee assistance program
Employee discount
Flexible spending account
Health insurance
Health savings account
Life insurance
Vision insurance
Seat at the table with the CFO and executive team
Chance to build a function and see its impact on a growing organization