Payor Relations Support Specialist – Affiliations and Denovos, Payor Relations Department
Job Details
- Req ID:
- 115783
- Supported Practice:
- Heartland Dental
- Category:
- Payor Relations
- Location:
- Heartland Dental, Chicago, IL 60601
- Salary:
- $60,000.00 per year
Position Summary:
Payor Relations Support Specialist – Affiliations and Denovos, Payor Relations Department
Do you enjoy solving complex problems, managing projects, collaborating with others and supporting stakeholders? Are you searching for a results-oriented team to join? Payor Relations is growing to enhance affiliations and denovos payor strategy in the nation’s largest Dental Service Organization.
We are looking for a team member who is both big-picture and detail-oriented, thrives on problem solving through collaboration, and drive initiatives forward with project management. As a Payor Strategy Specialist, this role will collaborate with analysts, revenue cycle management, integration teams, field operations, and supported doctors to evaluate, recommend and communicate payor strategies.
Heartland Dental proudly supports 1,900+ dental offices and more than 3,000 Doctors across 39 States, plus The District of Columbia. We are hard-working, fun-loving and fast-growing – looking for our next perfect fit!
To give you an idea of the team structure, you will work within the Payor Relations Department, reporting to the Manager of Payor Relations.
Below is an overview of the role, responsibilities and expectations:
- Determine payor participation strategies for affiliations and denovos, using qualitative and quantitative analysis tools, for existing and new payor relationships
- Collaborate with the Legal Department and Dental Insurance Administration Department to evaluate payor contract terms and conditions to ensure accurate and timely implementation
- Build and develop relationships with dental insurance payor representatives
- Build and develop relationships with supported doctors and field operations
- Review payor metrics to determine payor participation recommendations during a process called Payor Strategy Assessment
- Run and maintain projects particular to affiliations and denovos
- Collaborate across support departments for process improvement applicable to the life cycle of an affiliation or denovo office
Minimum Requirements:
- Associate’s or Bachelor’s degree
- Excellent verbal and written communication skills
- Strong computer skills, including experience with Microsoft Word, Outlook, Excel, PowerPoint, and PowerBI reports
- Strong organizational skills, accuracy and attention to detail
- Ability to work well under pressure and prioritize multiple tasks
- Ability to communicate and collaborate with co-workers to achieve a common goal
- High level of maturity, personal initiative, and sound judgment
- Strong work ethic
Desirable Qualifications:
- Healthcare and/or dental industry experience
- Dental Service Organization experience
- 3-5+ years of relevant work experience with payor network support
Company retains the sole discretion to change the duties of the position at any time. We provide all employees and applicants for employment the protections of federal, state, and local laws affording equal opportunity in employment.
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Benefits
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Paid Vacation & Holidays
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Access to Daily Pay
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Sponsored Continuing Education Opportunities
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Bonus Program
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Retirement and College Savings Plans
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Referral Bonus
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Health, Vision, Dental, & Life Benefits
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Fitness and Mental Wellness Programs
Personal Stories
“I joined Heartland Dental in 2018 with 13 years of dental experience in search of career and leadership growth, and I’ve gotten that in abundance. The support is never-ending. If you have a vision or a dream, Heartland supports it wholeheartedly. I am blessed to be a part of such an amazing Supported Practice!”
- 2023 Joined the Communications Team
- 2021 Promoted to Regional Manager of Operations supporting Columbia and Aiken, SC and Evan, GA
- 2020 Expanded PMO role to support a second office
- 2018 Promoted to become the office’s Practice Manager of Operations (PMO)
- 2018 Joined Heartland Dental as a Business Assistant
“I joined Heartland Dental in search of a new opportunity and have found so much more than I could have ever imagined. Heartland has provided me invaluable education opportunities that have allowed me to achieve things I never thought possible and do things I never would have imagined.”
- 2023 Promoted to Regional Manager of Operations supporting Charlotte, North Carolina
- 2020 Transitioned to a PMO role supporting newly affiliated practices and new, or De Novo, offices in Charleston, SC
- 2017 Promoted to Practice Manager of Operations (PMO) supporting offices in Melbourne, FL
- 2015 Joined Heartland Dental as an Office Manager
“Beyond supporting me professionally, Heartland allows me to make a difference in my community. Being able to volunteer in Free Dentistry Days has been a huge motivator for me. I am proud to make a difference by helping empower providers to give back.”
- 2023 Founding member of Alliance, Heartland Dental’s gender and sexuality employee-led community
- 2022 Transitioned to Digital Marketing
- 2022 Promoted to Field Marketing Strategist
- 2018 Transitioned to the Regional Marketing Strategist
- 2017 Promoted to Practice Manager of Operations
- 2016 Promoted to Office Manager
- 2014 Joined Heartland Dental as a Business Assistant
“I joined Heartland Dental in search of a new career opportunity. Thanks to the great leaders and developmental courses Heartland offers, I have grown both personally and professionally. I never imagined I would become part of a new and growing department!”
- 2022 Promoted to Payor Relations Supervisor
- 2018 Joined a new, growing department as Payor Relations Lead
- 2016 Promoted to Fee Schedule Manager
- 2014 Promoted to Fee Schedule Supervisor
- 2011 Moved to Dental Insurance Administration department as a Fee Schedule Coordinator
- 2008 Transitioned to a role as a Dental Assistant
- 2007 Joined Heartland Dental as a Business Assistant
Heartland Dental
Heartland Dental is the nation's largest dental support organization, providing non-clinical administrative support services to more than 3,000 supported doctors across 39 states and the District of Columbia in over 1,800 dental offices. Each Heartland Dental supported office is unique to the community and the patients they serve. Supported doctors are the leaders of their practice and retain clinical autonomy. All Heartland Dental supported doctors are united by a common goal: delivering the highest quality dental care and experiences to the communities they serve.
Each Heartland Dental supported office is unique to the community and the patients they serve. Supported doctors are the leaders of their practice and set forth their own clinical care philosophies. But all our partners are united by a common goal: delivering the highest quality dental care and experience.
At Heartland Dental, we’re committed to living our core values which promote diversity and inclusion. Supported practices are independently owned and operated, and employment decisions are made by each practice. However, all supported practices are encouraged to provide equal opportunity in employment and to comply with all applicable federal, state, and local laws regarding non-discrimination.