Director of Insurance Plan Management

Drive revenue growth and improve profitability by leading strategic negotiations with commercial and government-sponsored dental insurance payers. In this senior leadership role, you will shape payer contracting strategies, optimize reimbursement structures, and strengthen network participation to expand patient access and maximize business performance. You will combine financial modeling, market intelligence, and operational insights to evaluate opportunities and secure agreements that deliver measurable results. Working closely with revenue cycle, operations, clinical leadership, and analytics teams, you will translate negotiation outcomes into effective implementation plans. You will also build influential payer relationships, resolve complex contractual challenges, and establish scalable processes that strengthen negotiation capabilities across the organization. This opportunity is ideal for a strategic, data-driven leader who thrives in a dynamic healthcare environment and can balance commercial priorities with provider and patient needs.

The ideal candidate is a commercially minded, results-oriented leader with deep expertise in payer relations, dental reimbursement, financial analysis, and cross-functional execution. You should be able to negotiate confidently using data and sound judgment, build trusted relationships with senior stakeholders, and turn complex contracting strategies into measurable business outcomes.

• Bachelor's degree in Business, Healthcare Administration, Economics, or a related field. An MBA or MHA is preferred.

• At least 10 years of experience in payer relations, payer operations, insurance plan management, or a related field.

• Deep understanding of dental reimbursement models, including fee-for-service (FFS), preferred provider organization (PPO), capitation, and value-based reimbursement arrangements.

• Strong knowledge of dental coding, claims processes, reimbursement dynamics, payer policies, and emerging industry trends.

• Advanced financial and analytical capabilities, including expert-level Excel or Google Sheets modeling, scenario planning, and sensitivity analysis.

• Demonstrated ability to evaluate complex contract terms, quantify financial trade-offs, and communicate recommendations clearly to executive leadership.

• Proven negotiation skills and a track record of developing payer relationships and securing agreements that improve financial and operational performance.

• Strong change management and stakeholder alignment skills, with the ability to convert strategic objectives into actionable execution plans.

• Excellent communication, relationship-building, and influencing skills, supported by high emotional intelligence and a credible executive presence.

• Strategic and systems-oriented thinking, connecting payer contracting decisions with practice-level operations, provider economics, and patient experience.

• Strong problem-solving skills, resilience, and adaptability when working through ambiguity, competing priorities, and rapid organizational growth.

• A coaching and continuous-improvement mindset, with the ability to develop repeatable processes and strengthen the capabilities of broader teams.

• Experience using CRM systems, contract management repositories, analytics dashboards, and performance reporting tools to manage negotiation pipelines and monitor results.

• Ability to work autonomously, manage multiple priorities, and collaborate effectively in a fast-paced, partially remote environment.

• Willingness to travel up to 25% as business needs require.