Director, Insurance Operations

Responsibilities

• Lead and oversee all centralized insurance operations, including claims management, denial resolution, payment posting, insurance accounts receivable, and related revenue cycle functions.
• Develop and execute operational strategies that improve efficiency, scalability, financial performance, and service delivery across insurance operations.
• Establish performance standards, productivity expectations, and key operational metrics to drive accountability, quality, and continuous improvement.
• Build, develop, and lead high-performing teams by coaching managers, fostering a culture of accountability, and supporting organizational growth.
• Drive denial prevention, claims optimization, and insurance AR reduction initiatives through data analysis, root cause identification, and process improvement.
• Lead the adoption of automation, AI-enabled technologies, and workflow enhancements to improve operational effectiveness, reduce manual effort, and accelerate cash flow.
• Partner cross-functionally with Revenue Cycle, Payer Strategy, Finance, Operations, IT, and Practice Leadership to align insurance operations with organizational objectives and financial goals.
• Champion change management and process standardization initiatives to improve consistency, technology adoption, operational performance, and long-term scalability.

Qualifications

• 7-10+ years of progressive leadership experience in dental revenue cycle operations.
• Demonstrated leadership of claims management, payment posting, denial management, and insurance AR functions.
• Experience supporting multi-site healthcare organizations, preferably within a DSO environment.
• Experience managing high-volume operational teams with productivity and quality accountability.
• Experience implementing automation, workflow optimization, or AI-enabled operational improvements.
• Experience driving process standardization across geographically dispersed organizations.
• Demonstrated success improving clean claim rates, reducing denials, accelerating cash flow, and improving operational performance.