Associate Director, RCM Payor Relations

Sun Life

Associate Director in Payor Relations overseeing contracting, credentialing, and fee negotiations. Leading teams and collaborating with operations for payor relations at Sun Life in the US.

Posted 4/30/2026full-timeNashville • Montana, Tennessee • 🇺🇸 United StatesSenior💰 $101,000 - $151,500 per yearWebsite

About the role

Key responsibilities & impact

Lead enterprise-wide payor relations strategy, including contract negotiations, fee schedule negotiations, renewals, amendments, and dispute resolution
Negotiate reimbursement rates and fee schedules for PPO, Medicaid, and capitation plans to support organizational financial goals
Build and maintain strong working relationships with commercial and government payors
Serve as the primary escalation point for complex payor issues impacting reimbursement, access, or compliance
Partner with RCM leadership to assess financial and operational impact of payor contracts and policy changes
Collaborate with Operations and Clinical leadership to support expansion, onboarding, and market entry initiatives
Oversee provider credentialing and enrollment processes across all markets and payors
Lead implementation, optimization, and ongoing management of credentialing software platforms
Monitor key performance indicators related to credentialing timelines, payor responsiveness, fee performance, and revenue impact

Requirements

What you’ll need

10+ years of progressive experience in payor relations, contracting, credentialing, and fee negotiations
5+ years of experience managing multi-state Medicaid plans
Required experience working within large Dental Service Organizations (DSOs) or large multi-practice dental enterprises
Proven experience negotiating payor contracts and fee schedules
Demonstrated ability to lead and develop credentialing and payor relations teams
History working in credentialing software platforms such as Medallion and/or CredentialStream
Experience implementing and managing credentialing software solutions
Strong understanding of Revenue Cycle Management operations and workflows
Experience working closely with Operations and Clinical teams in provider onboarding and offboarding
Excellent written and verbal communication skills
Strong organizational, problem-solving, and decision-making abilities
Dental credentialing and payor relations experience strongly preferred; medical credentialing experience will be considered

Benefits

Comp & perks

generous vacation and sick time
market-leading paid family, parental and adoption leave
medical coverage
company paid life and AD&D insurance
disability programs
partially paid sabbatical program
401(k) employer match
stock purchase options
employer-funded retirement account
flexible, inclusive and collaborative work environment

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

payor relationscontract negotiationsfee schedule negotiationsreimbursement ratescredentialingprovider enrollmentRevenue Cycle Managementcredentialing software solutionsfee performance monitoringdispute resolution

Soft Skills

leadershipcommunicationorganizational skillsproblem-solvingdecision-makingrelationship buildingcollaborationescalation managementteam developmentstrategic thinking