Job Application for Director, Payor Relations at Tend

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At Tend, we do dental differently.

Tend is rewriting the playbook of modern dentistry by building a company around the patient and the provider. We believe that with the power of technology, a hospitality-driven mindset, and a top tier clinical team, we can make going to the dentist something to look forward to. Our vision is to transform the dental experience into one that is empowering, human and personalized.

Since launching in 2019, we have provided exceptional care to over 100,000 patients across five major cities: New York, Washington DC, Boston, Atlanta and Nashville. With thousands of five-star reviews, Tend has become one of the country's top-rated and in-demand dental practices, with over 650 team members to support this mission. We’re continuing to grow quickly and looking for the best of the best to come join our team.

Hybrid – Nashville, TN | Full-Time Must live in or near Nashville, TN

At Tend, we’re reimagining dentistry from the ground up—starting with the people who make it all happen. We’re looking for a strategic, relationship-driven Director of Payor Relations to join our Revenue Cycle Management (RCM) team and lead efforts to optimize our insurance partnerships, streamline reimbursement, and drive critical cross-functional initiatives.

This role is ideal for someone who thrives at the intersection of strategy, execution, and relationship management—and who knows how to connect the dots across the revenue cycle to drive business impact.

This is a hybrid role based in Nashville, TN. Candidates must be able to work from our local office 2–3 days per week.

What You’ll Do

40% – Special Projects & Strategic Initiatives

Lead high-priority initiatives across RCM, Operations, and Finance to improve end-to-end revenue cycle performance
Identify opportunities to streamline workflows, reduce denials, and improve reimbursement processes
Translate insights into action through strategic recommendations and executive-ready presentations

40% – Claims Adjudication & Revenue Optimization

Serve as a subject matter expert on claims adjudication processes and payer-specific requirements
Define and document the five essential components for clean claims, and educate internal stakeholders to reduce denials
Collaborate with insurance verification and billing teams to ensure accuracy and alignment

20% – Industry Engagement & Relationship Management

Represent Tend at industry conferences and build relationships with both in-network and out-of-network insurance companies
Lead contract negotiations to secure competitive rates and expanded access
Serve as a liaison between Tend and payor organizations to advocate for mutual success

Who You Are

A healthcare revenue cycle or payor relations professional with 7+ years of experience, ideally with exposure to dental payors
An expert in payor contracting and pricing negotiations—with a strong track record of building long-term relationships and securing favorable terms
Deeply knowledgeable about claims adjudication, denials, and insurance verification processes
Proficient in Excel and PowerPoint, with a talent for turning data into compelling narratives for C-suite audiences
Highly strategic and execution-focused—you’re comfortable taking ambiguous special projects and turning them into high-impact outcomes
A collaborative leader and strong communicator who can drive alignment across teams
Located in or willing to relocate to Nashville, TN, with the ability to work onsite 2–3 days per week

Why Tend

Competitive compensation, medical/dental/vision benefits, 401(k), and PTO
An inclusive and mission-driven team that’s reshaping the future of dentistry
Opportunities for professional growth, innovation, and leadership in a scaling organization

The Tend Difference

The highest standard of care, anywhere.

You’ll work with highly-esteemed clinical leadership and experience-obsessed colleagues to provide the best patient experience possible, with access to technology that’s head and shoulders above the average practice. You’ll have exciting opportunities to collaborate with talented team members to make visits extraordinary. Our hospitality-driven approach to care means that patients actually look forward to seeing you.

A top-tier clinical team who puts patients first.

We value science over sales, and promote a culture of warmth and hospitality — our teams are recognized for going the extra mile for our patients. We trust our providers to put patient needs first, and never implement production quotas. We offer a warm, collaborative culture and are proud to be an inclusive, curious team driven by excellence.

Innovate Dentistry. Tend to Others. Grow Together.

Tend has become beloved by patients and providers alike for combining beautiful work environments with cutting-edge clinical technology. Our providers are rewarded based on an innovative pay structure, as well as education programs that are training the next generation of industry leaders. And our top-notch total rewards packages include both best-in-class benefits and compensation. You’ll not only have the chance to be part of a thriving, industry-changing company, but empowered to become an expert in your field and supported through continuing education.

Tend is an Equal Opportunity Employer.

Tend is committed to promoting a work environment in which differences are respected, employees are treated fairly, and individual contributions are valued and rewarded. We are proud to be an Equal Opportunity Employer. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Please refer to our Privacy Policies linked here.

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What best describes your experience negotiating contracts with dental or medical insurance payors?

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What is your level of experience working with payors we are not currently contracted with (out-of-network)?

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How would you describe your hands-on experience with claims adjudication and denial prevention?

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How confident are you in identifying and communicating the five essential components needed for clean claim submissions?

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How would you rate your skills in using Excel and PowerPoint to analyze data and present to senior leadership?

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Are you able to work in a hybrid capacity from our Nashville, TN office?

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Tend does not offer VISA sponsorship for this role. Are you legally authorized to work in the United States without the need for sponsorship?

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Director, Payor Relations

What You’ll Do

Who You Are

Why Tend

The Tend Difference

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U.S. Standard Demographic Questions