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$24K

$57.5K

$75.5K

How much do ppo profits jobs pay per year?

As of May 31, 2026, the average yearly pay for ppo profits in the United States is $57,526.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,000.00 and $65,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a PPO Profits specialist, and why are they important?

To thrive in a PPO Profits role, you need a deep understanding of healthcare insurance, contract negotiation, and revenue cycle management, often supported by a background in healthcare administration or finance. Familiarity with claims management systems, payer contract analysis tools, and knowledge of industry regulations like HIPAA is crucial. Strong analytical thinking, attention to detail, and effective communication help professionals optimize payer contracts and resolve disputes. These skills are essential to maximize reimbursement, ensure compliance, and support the financial health of healthcare organizations.

What are common challenges faced by professionals working in PPO (Preferred Provider Organization) profit management roles?

Professionals managing PPO profits often navigate the complexity of balancing competitive provider reimbursement rates with organizational profitability and compliance. They must analyze claims data, negotiate contracts with healthcare providers, and monitor utilization trends to ensure cost-effectiveness while maintaining quality care standards. Collaborating with actuarial, legal, and network management teams is common, and staying updated with evolving healthcare regulations poses an ongoing challenge. Success in this role requires strong analytical skills, negotiation savvy, and the ability to adapt to fast-paced industry changes.

What are PPO Profits?

PPO Profits typically refer to the financial gains or revenue that a healthcare provider, insurance company, or third-party administrator earns from Preferred Provider Organization (PPO) plans. PPOs are a type of health insurance plan that offers a network of healthcare providers and typically allow members to see any doctor, but with lower costs for in-network services. The profits arise from negotiated rates with providers, premiums collected from members, and cost management strategies that control expenses while maintaining quality care. Efficient PPO management can maximize profits by balancing competitive pricing, provider discounts, and utilization management.

What is the difference between Ppo Profits vs Ppo Insurance Agent?

AspectPpo ProfitsPpo Insurance Agent
CredentialsLicenses in health insurance, sales experienceHealth insurance license, sales skills
Work EnvironmentOffice-based, remote, or hybridFieldwork, client meetings, office
Industry UsageInsurance sales, health plansHealth insurance sales, client consultation

While Ppo Profits focuses on managing and selling PPO health plans, Ppo Insurance Agents primarily sell and advise clients on PPO insurance products. Both roles require insurance licenses and involve sales, but Ppo Profits may involve more administrative and strategic tasks, whereas Ppo Insurance Agents focus on direct client interaction and sales.

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Ppo Profits jobs near you

Vice President of Business Operations

PPO Profits

Newark, NJ

Other

Medical, Dental, Vision, Retirement

Posted 5 days ago

Job description

Location:

This position is based in either Dallas, TX or Pittston, PA; however, candidates located in or near the following areas will also be considered: New York City, NY; Allentown, PA; Scranton, PA; Philadelphia, PA; Newark, NJ; and Jersey City, NJ

30% of traveling required

PPO Profits

What we're looking for in an industry-leading candidate:

  • Proven Leadership: Ability to lead cross-functional teams and drive a culture of accountability and results.
  • Financial Acumen: Experience with full P&L ownership, revenue growth, and margin optimization.
  • Strategic & Operational Expertise: Skilled in developing growth strategies, improving processes, and enhancing operational efficiency.
  • Customer-Focused: Committed to delivering excellent customer experience, retention, and issue resolution.
  • Industry Knowledge & Influence: Familiarity with PPOs, healthcare, or insurance operations and able to represent the organization externally.

Why This Role Matters:

This role will lead and grow our PPO profits business operations.

  • Drives Financial Performance: Ensures full P&L ownership, maximizing revenue, margins, and overall profitability across PPO and business operations.
  • Leads Strategic Growth: Develops and executes sales, marketing, and operational strategies that expand market share and strengthen competitive positioning.
  • Enhances Customer and Operational Excellence: Oversees service delivery, process improvements, and customer experience initiatives, directly impacting retention, satisfaction, and long-term business sustainability.

Role Summary:

This role is responsible for overall business performance, including full P&L responsibility and overseeing sales, marketing, operations, and customer experience across four core business lines:

  • PPO Fee Negotiations
  • Revenue Cycle Management (RCM)
  • In-Office Membership Plans
  • Medical Billing

The role leads strategic planning, establishes key performance metrics, and drives profitable growth to strengthen operational execution, elevate the brand presence of PPO Profits, and serve as a visible industry voice in the dental community. The position provides leadership across sales, marketing, and service delivery teams and ensures high-quality customer experience. Responsibilities include optimizing business processes, supporting technology improvements, and ensuring effective onboarding and service delivery.

The General Business Manager also manages associate development and performance, oversees budgeting and financial forecasting, and leads customer retention and issue resolution efforts while representing the organization within the industry and supporting continued business growth.

The VP will report to the President, Clarion Solutions and serve as a key member of our leadership team.

Key Responsibilities:

  • Financial Leadership: Own revenue, margin, and EBITDA across all business lines; develop annual operating plans and growth targets; manage pricing, costs, and margin expansion.
  • Sales & Marketing: Drive scalable sales strategies across direct and partner channels; optimize lead generation and conversion; strengthen marketing positioning and messaging.
  • Operational Excellence: Oversee service delivery teams including RCM, Medical Billing, PPO Negotiations, and Membership Plans; implement process improvements and automation initiatives.
  • Customer Experience: Serve as executive escalation point for key customer matters; lead retention and NPS improvement strategies; ensure exceptional onboarding and service delivery.
  • Leadership & Staff Development: Recruit, train, and manage high-performing teams; define goals, monitor performance, and foster a culture of accountability and results.
  • Industry Presence: Represent the company at conferences, webinars, and industry events; produce thought leadership content and maintain a professional presence in the PPO and healthcare space.

Qualifications

  • 10+ years of progressive leadership experience, including top business or sales leadership roles (General Manager), ideally in dental organizations.
  • Demonstrated success at leveraging influence to deliver effective strategic business and sales outcomes and continuous improvement initiatives.
  • Bachelors degree in business management or related field preferred.
  • Prior P&L ownership and experience leading multi-service or multi-business lines is required.
  • Dental or medical industry experience is required (DSO, consulting, revenue cycle, practice management, or dental technology).
  • Track record of scaling revenue and improving margins.
  • Ability to travel to company events, co-travel nationally with sales/field service representatives, etc.

Compensation & Benefits: A competitive compensation packageincluding base salary and annual performance bonuswill be tailored to the candidates experience and market benchmarks. Comprehensive benefits (health, dental, vision, 401(k), etc.) are provided.

Who We Are: Clarion Solutions elevates dental practices from launch to sale, top line to bottom line, people to processes with a full suite of operational, financial, and team solutions. The support you need, all from a trusted partner.

Your practice, easier.

Clarion Solutions is part of 1930 Ventures/Benco Dental, the largest family owned, full-service dental distributor in the United States, has remained in the family since 1930a family that now includes more than 40,000 customers and over 1,700 associates in the 48 contiguous states. In 2025, we posted revenues of $1B.

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