Integration Manager

Position Summary


The Integration Manager will lead the successful onboarding and operational integration of newly acquired dental practices into a rapidly growing, private equity-backed Dental Support Organization (DSO). This role serves as the bridge between acquisition close and long-term operational stabilization, ensuring practices adopt standardized systems, workflows, reporting structures, and performance expectations while preserving provider engagement and patient continuity.


The ideal candidate combines dental operations expertise, financial acumen, revenue cycle knowledge, and change leadership experience to accelerate value creation across acquired practices.


Key Responsibilities

Acquisition Integration & Execution

• Lead end-to-end integration activities for newly acquired dental practices across multiple markets.
• Develop and execute 30/60/90/180-day integration plans aligned to enterprise operating standards and investment objectives.
• Coordinate cross-functional integration workstreams including Operations, Revenue Cycle, Finance, HR, Recruiting, IT, Marketing, and Clinical Leadership.
• Ensure timely implementation of standardized policies, SOPs, systems, and reporting structures.

Operational Standardization & Performance Improvement

• Establish consistent workflows across scheduling, insurance setup, fee schedules, production tracking, collections, and practice operations.
• Monitor post-close performance indicators and implement corrective action plans where performance gaps exist.
• Drive adoption of operational best practices while maintaining provider engagement and local market effectiveness.
• Identify operational efficiencies and support scalable growth initiatives.

Revenue Cycle & Financial Integration

• Partner with Revenue Cycle and Finance teams to optimize collections, reduce AR exposure, and improve cash conversion.
• Support month-end close activities and ensure financial reporting accuracy during integration periods.
• Analyze production, collections, labor, and profitability metrics to support integration decision-making.
• Develop executive-level reporting packages and integration scorecards.

KPI Governance & Analytics

• Build and monitor dashboards tracking:
  • Production Growth
  • Collections Performance
  • AR Aging
  • EBITDA Improvement
  • Labor Utilization
  • Patient Retention
  • Provider Productivity
  • Integration Milestone Achievement
• Deliver routine updates to executive leadership and PE stakeholders on integration progress and realized synergies.

Change Management & Leadership

• Serve as change leader and trusted advisor to practice teams throughout transition.
• Facilitate training, communication, and stakeholder alignment during implementation.
• Coach local leadership teams to create accountability and long-term operational discipline.
• Travel extensively to support onsite integration execution and stabilization.

Qualifications

Required

• Bachelor's degree in Business, Healthcare Administration, Finance, or related field (equivalent experience considered).
• 7 years of dental operations, DSO, healthcare integration, or multi-site operational leadership experience.
• Experience integrating acquired practices in a high-growth or PE-backed environment.
• Strong understanding of:
  • Revenue Cycle Management
  • P&L Ownership
  • KPI Development & Reporting
  • Budgeting & Forecasting
  • Change Management
• Demonstrated success leading cross-functional initiatives and operational transformations.
• Ability to travel 50-75%.

Preferred

• Experience in private equity-backed healthcare organizations.
• Knowledge of Open Dental, Dentrix, Denticon, or comparable PMS platforms.
• Experience supporting EBITDA improvement initiatives and integration synergy realization.
• Lean, Six Sigma, or process improvement background.

Success Metrics (First 12 Months)

• Achieve integration milestones within target timelines.
• Improve collections and reduce AR aging across integrated practices.
• Deliver consistent KPI reporting and executive visibility.
• Increase post-close practice stabilization and provider retention.
• Support EBITDA growth through operational and revenue cycle improvements.

Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual's skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company's 401(k) retirement plan. Additional disclaimer: Unless otherwise noted in the job description, the position Vaco/Highspring is filing for is occupied. Please note, however, that Vaco/Highspring is regularly asked to provide talent to other organizations. By submitting to this position, you are agreeing to be included in our talent pool for future hiring for similarly qualified positions. Submissions to this position are subject to the use of AI to perform preliminary candidate screenings, focused on ensuring minimum job requirements noted in the position are satisfied. Further assessment of candidates beyond this initial phase within Vaco/Highspring will be otherwise assessed by recruiters and hiring managers. Vaco/Highspring does not have knowledge of the tools used by its clients in making final hiring decisions and cannot opine on their use of AI products.


Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.

EEO Notice


Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.


Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact View email address on click.appcast.io .


Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal .


By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.

Privacy Notice


Vaco by Highspring and its parents, affiliates, and subsidiaries ("we," "our," or "Vaco by Highspring") respects your privacy and are committed to providing transparent notice of our policies.

• California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here .
• Virginia residents may access our state specific policies here .
• Residents of all other states may access our policies here .
• Canadian residents may access our policies in English here and in French here .
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Pay Transparency Notice


Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to:

• the individual's skill sets, experience and training;
• licensure and certification requirements;
• office location and other geographic considerations;
• other business and organizational needs.

With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.