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Most dental operators think payer strategy is just about contracts and fee negotiations. But there’s a lot more happening behind the scenes. In this episode of Dental Operations Unpacked, Jake Larson and Clint Berry sit down with Osher Zaafaran, Vice President of Payer Relations at The Smilist Management, a DSO with more than 130 locations. With over 20 years of experience in payer relations, Osher shares how strong relationships with insurance networks can create operational stability, improve claim resolution, and help practices scale more effectively. The conversation dives into the real role of payer relations, how DSOs should approach insurance partnerships, and why something as simple as picking up the phone can make a huge difference. If you operate or support dental practices, this episode offers practical insights you can start applying today. What you’ll learn in this episode: • Why payer relations is much bigger than fee negotiations • How strong relationships with provider reps improve operations • Practical ways to build better partnerships with insurance networks • The role technology and AI are starting to play in payer relations • How growing DSOs maintain stability while scaling rapidly