Dentist (Part-Time) - Roseville, CA

1 week ago


Roseville, United States Gainwell Technologies LLC Full time
About the Role

We are seeking a highly skilled and experienced Dentist to join our team as an Orthodontic Consultant. As a key member of our team, you will play a critical role in reviewing and approving dental treatment authorization requests and claims in accordance with California Department of Health Care Services (DHCS) Medi-Cal Dental policies.

Key Responsibilities
  • Review dental records to determine medical necessity of orthodontic services within professionally recognized standards of care.
  • Manually adjudicate Treatment Authorization Requests (TARs), Notices of Authorization (NOAs) and Claim Inquiry Forms (CIFs) utilizing standards and procedures set forth by the CA Department of Health Care Services (DHCS) to ensure adherence to Medi-Cal Dental policies and procedures.
  • Work collaboratively with a team of dental consultants, including other orthodontists, to share a proportional workload of prior authorization and/or claims processing that have been determined to need professional expertise of an experienced orthodontist.
  • Assist with training and orientation of new dental consultants, providing guidance and mentoring, such as job coaching and peer interaction including assistance with complex cases or claims.
  • Collaborate with other departments, as needed, to provide expertise and support in areas such as claims processing, provider and member services, grievances/appeals, HR/onboarding/interviews, quality management, peer review, and providing findings to the claims processing team and/or adjudication of claims related to orthodontic cases.
Requirements
  • Must be a California resident.
  • A minimum of ten (10) years of prior hands-on, clinical experience as a dentist delivering dental services. Must also meet all requirements and training set forth by the Board of Dental Examiners in California (CA).
  • Possession of active (non-expired) license to practice dentistry in California, which is in good-standing and free of any suspensions or sanctions from Federal, State, or local jurisdictions.
  • Prior adjudication and claims processing for the Medi-Cal Dental Program in CA is a plus, but not a requirement.
  • Expertise and knowledge of Medi-Cal Dental criteria and program requirements.
  • Must be able to commute to Roseville, California to work at least 2 days per week.
What We Offer
  • This is a salaried W-2 employee position with no benefits. Commuting costs are not covered by Gainwell Technologies.
  • The schedule will be Part-time (20 hours per week). The times each day or week will be discussed only during an interview with the manager as it is flexible.

This position is intended for pipelining. We will accept applications on an ongoing basis.

The pay range for this position is $60,000 - $80,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.


  • Dentist

    1 month ago


    Roseville, United States Roseville Dentist Full time

    Job DescriptionJob DescriptionWe are seeking an enthusiastic dentist with excellent communication and customer service skills to join our growing dental practice in the Roseville area. We are a Non Managed Care dental office, accepting PPO and FFS only. We have a part time position available that could become full time. Compensation is based on a percentage...


  • Roseville, United States Fabletics Full time

    Retail Part-Time Store Associate, Fabletics (Galleria at Roseville - Roseville, CA) page is loaded **Retail Part-Time Store Associate, Fabletics (Galleria at Roseville - Roseville, CA)** **Retail Part-Time Store Associate, Fabletics (Galleria at Roseville - Roseville, CA)** locationsRoseville, CA time typePart time posted onPosted 21 Days Ago job requisition...


  • Roseville, United States Food Maxx Full time

    Janitor - Roseville, CA - Hiring pay range: $20.80-$24.51 The Janitor ensures the Distribution Center buildings are kept in a clean and orderly condition. This position also maintains the cleanliness of the outdoor grounds. The Janitor performs heavy Janitor, Grocery, Property Management, Equipment, Cleaning


  • Roseville, California, United States City of Roseville, CA Full time

    Salary: $53.47 Hourly Location: City of Roseville, CA Job Type: Full-Time Regular Department: Police Bargaining Unit: Roseville Police Officers Association Position OverviewAre you ready to serve your community?Become a part of the Roseville Police DepartmentAt the Roseville Police Department, we pride ourselves on having a significant number of lateral...


  • Roseville, United States Soliant Full time

    Minimum 1+ years occupational therapy experience required.**Job Title: Full-Time/Part-Time School Occupational Therapist (OT)** **Location: Roseville, CA** **School Year: 2024-2025** **Contact: walker.robitscher@soliant.com** Soliant is seeking a passionate and dedicated **School Occupational Therapist (OT)** to join a supportive team in the Roseville,...


  • Roseville, United States Gainwell Technologies LLC Full time

    Summary Gainwell Technologies Surveillance Utilization Dental Consultant is responsible for supporting activities to detect and report potential fraud, abuse and quality of care issues within the Medi-Cal Dental Program as a part of Compliance Management. This role serves to help maintain the integrity of the Program. You will play a vital role in...


  • Roseville, United States Gainwell Technologies LLC Full time

    SummaryGainwell Technologies Surveillance Utilization Dental Consultant is responsible for supporting activities to detect and report potential fraud, abuse and quality of care issues within the Medi-Cal Dental Program as a part of Compliance Management. This role serves to help maintain the integrity of the Program. You will play a vital role in identifying...


  • Roseville, United States Gainwell Technologies LLC Full time

    SummaryGainwell Technologies Surveillance Utilization Dental Consultant is responsible for supporting activities to detect and report potential fraud, abuse and quality of care issues within the Medi-Cal Dental Program as a part of Compliance Management. This role serves to help maintain the integrity of the Program. You will play a vital role in identifying...


  • Roseville, California, United States City of Roseville, CA Full time

    Salary: $9, $13,202.16 Monthly Location : City of Roseville, CA Job Type: Full-Time Regular Department: Public Works Division: PWD Facilities Services Opening Date: Continuous Bargaining Unit: Management Position OverviewADVANCE YOUR CAREER Become a vital member of the City of Roseville Public Works Team as a Facilities Operations ManagerTHE POSITION WILL...

  • Crew Transport Driver

    2 weeks ago


    Roseville, United States PROFESSIONAL TRANSPORTATION SERVICES INC Full time

    Job DetailsJob Location ROSEVILLE - ROSEVILLE, CA Salary Range $16.50 - $17.50 Hourly Crew Transport DriverNow Hiring Drivers - Roseville, CA Take your career on the road! We're looking for a reliable driver to join our team. This opportunity is great for anyone looking to work in a unique environment and who doesn't want to be stuck in an office. You'll...


  • Roseville, United States Marvel Medical Staffing Full time

    Specialty: IR TechLocation: Roseville, CAStart date: ASAPDuration: 13 weeksShift type: DaysWeekly gross pay: Contact us for more information!


  • Roseville, California, United States City of Roseville, CA Full time

    Job SummaryWe are seeking a qualified Early Childhood Educator to join our team at the City of Roseville, CA. As a Preschool Teacher, you will be responsible for planning and implementing engaging activities for preschool-age children at our facilities.Key ResponsibilitiesDevelop and implement lesson plans that promote cognitive, social, and emotional growth...


  • Roseville, United States Soliant Full time

    Minimum 1+ years speech therapy experience required.Speech Language Pathologist (SLP) - Roseville, CA Soliant is seeking a passionate and motivated School Speech Language Pathologist (SLP) to provide therapy services to students in a school setting. This position is a full-time contract opportunity located near Roseville, CA. Our commitment to enhancing...


  • Roseville, California, United States Marvel Medical Staffing Full time

    Job DetailsJob Title: Travel Interventional Radiology SpecialistLocation: Roseville, CAJob Type: ContractDuration: 13 weeksShift Type: DaysSpecialty: Interventional Radiology TechWeekly Gross Pay: Contact us for more informationAbout the Job:The Marvel Medical Staffing team is seeking a skilled Interventional Radiology Tech to join our team in Roseville, CA....

  • Custodial Staff

    2 weeks ago


    Roseville, California, United States Food Maxx Full time

    Custodial Role at a Distribution Facility in Roseville, CACompensation range: $20.80-$24.51The Custodial position is essential for ensuring that the Distribution Facility remains clean and well-maintained. This role encompasses the upkeep of both the interior spaces and the surrounding outdoor areas. Responsibilities include executing rigorous cleaning...


  • Roseville, United States Maxim Healthcare Services Full time

    Maxim Healthcare Services is seeking registered nurses (RNs) and licensed practical nurses (LPNs) to join us in caring, serving, and enriching the lives of our adult and pediatric patients and their families. Becoming a Maxim nurse provides access to rewarding opportunities in home healthcare. Typical Shifts are 8, 12, or 16 hours, primarily on 1st and 3rd...


  • Roseville, United States Maxim Healthcare Services Full time

    Maxim Healthcare Services is seeking registered nurses (RNs) and licensed practical nurses (LPNs) to join us in caring, serving, and enriching the lives of our adult and pediatric patients and their families. Becoming a Maxim nurse provides access to rewarding opportunities in home healthcare. Typical Shifts are 8, 12, or 16 hours, primarily on 1st and 3rd...


  • Roseville, United States Fabletics Full time

    **Job Description** Fabletics is currently looking for **Full-Time Store Associates** for our Fabletics Store at **Westfield Galleria at Roseville** in **Roseville, CA**! As a **Store Associate**, you will be responsible for providing a best-in-class retail store experience. Using cutting-edge technology, you will enable our Customers to shop seamlessly...


  • Roseville, California, United States City of Roseville, CA Full time

    Salary : $123, $165,625.82 Annually Location : Roseville Job Type: Full-Time Regular Department: Environmental Utilities Division: EUD Wastewater Utility DescriptionINNOVATE, ENGINEER, ACHIEVEJoin the Environmental Utilities Department as a SENIOR ENGINEERING MANAGER. Are you an experienced engineer with a strong commitment to wastewater and recycled water...


  • Roseville, United States The Permanente Medical Group, Inc. - N.California Full time

    The Permanente Medical Group, Inc., (TPMG) is one of the largest medical groups in the nation with over 9,500 physicians, 22 medical centers, numerous clinics throughout Northern and Central California and a 75-year tradition of providing quality medical care. TPMG is recruiting full-time Hematologist/Oncologist Physicians to join our team in Roseville,...