Dental Physician Reviewer
4 days ago
CNSI, a leading healthcare technology and services company, is seeking a highly skilled Dental Physician Reviewer to join our team. As a key member of our Utilization Management (UM) team, you will play a critical role in ensuring the delivery of high-quality healthcare services to our clients.
Key Responsibilities- Oversee utilization/management activities, including peer review, utilization review, fair hearings, and appeals, as well as other clinical consultations related to the applicable contract.
- Support the Dental UM contract for Arkansas, providing clinical oversight of the Dental Utilization Management program.
- Collaborate with the Medical Director on case consultations as needed.
- Discuss complicated Utilization Management reviews or clinical scenarios with Utilization Management Dental Hygienist Reviewers.
- Participate in client quarterly and ad-hoc contract meetings.
- Review safety, sentinel, and Quality of Care events, providing detailed feedback and recommendations as per organization and policy.
- Complete all secondary-level Dental Utilization Management reviews.
- Develop and complete an annual review of clinical medical necessity criteria.
- Travel as needed for client-requested meetings or in-services (minimal travel required).
- Perform any other duties assigned.
- Participate in appeal hearings as needed.
- DMD or DDS from an accredited dental school.
- Must have an AR license and DEA.
- 10+ years of clinical practice preferred.
- 5-7 years of experience as a physician executive with significant accomplishments in developing managed care strategies, integrating delivery systems, improving quality and utilization management programs, and coaching medical staff on healthcare business and practice issues.
- Experience in Utilization Management, Case and Disease Management with knowledge of Medicaid and Medicare programs.
- Prior review experience or quality assurance committee responsibility preferred.
CNSI is a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. We are a vital partner for state and federal healthcare agencies, providers, and employers, ensuring better healthcare and improving health outcomes nationwide.
We offer meaningful work that genuinely improves people's lives, and our company cares about our employees, giving you the tools and encouragement you need to achieve the finest work of your career.
-
Dental Physician Reviewer
2 weeks ago
Little Rock, Arkansas, United States CNSI Full timeAbout the RoleWe are seeking a highly skilled Dental Physician Reviewer to join our team at Acentra Health. As a key member of our Utilization Management program, you will play a critical role in ensuring the highest quality of care for our clients.Key ResponsibilitiesOversee utilization/management activities, including peer review, utilization review, fair...
-
Nephrology Physician Opportunity in Arkansas
2 weeks ago
Little Rock, Arkansas, United States Medicorp, Inc. dba Physician Empire Full timeMedicorp, Inc. dba Physician Empire is seeking a highly skilled Nephrology Physician to join our team in Arkansas.We are the premier physician and advanced practice job board to help you advance your healthcare career.Register now to apply for this job and for access to 125,000+ other openings.Medicorp, Inc. dba Physician Empire Offers:Free Physician and...
-
Rheumatology Physician
23 hours ago
Little Rock, Arkansas, United States Department of Veteran Affairs Full timeJob Title: Rheumatology PhysicianThe Department of Veteran Affairs is seeking a skilled Rheumatology Physician to join our team. As a Rheumatology Physician, you will be responsible for diagnosing and managing rheumatologic illnesses, including metabolic diseases of the bone, osteoporosis, polymyositis, rheumatoid arthritis, crystal-induced arthropathies,...
-
Dental Office Coordinator
3 days ago
North Little Rock, Arkansas, United States Dental Care at Cross Pointe Full timeOverviewDental Care at Cross Pointe is seeking a highly motivated and organized Business Assistant to support our front office team. As a Business Assistant, you will play a vital role in ensuring the smooth operation of our office, providing exceptional patient care, and contributing to the success of our team.ResponsibilitiesGreet and welcome patients,...
-
Rheumatology Physician
3 hours ago
Little Rock, Arkansas, United States Department of Veteran Affairs Full timeJob Title: Physician (Rheumatology)We are seeking a skilled Physician (Rheumatology) to join our team at the Central Arkansas Veterans Healthcare System (CAVHS). As a Rheumatologist, you will be responsible for diagnosing and managing various rheumatologic illnesses, including metabolic diseases of the bone, osteoporosis, polymyositis, rheumatoid arthritis,...
-
Rheumatology Physician
1 week ago
Little Rock, Arkansas, United States John L. McClellan Memorial Veterans Hospital Full timeJob Title: Physician (Rheumatology)The Central Arkansas Veterans Healthcare System (CAVHS) is seeking a full-time Physician (Rheumatologist) to join our team. As a Rheumatologist, you will be responsible for diagnosing and managing rheumatologic illnesses, including metabolic diseases of the bone, osteoporosis, polymyositis, rheumatoid arthritis,...
-
Internal Medicine Physician
14 hours ago
Little Rock, Arkansas, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full timeInternal Medicine Physician Job OpportunityDocCafe is a premier physician and advanced practice job board that helps healthcare professionals advance their careers. We have an immediate opening for an Internal Medicine Physician in Little Rock, Arkansas.About the Job:Work as a physician in a dynamic and supportive environment.Collaborate with a team of...
-
Anesthesiology Physician Opportunity
2 weeks ago
Little Rock, Arkansas, United States Howard-Sloan Search, Inc. Full timeJob Title: Anesthesiology PhysicianWe are seeking a skilled Anesthesiology Physician to join our team at Howard-Sloan Search, Inc. in Little Rock, Arkansas.About the JobThis is a full-time position offering a competitive hourly rate of $330.What We OfferEasily search, review, and apply to jobs that meet your requirements.Set up email alerts for when new jobs...
-
Anesthesiology Physician Opportunity
2 weeks ago
Little Rock, Arkansas, United States Howard-Sloan Search, Inc. Full timeJob Title: Anesthesiology PhysicianWe are seeking an experienced Anesthesiology Physician to join our team at Howard-Sloan Search, Inc. in Little Rock, Arkansas.About the JobThis is a full-time position offering a competitive hourly rate of $330.What We OfferEasily search, review and apply to jobs that meet your requirements.Set up e-mail alerts for when new...
-
Gastroenterology Physician Opportunity
1 week ago
Little Rock, Arkansas, United States She Recruits. LLC Full timeJob Title: Gastroenterology PhysicianWe are seeking a highly skilled Gastroenterology Physician to join our team at DocCafe. As a Gastroenterology Physician, you will be responsible for providing high-quality patient care and contributing to the growth and success of our organization.About the Role:Provide medical care to patients with gastrointestinal...
-
Surgery Physician Position
2 weeks ago
Little Rock, Arkansas, United States SourceMD Full timeSourceMD is seeking a skilled General Physician to join our team.We are the premier healthcare job board to help you advance your medical career.Register now to access our extensive job listings and apply for this Surgery-General Physician position.SourceMD Offers:Comprehensive Job SearchEasily search, review and apply to jobs that meet your requirements.Set...
-
Neurology Physician Opportunity
2 weeks ago
Little Rock, Arkansas, United States Born & Bicknell, Inc. Full timeExciting Neurology Physician OpportunityDocCafe is proud to present a challenging and rewarding Neurology Physician position in Little Rock, Arkansas. As a leading healthcare job board, we are committed to helping you advance your medical career.About the RoleWe are seeking a highly skilled and dedicated Neurology Physician to join our team. The ideal...
-
Little Rock, Arkansas, United States i4 Search Group Full timeFamily Medicine Physician Job DescriptionWe are seeking a dedicated Family Medicine Physician to join our team in Charleston, SC. As a Family Medicine Physician, you will be responsible for providing high-quality patient care, managing chronic conditions, and coordinating care with specialists when necessary.Responsibilities:Provide preventative care and...
-
Anesthesiology Physician Opportunity
2 weeks ago
Little Rock, Arkansas, United States Aya Locums Full timeJob Title: Anesthesiology PhysicianWe are seeking an experienced Anesthesiology Physician to join our team at Aya Locums in Little Rock, Arkansas.Compensation: $300/hourly - $315/hourlyAbout the Job:Provide high-quality patient care as an Anesthesiology Physician in a dynamic and fast-paced environment.Collaborate with our experienced team to deliver...
-
Little Rock, Arkansas, United States Enterprise Medical Recruiting Full timeEnterprise Medical Recruiting is seeking an Endocrinology Physician to join our team in Arkansas.As a leading physician and advanced practice job board, we help you advance your healthcare career.Register now to apply for this job and for access to 125,000+ other openings.Enterprise Medical Recruiting Offers:Free Physician and Advanced Practice Job...
-
Neurology Physician Opportunity
2 weeks ago
Little Rock, Arkansas, United States Born & Bicknell, Inc. Full timeExciting Opportunity for Neurology PhysiciansDocCafe is proud to offer a challenging and rewarding position for Neurology Physicians in Little Rock, Arkansas. As a leading healthcare job board, we provide access to a vast network of medical professionals and employers.About the RoleWe are seeking a highly skilled and dedicated Neurology Physician to join our...
-
Little Rock, Arkansas, United States The Medicus Firm Full timeExciting Pulmonology Physician Opportunity at The Medicus FirmDocCafe is proud to present an immediate opening for a Pulmonology Physician in Arkansas. As a leading physician and advanced practice job board, we help you advance your healthcare career with our premier job search platform.Why Choose This Opportunity?Easily search, review, and apply to jobs...
-
Primary Care Physician
2 days ago
Little Rock, Arkansas, United States Sage Health Full timeAbout Sage HealthWe are a value-based care provider dedicated to delivering high-quality care to seniors. Our team-based care model allows us to provide a concierge experience, multidisciplinary services, and coordinated care supported by analytics and tools.Job SummaryThe Primary Care Physician (PCP) will work as a lead in our team-based care model,...
-
Physician
6 days ago
Little Rock, Arkansas, United States University of Arkansas System Full timeJob SummaryThe University of Arkansas System is seeking a highly skilled Physician to join our team at the UAMS Emergency Department. As a key member of our faculty, you will provide direct patient care under the supervision of the Medical Director, adhering to UAMS Clinical Programs policies and procedures.ResponsibilitiesProvide direct patient care...
-
Physician
4 days ago
Little Rock, Arkansas, United States University of Arkansas System Full timeJob SummaryThe University of Arkansas System is seeking a highly skilled Physician to join our team at the UAMS Emergency Department. As a key member of our faculty, you will provide direct patient care under the supervision of the Medical Director, adhering to UAMS Clinical Programs policies and procedures.ResponsibilitiesProvide direct patient care...
