Staff Dentist
4 weeks ago
We are seeking a highly skilled Staff Dentist to join our team at Liberty Dental Plan. As a key member of our Utilization Management team, you will play a critical role in ensuring the timely and accurate adjudication of dental claims and prospective requests for dental services.
The ideal candidate will have a strong background in clinical dentistry, with a minimum of 5 years of experience in a similar role. You will be responsible for conducting clinical reviews of claims and pre-authorizations, participating in quality management and improvement activities, and collaborating with our clinical team to ensure the highest level of care for our patients.
Key Responsibilities:
- Conduct clinical reviews of claims and pre-authorizations to ensure timely and accurate adjudication
- Participate in quality management and improvement activities to ensure the highest level of care for patients
- Collaborate with clinical team to ensure accurate and timely decision-making
- Develop and maintain subject matter expertise in Liberty Dental Plan's dental benefit plans and applicable state Medicaid programs
- Participate in Quality Improvement and Provider Credentialing Committees to provide input on resolution of member and/or provider grievances
Requirements:
- Minimum DDS/DMD degree
- Active, unrestricted license or certification to practice dental or related health profession in Georgia in good standing
- Minimum 5 years of clinical dentistry experience
What We Offer:
- Competitive salary range of $129,099 - $167,829
- Opportunity to work with a dynamic and growing company
- Collaborative and supportive team environment