Current jobs related to Orthodontic Specialist Consultant - Roseville, California - Gainwell Technologies


  • Roseville, California, United States Kaiser Permanente Full time

    Job Summary:As a Clinical Nurse Specialist at Kaiser Permanente, you will provide expert clinical care to pediatric patients in the intensive care unit. You will develop and implement quality standards for nursing practice, provide education and consultation to nursing staff, and participate in research and administration.Key Responsibilities:Establish and...


  • Roseville, California, United States Kaiser Permanente Full time

    Job Summary:As a Clinical Nurse Specialist at Kaiser Permanente, you will provide in-depth clinical expertise in pediatric intensive care, developing and ensuring quality standards for nursing practice. You will provide advanced clinical practice education, consultation, research, and administration.Key Responsibilities:• Establish and monitor care...

  • Dental Specialist

    2 weeks ago


    Roseville, California, United States Barton Associates Full time

    Job DetailsLocation: CaliforniaJob Type: Locum TenensHours: 8:00 AM - 5:00 PMResponsibilities:We are seeking a skilled Dental Specialist to join our team in California. The ideal candidate will have experience with TMJ injections and a focus on TMJ consultations and injections.Requirements:Must have TMJ experienceFocus on TMJ consultations and injections,...


  • Roseville, California, United States Pacific Medical, Inc. Full time

    Pedorthic Specialist Job DescriptionPacific Medical, Inc. is seeking a highly skilled Pedorthic Specialist to join our team in Roseville, CA. As a key member of our patient care facility, you will be responsible for evaluating patients, designing, fabricating, fitting, modifying, maintaining, and repairing pedorthic devices to prevent or alleviate painful...

  • Financial Consultant

    3 weeks ago


    Roseville, California, United States Charles Schwab Full time

    About the RoleThis position may be required to service TDA accounts until the broker dealer integration is complete. At Charles Schwab, you'll have the opportunity to make a meaningful impact on your career and the finance industry as a whole.Key ResponsibilitiesProvide financial guidance and wealth management advice to existing Schwab clientsGrow your...


  • Roseville, California, United States Sutter Health Full time

    Sutter Health is currently seeking a highly skilled and compassionate Senior Clinical Social Worker Specialist to join our team in providing exceptional patient care and support.The ideal candidate will have a Master's degree in Social Work and at least 2 years of recent relevant experience in clinical social work. They will possess strong clinical skills in...


  • Roseville, California, United States Averro Full time

    Job Title: IT Customer Success SpecialistWe are seeking a highly motivated and organized IT Customer Success Specialist to join our team at Averro. As a key member of our IT customer success team, you will play a critical role in ensuring the success of our clients by providing exceptional support and service.Key Responsibilities:Support large client...

  • Dental Specialist

    2 weeks ago


    Roseville, California, United States Barton Associates Full time

    Job DetailsStart Date: Mid NovemberHours: 8:00 AM - 5:00 PMResponsibilitiesWe are seeking a skilled dental specialist to perform TMJ injections, administer trigger point injections, treat jaw pain, and differentiate between muscular and joint issues. The ideal candidate will also have experience fitting bite guards.RequirementsThe successful candidate must...


  • Roseville, California, United States Bob's Discount Furniture Full time

    Transform Customer Experiences into Lifelong RelationshipsAt Bob's Discount Furniture, we're on a mission to revolutionize the way people shop for home furnishings. As a Retail Guest Experience Specialist, you'll play a pivotal role in driving our success and growth in the retail industry. In this dynamic and rewarding career, you'll have the opportunity to...


  • Roseville, California, United States Kaiser Permanente Full time

    Job Summary:As a Clinical Nurse Specialist at Kaiser Permanente, you will provide in-depth clinical expertise in pediatric intensive care, developing and ensuring quality standards for nursing practice. You will collaborate with nursing staff to assess patient needs and develop plans of care for complex high-risk patients. Your expertise will be sought by...


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

    OB/GYN Physician OpportunityThe Permanente Medical Group, Inc. is seeking a full-time OB/GYN physician to join our team in Sacramento, CA. Our community offers a great balance of outdoor activities, urban amenities, and a relaxed pace of life. With highly rated public-school systems and a strong sense of community, there's something for everyone.As a member...


  • Roseville, California, United States Barghausen Consulting Engineers Full time

    We are seeking a skilled Architectural BIM/CAD Specialist to join our team at Barghausen Consulting Engineers. As a key member of our team, you will work closely with project managers and architects to create high-quality Revit and AutoCAD drawings that meet our company's standards.This is an excellent opportunity to showcase your skills and contribute to...


  • Roseville, California, United States CommonSpirit Health Full time

    Job SummaryWe are seeking a highly skilled and compassionate Physician to join our Family Medicine Department at our Roseville Clinic. As a key member of our team, you will be responsible for providing high-quality patient care, collaborating with our healthcare professionals, and contributing to the development of clinical protocols and...


  • Roseville, California, United States Dignity Health Full time

    Join Dignity Health as a Family Medicine PhysicianMercy Medical Group (MMG), a dynamic and growing organization, is seeking a Family Medicine Physician to join our team at our Roseville Clinic. As a Family Medicine Physician, you will be part of a patient-centric, physician-led medical home model with advanced clinical practitioners and nurses.Highlights of...


  • Roseville, California, United States Bob's Discount Furniture Full time

    Unlock Your Potential as a Retail Sales Specialist at Bob's Discount FurnitureAre you a sales professional with a passion for delivering exceptional customer experiences? Do you thrive in a fast-paced retail environment where no two days are the same? If so, we want to hear from you!As a Retail Sales Specialist at Bob's Discount Furniture, you will play a...


  • Roseville, California, United States GrowthWise Search Partners Full time

    Job Opportunity: Recruitment ConsultantWe are seeking a skilled Recruitment Consultant to join our team at GrowthWise Search Partners.Job SummaryThe successful candidate will be responsible for performing full-cycle recruitment functions, including sourcing and screening, for multiple clients across various industries and job types.Key...


  • Roseville, California, United States Dignity Health Full time

    About the RoleWe are seeking a highly skilled and compassionate Family Medicine Physician to join our team at Dignity Health. As a key member of our medical group, you will be responsible for providing high-quality patient care and contributing to the growth and development of our organization.Key ResponsibilitiesPatient Care:Diagnose and treat various...


  • Roseville, California, United States Jobot Full time

    Job SummaryWe are seeking a skilled Tax Consultant to join our team at Jobot. As a Tax Consultant for Venture Capital Firms, you will provide expert tax advice to our clients in the venture capital sector.Key ResponsibilitiesProvide tax consulting services to venture capital clients, including tax planning, compliance, and structuring.Develop and maintain...


  • Roseville, California, United States Brilliant Earth Full time

    Job OverviewBrilliant Earth is seeking a highly skilled and customer-focused Jewelry Sales Consultant to join our team. As a Jewelry Sales Consultant, you will be responsible for providing exceptional customer experiences, guiding customers through the sales process, and meeting sales targets in a fast-paced environment.Key ResponsibilitiesUtilize sales...


  • Roseville, California, United States Presbyterian Homes and Services Full time

    OverviewPresbyterian Homes and Services is seeking a Regional Talent Sourcing Specialist to focus on high-volume positions. Our Talent Sourcing team identifies and engages passive candidates to join one of the largest not-for-profit senior housing and service providers in the country with more than 60 locations.You will build and maintain a pipeline of...

Orthodontic Specialist Consultant

2 months ago


Roseville, California, United States Gainwell Technologies Full time
Orthodontic Consultant - Gainwell Technologies

Gainwell Technologies is seeking experienced Orthodontic Consultants to leverage their clinical expertise in evaluating and processing dental treatment authorization requests and claims in compliance with Medi-Cal Dental policies. This role is designed for ongoing recruitment, welcoming applications continuously.

Your Contribution to Our Mission
  • Analyze dental documentation to assess the medical necessity of orthodontic interventions based on established standards of care.
  • Process Treatment Authorization Requests (TARs), Notices of Authorization (NOAs), and Claim Inquiry Forms (CIFs) manually, adhering to the guidelines set by the CA Department of Health Care Services (DHCS) to ensure compliance with Medi-Cal Dental regulations.
  • Collaborate with a team of dental consultants, including fellow orthodontists, sharing responsibilities for prior authorization and claims processing that require the specialized knowledge of an experienced orthodontist. Effective communication is essential for seamless business operations.
  • Support the training and onboarding of new dental consultants, offering mentorship and guidance, including assistance with complex cases or claims.
  • Provide assistance to other departments as needed, including Claims Processing, Provider and Member Services, Grievances/Appeals, HR/Onboarding, Quality Management, and peer review, while sharing findings with the claims processing team regarding orthodontic cases.
Qualifications We Seek
  • A minimum of ten (10) years of hands-on clinical experience as an Orthodontic Specialist delivering dental services. Candidates must be recognized specialists in Orthodontics and meet all requirements set by the Board of Dental Examiners in California.
  • An active (non-expired) license to practice dentistry in California, in good standing, without any suspensions or sanctions.
  • Experience in adjudication and claims processing for the Medi-Cal Dental Program in California is advantageous but not mandatory.
  • In-depth knowledge of Medi-Cal Dental criteria and program requirements.
  • Must be a qualified Orthodontist.
What to Expect in This Role
  • This position is hybrid, requiring 2 days on-site and 3 days remote work.
    • The work schedule is Monday through Friday.
  • Full-time employment (40 hours per week) with a comprehensive benefits package.
  • To effectively work remotely, employees must have a broadband internet connection with a minimum speed of 24MBS download and 8 MBS upload. Higher speeds will enhance performance.
  • Ensure that the address provided in your application is a physical address, as it will be used for sending company equipment.

The salary range for this position is $116,000 per year, with variations based on geographic location, internal equity, and individual qualifications. At Gainwell Technologies, you will have the opportunity to advance your career in a company that values flexibility, learning, and professional development. All full-time salaried employees are eligible for a generous vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also offer various leadership and technical development programs to enhance your skills and capabilities.

Gainwell Technologies is dedicated to fostering a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, ensuring that all qualified applicants receive consideration for employment without regard to race, religion, color, national origin, gender, sexual orientation, gender identity, age, veteran status, disability, or other legally protected characteristics. We celebrate diversity and are committed to creating an inclusive environment for all employees.