Job Summary
A company is looking for a Part Time National Dental Specialist.
Key Responsibilities
- Review and adjudicate dental claims and treatment authorization requests, ensuring compliance with plan guidelines
- Support State Dental Directors in clinical reviews, Fair Hearing Meetings, and coordination of determination decisions
- Assist in tracking provider activity and support fraud and abuse investigations
Required Qualifications
- Dental Degree from a U.S. accredited Dental School (DDS or DMD)
- Active, unrestricted Mississippi Dental License; multi-state licensure preferred
- Board Certification in Orthodontics required
- Minimum of seven (7) years' experience as a practicing Orthodontist
- Successful completion of an orthodontic specialty program from a U.S. accredited Dental School
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