State Licensed Dental Policy Advisor

Job Summary

A company is looking for an Expert Clinical Policy Advisor.

Key Responsibilities

• Develops and maintains clinical dental policies and guidelines
• Evaluates existing clinical policies for efficiency and accuracy
• Leads clinical committees and supports policy governance

Required Qualifications and Education

• 7+ years of experience with a Bachelor's degree
• Minimum of 4 years' experience in dental policy administration; DDS or DMD required
• Knowledge of dental policy and utilization management processes
• Ability to maintain confidentiality and adhere to HIPAA
• Knowledge of Current Dental Terminology (CDT) codes and dental nomenclature