Dental Consultant, Reviewer
Alabama, United States of America
Part Time
2 hours ago
$80 - $100 USD
About this role
Role Overview
- Review and process dental prior authorization (PA) requests
- Apply Alabama Medicaid clinical criteria and guidelines
- Approve or deny requests with clear clinical documentation
- Ensure consistent application of Medicaid policy across reviews
- Provide clinical insight to support provider relations and reporting activities
Requirements
- DDS or DMD from an accredited dental school
- Active Alabama dental license in good standing
- Must reside in Alabama
- 5+ years of experience practicing dentistry
- Experience with prior authorization, utilization review, or Medicaid dental policy preferred