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We are seeking experienced dental professionals to support a New Hampshire Medicaid program through clinical review, consultation, and authorization oversight services. These are flexible, fully remote opportunities for providers who want to leverage their clinical expertise in a non-chairside consulting capacity while maintaining work-life balance.
Job Responsibility
Review of dental clinical documentation and treatment requests
Evaluate cases for medical necessity and authorization approval
Approve or deny claims based on clinical guidelines and program criteria
Provide clinical consultation and oversight support
Utilize expertise related to the Handicapping Labio Lingual Deviation (HLD) Index
Maintain accurate and timely documentation of reviews and determinations
Participating in hearings or office visits if required
Requirements
DDS or DMD from an accredited institution
Completion of accredited Orthodontics residency program
Active Orthodontic licensure
Experience with Medicaid or utilization review preferred