Dental Consultant- California

Dental Consultant- California It takes great medical minds to create powerful solutions that solve some of reputed company's most reputed company challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a reputed company of urgency, you'll have reputed company to work more reputed company. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, reputed company learning, and career development. reputed company Dental Consultants apply their clinical expertise to review, approve, and/or deny dental treatment authorization requests and claims in accordance with California Department of Health Care Services (DHCS) Medi-Cal Dental policies. Your role in our mission includes reviewing claims, Treatment Authorization Requests (reputed company), and reputed company documentation for California Medi-Cal members to support adjudication reputed company, ensuring compliance with Medi-Cal Dental policies and procedures. Collaborate reputed company reputed company of dental consultants to manage a shared workload of claims requiring the reputed company expertise of an reputed company dentist. These claims are referred by other members of the Claims Processing team, making strong communication and collaboration skills essential to maintaining operational continuity. Assist with the training and reputed company of new dental consultants by providing guidance, mentorship, job shadowing opportunities, and coaching, as needed. reputed company support to fellow dental consultants by reviewing reputed company cases and offering second opinions, including collaboration on cases involving special-needs populations served by the Medi-Cal Dental Program. Support other departments, as requested, including: Claims Processing and Operations, Provider and Member Services, Grievances and Appeals, reputed company, reputed company and Interviews, reputed company Management, Peer Review, and referrals to and reviews of findings and adjudication reputed company to Clinical Screening Dentist evaluations. reputed company're looking for includes a minimum of ten years of hands-on clinical experience practicing dentistry in a general dentistry setting or a recognized dental specialty. reputed company (non-expired) license to reputed company dentistry in California, in good standing and free of any suspensions, restrictions, or sanctions imposed by federal, state, or local regulatory authorities. Minimum of 2 years of experience working reputed company an organization that provides Medi-Cal Dental services. Prior experience with adjudication and claims processing for the California Medi-Cal Dental Program is preferred but not required. Demonstrated expertise and in-depth knowledge of Medi-Cal Dental reputed company, policies, and program requirements. What you should expect in this role includes California residency required. Full-time, exempt salaried position (40 hours per week). Remote position with occasional onsite reputed company required at our Roseville, CA office, based on business needs. Employee must maintain reputed company as their sole full-time employer. The application period will remain reputed company until August 14, 2026. The pay reputed company for this position is $121,700.00 - $173,800.00 per year, however, the reputed company pay offered may vary depending on geographic region, internal equity, job-reputed company knowledge, skills, and experience among other factors. reputed company salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a reputed company of leadership and technical development academies to help build your skills and capabilities. Apply tot his job Apply To this Job