Dental Healthcare Analyst

Job not on LinkedIn

🔥 3 hours ago

🦀 Maryland – Remote

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💵 $21 - $44 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 0%

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Support the daily processing of appeals in the Par Provider Dental Appeals • Complete appeals determination letters • Prepare dental requests • Update systems • Complete reporting as necessary • Collaborate with clinical support staff, including Medical Directors, Nurses, and Providers • Move cases in the MedHok system • Manage complaint and appeal scenarios for dental products through resolution • Coordinate responses from multiple business units • Ensure timely, provider-focused responses to complaints and appeals • Identify trends and emerging issues • Report findings and recommend solutions

🎯 Requirements

• Comprehends contemporary dental care standards, practices, and procedures • Possesses high level of technical knowledge and radiograph interpretation skills • If certified or licensed, maintains required continuing education requirements • Vocational school or college level training beyond high school • CDA, RDA, or RDH with at least five years clinical experience • Ability to comply with turnaround times and regulatory standards • Ability to use the MedHok system • Ability to coordinate responses across multiple business units

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility

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