Staff Dentist, Independent Contractor

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

⏳ Contract/Temporary

🔴 Lead

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Liberty Dental Plan

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2002

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Liberty Dental Plan is a U. S. -based dental insurance provider offering Medicaid (including Medi-Cal), Medicare Advantage, commercial, individual & family, and group dental plans across multiple states. The company operates member-facing services (find-a-dentist, member portal, mobile app, claims and eligibility tools) and provider-facing services (provider portal, network enrollment, claims submission, clinical guidelines, and value-based programs). Liberty Dental Plan focuses on dental benefits administration, provider network management, compliance and credentialing, and serving members, providers, and brokers.

📋 Description

• Perform timely clinical adjudication of dental claims and prior authorization requests • Determine medical necessity and benefit coverage using clinical expertise and plan guidelines • Interpret radiographs, charts, and supporting documentation to inform decisions • Identify inappropriate, unnecessary, or low-value services • Participate in quality improvement initiatives, audits, and utilization analyses • Conduct focused chart reviews to identify utilization trends and potential quality concerns • Support SIU activities, including provider site reviews and corrective recommendations • Analyze treatment patterns and recommend improvements • Conduct peer-to-peer consultations with network providers • Participate in grievance, appeal, and secondary review processes • Collaborate with specialists or subject-matter experts as needed • Participate in calibration sessions, trainings, and interrater reliability activities • Attend clinical and operational meetings • Contribute to credentialing and quality committees • Provide clinical input during tele-dentistry consultations when needed • Maintain expertise in dental benefit plans and Medicaid program requirements • Support regulatory reporting and compliance initiatives

🎯 Requirements

• DDS or DMD from an accredited dental school • Active, unrestricted dental license in good standing in a U.S. state • Minimum: 4+ years practicing as a dentist • 2+ years experience with claims review, utilization management, or payer-side dentistry preferred • Strong knowledge of: Dental coding and clinical guidelines • Managed care and reimbursement systems • Medical necessity criteria and adjudication processes • Ability to interpret radiographs and dental records • Strong analytical, decision-making, and communication skills • Current professional malpractice insurance required (must be maintained throughout the contract period)

🏖️ Benefits

• Fully remote opportunity with flexible scheduling • Opportunity for contract extension based on performance and business needs