Staff Dentist, Part-Time, Nevada License

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🎰 Nevada – Remote

🎰 Nevada – Remote

💵 $74 - $82 / hour

⏱ Part Time

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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

• Review dental claims, referrals, and prior authorization requests across multiple lines of business. • Apply clinical expertise to evaluate treatment plans, radiographs, chart notes, and supporting documentation. • Make coverage determinations based on benefit plans, clinical guidelines, medical necessity criteria, and applicable policies. • Meet established productivity, quality, and turnaround-time standards. • Document clinical rationale clearly and accurately in accordance with regulatory and accreditation requirements. • Participate in calibration sessions to promote consistency and accuracy in clinical decision-making. • Complete inter-rater reliability assessments and support ongoing quality improvement efforts. • Collaborate with leadership and peers to address complex clinical scenarios and interpretation questions. • Incorporate audit findings and feedback to continuously enhance determination accuracy and documentation quality. • Conduct peer-to-peer consultations with treating providers regarding clinical determinations and treatment alternatives. • Participate in grievance, appeal, and secondary review activities. • Consult with dental specialists and subject matter experts as needed to support informed clinical decision-making. • Maintain expertise in Liberty Dental Plan benefit structures and applicable Medicaid programs. • Support regulatory reporting and accreditation-related activities. • Stay current with ADA CDT coding updates, evidence-based treatment guidelines, and state-specific requirements. • Participate in required training programs, departmental meetings, and organizational initiatives.

🎯 Requirements

• DDS or DMD degree from an accredited dental school. • Current, active, and unrestricted Nevada dental license in good standing. • Minimum of six (6) years of experience as a practicing dentist. • Ability to successfully complete Liberty Dental Plan credentialing and recredentialing requirements. • Strong knowledge of dental procedures, clinical guidelines, coding standards, and medical necessity criteria. • Ability to review and interpret dental radiographs, treatment plans, and chart documentation. • Excellent written and verbal communication skills. • Ability to manage review volumes efficiently while maintaining quality and compliance standards.

🏖️ Benefits

• Competitive pay structure and savings options to help you reach your financial goals. • Excellent 401(k) retirement benefits , including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines. • Employee Assistance Program (EAP) to support mental health and well-being. • Generous vacation and sick leave policies, with the ability to roll over unused time. • Paid company holidays. • Remote or hybrid work options available for various positions.