Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company’s mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Acentra seeks an Orthodontist to join our growing team.
Job Summary:
The Dental Physician Reviewer-Orthodontist will oversee utilization review/management activities to include peer review, utilization review, fair hearings and appeals, and other clinical consultations related to the applicable contract. The Dental Orthodontics Physician Reviewer will support the dental UM contract for Arkansas Medicaid.
*Position is remote within the State of Arkansas.
Job Responsibilities:
- Collaborate with Medical Director and other Dental Physician Reviewers on case consultations as needed
- Discuss complicated Utilization Management reviews or clinical scenarios with Utilization Management Dental Hygienist Reviewers
- Review safety, sentinel, and Quality of Care events and provide detailed feedback and recommendations as per organization and policy
- Complete all secondary-level Dental/Orthodontia Utilization Management reviews
- Develop and complete an annual review of clinical medical necessity criteria
- Perform any other duties assigned
Required Qualifications/Experience:
- DMD or DDS from accredited dental school.
- Completion of an orthodontic residency program.
- Active Arkansas orthodontic dental license.
- Experience in Utilization Management with knowledge of Medicaid and Medicare programs
Preferred Qualifications/Experience:
- 10+ years of clinical practice preferred
- Proficient in Microsoft Office applications, especially Teams and Outlook
- Exceptional writing and oral communication abilities
- Maintain a professional manner and demeanor
- Able to collaborate effectively with team members and thrive in a collaborative work environment
- Strong knowledge of quality assurance and utilization review
- Ability to work effectively with a diversity of personalities
- Ability to be approachable, show respect for others and be a consensus builder
- Strong organizational skills and a system thinking approach
- Ability to deliver on time
- Able to adapt to frequently changing work parameters
Why us?
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.
We do this through our people.
You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.
Thank You!
We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may interest you. Best of luck in your search!
~ The Acentra Health Talent Acquisition Team
Visit us at Acentra.com/careers/
EOE AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.
Compensation
The pay range for this position is $76.40-115.00 per hour.
“Based on our compensation philosophy, an applicant’s placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”
