Job Description
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The Dental Director relies on dental background and reviews dental claims. The Dental Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Dental Director provides dental interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
+ Complete all clinical reviews associated with dental fraud, waste and abuse investigations and create a recommendation on the case direction.
+ Stay up to date on all dental industry standar...
The Dental Director relies on dental background and reviews dental claims. The Dental Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Dental Director provides dental interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
+ Complete all clinical reviews associated with dental fraud, waste and abuse investigations and create a recommendation on the case direction.
+ Stay up to date on all dental industry standar...