At Dearborn, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

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Job Summary

This highly technical and critical position is responsible for the clinical integrity, accuracy and consistency of DNoA’s dental claims review process. This role will be of particular importance, given DNoA’s commitment to increase the efficiency and focus of the current review process. The Sr Dental Consultant will assume a critical role in the implementation and oversight of this enhanced review process. Reporting to the Executive Dental Director, they will work with all stakeholders to develop a vision for Dental Blue that is clinically sound, market leading and reflective of current scientific research and clinical practice. In addition to the review of complex claims and appeals, this individual will be a key contributor to the assessment and implementation of new clinical policy; at the detailed level of policy logic and decision-tree development. These clinical rules, driving the application of medical necessity determinations and contractual compliance, will be applicable across all corporate divisions of HCSC.

JOB REQUIREMENTS :

· DDS or DMD degree.

· A minimum of five years of clinical practice experience

· Current, unrestricted clinical license, and ability to provide updated license annually.

· Eligible for certification by the American Association of Dental Consultants.

· Excellent verbal and written presentation skills.

· Demonstrated ability to work in a team environment.

· Flexibility to accommodate changes in business priorities.

· Demonstrated ability to promote a culture of constant growth, learning and improvement.

PREFERRED JOB REQUIREMENTS :

• Five years’ experience in dental insurance, including claims review experience.

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Pay Transparency Statement:

At Dearborn, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Dearborn Group Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$121,200.00 - $225,200.00

Exact compensation may vary based on skills, experience, and location.