Dental Consultant (Clinical Screening Reviews)

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

 

Summary

As a Clinical Screening Review Dental Consultant at Gainwell, you will collect, track, follow up, and analyze referrals of potential fraud, abuse, and substandard quality of care. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Gainwell empowers you to help clients deliver better health and human services outcomes using innovative technology and solutions, enabling you to design your career for growth, new possibilities, and refinement of your valuable skills. Here are the details on this position.​

Your role in our mission

•            Collect, track, follow up and analyze referrals of potential fraud, abuse, and substandard quality of care.

•            Review and analyze the delivery, billing, and utilization of services on a case-by-case basis, to detect unusual practices, billing anomalies and potential abuse by Medi-Cal providers and/or members.

•            Determine whether clinical screening examinations should be conducted and/or whether additional patient records are required for review in cases of potential fraud, abuse and/or quality of care.

•            Collaborate with the clinical screening department to coordinate screening appointments and train/calibrate clinical screening dentists within the Program.

•            Create, edit and present results of clinical screening and patient records findings as a part of written reports and verbal presentations.

What we're looking for

•            A minimum of ten (10) years of experience as a dentist.

•            Must hold an active CA dental license, in good-standing and free of any suspensions or sanctions from Federal, State or local jurisdictions.

•            Proficiency in creating, querying, and analyzing reports.

•            Strong writing skills with the ability to convey data in a clear and actionable manner.

•            Demonstrated expertise and knowledge of Medi-Cal Dental criteria and clinical screening preferred.

 

What you should expect in this role

• This is a full-time permanent regular salaried (W-2) employee position.
• Upward career advancement is possible and encouraged.
• Health (medical, dental, vision) and paid time off (vacation, sick time, holidays) benefits start on day 1 of employment.
  • Further discussed during new hire orientation only.
• Company match 401K and other benefits available within months of starting.
  • Further discussed in new hire orientation only.
• Company provided computer and other equipment if needed to perform this role.
  • ​​​​​​​All equipment is to remain in our office.
• Monday through Friday work schedule.
• Our office hours in Roseville, CA are 8 AM to 5 PM Monday through Friday in the office.
• Video cameras must be used during all interviews, as well as during the initial week of orientation if hired.

 

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This position is intended for pipelining. We will accept applications on an ongoing basis.

 

The pay range for this position is $116,100.00 - $165,900.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

 

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

 

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