Quality Management Dental Consultant (Roseville, CA)

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

At Gainwell you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

• Establishes and maintains a methodology and reporting procedure for systematically measuring the quality of professional review and adjudication for each dental consultant.
• Performs quality reviews of all dental consultants and clinical screening dentists and monitors all training of dental consultants and clinical screening dentists.
• Oversees the development and implementation of Corrective Action Plans (CAPs) prepared by the operating unit on instances of nonconformance with dental policy and procedures.
• Prepares monthly and quarterly reports to document all review results and Corrective Action Plans and monitors the system that tracks dental license expiration dates and ensures all unrestricted licenses to practice dentistry in the State of California.
• Ensures that dental consultants have access to current and applicable Medi-Cal, Dental manuals and the Medi-Cal Dental Program Provider Handbook (including Provider Bulletins) at all times.

What we're looking for

• DDS degree and current California license in dentistry.
• Ten years of clinical experience in general dentistry or a specialized field.
• Demonstrated expertise and knowledge of Medi-Cal Dental criteria and program.
• ASQ Quality 101 Certified or attainment within first year and CADP Certified Clinical Auditor
• Ability to maintain confidentiality.

What you should expect in this role

• Must be a resident of the state of California.
• Hybrid work environment 1-2 days a week in the office as needed for face-to-face and client meetings with the remainder of time remote work.  The office is located in the Roseville/Sacramento area.
• Full-time employee's benefits start on their first day of employment.
• Must have internet access to work at home that at minimum meets the following standards:
  • speed of 24MBS download and 8 MBS upload

 

 

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The pay range for this position is $190,100.00 - $271,500.00 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.

 

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.