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Website Incept Data Solutions, INC.
SCOPE OF WORK
The subcontractor shall provide dental insight and expertise for Medicaid claims review decisions regarding Dental claims, providing expert testimony as needed, in the performance of fraud, waste and abuse detection, deterrence and prevention activities involving Medicaid providers other entities receiving reimbursement under a Medicaid program. This includes providers, suppliers, and other entities performing under Medicaid Managed Care, and other programs administered or operated by State Medicaid Agencies for Medicaid claims processed within the jurisdiction.
The candidate must be/have:
Licensed in the state of Nebraska as D.D.S or D.M.D
3-5 years of experience with stainless steel crowns and sealants
Practice in Nebraska
Provides insight and expertise for Medicaid dental claims review decisions completed.
Maintains working knowledge of dental practice standards, guidelines, and related technology.
Presents dental specialty education sessions as needed.
Provides expert testimony as required.
Ensures compliance with Medicaid dental guidelines and CMS directives concerning Medical Review and supports Hearings and Appeals.
For immediate consideration, please call our recruiter Kavita at 281.650.0437
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