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About the Role

LIBERTY Dental Plan is seeking a New York Licensed Staff Dentist for a fully remote position. This role involves reviewing claims and prior authorizations to ensure members receive appropriate dental care, influencing patient outcomes and strengthening dental benefits across various programs. It offers an opportunity to collaborate with clinical leaders and contribute to quality initiatives within a mission-driven organization focused on improving oral health.

Responsibilities

• Review dental claims and prior authorization requests, applying coverage guidelines and benefit plan policies.
• Interpret dental records, radiographs, and clinical documentation to assess medical necessity.
• Meet established productivity and quality benchmarks for clinical reviews.
• Document clear, concise clinical rationale aligned with regulatory and accreditation standards.
• Participate in calibration sessions to ensure consistent application of clinical guidelines and policies.
• Complete interrater reliability assessments and meet accuracy benchmarks.
• Raise complex or unclear cases for peer discussion and resolution.
• Incorporate feedback from audits and reviews to continuously improve accuracy.
• Conduct peer-to-peer consultations with providers regarding clinical decisions and treatment alternatives.
• Support grievance and appeal reviews with clinical insight.
• Collaborate with dental specialists and internal teams on complex cases.
• Participate in clinical trainings and team meetings.
• Partner with Utilization Management, Claims, Dental Directors, and Grievances & Appeals teams.
• Support regulatory reporting and maintain knowledge of applicable standards and guidelines.
• Stay current on ADA coding updates and evidence-based clinical practices.

Requirements

• DDS or DMD from an accredited institution.
• Active, unrestricted New York dental license in good standing.
• Minimum 6 years of experience as a practicing dentist.
• Experience with claims review, utilization management, or quality initiatives preferred.
• Strong clinical judgment and ability to evaluate dental necessity and treatment appropriateness.
• Ability to interpret dental radiographs and clinical records.
• Knowledge of managed care systems, reimbursement models, and regulatory requirements.
• Strong written communication skills to document clear and defensible clinical decisions.
• Ability to manage high-volume review work efficiently while maintaining accuracy.
• Comfort working in a remote, structured environment during standard business hours.
• Proficiency with computer systems and ability to learn new technology platforms, including AI-supported tools.
• No relocation assistance or sponsorship available.

Skills

• Clinical judgment
• Radiograph interpretation
• Clinical record interpretation
• Managed care systems knowledge
• Reimbursement models knowledge
• Regulatory requirements knowledge
• Written communication
• Computer proficiency
• AI-supported tools proficiency

Location

• New York - NY
• Remote

Work Type

• Full Time
• Fully remote

Experience Level

• Minimum 6 years of experience as a practicing dentist

Education Level

• DDS or DMD from an accredited institution
• Active, unrestricted New York dental license

Salary/Compensations

• $150,000 – $165,000 annually

Benefits

• Competitive pay structure and savings options
• Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
• Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.
• 100% employer-paid dental coverage for employees and eligible dependents.
• Vision insurance with low-cost premiums for employee-only coverage and dependents.
• Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.
• Flexible Spending Accounts for healthcare and dependent care expenses.
• Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.
• Long-term disability coverage.
• Expansive wellness programs, including company-wide wellness challenges, and gym discounts.
• Employee Assistance Program (EAP) to support mental health and well-being.
• Generous vacation and sick leave policies, with the ability to roll over unused time.
• 10 paid company holidays.
• Tuition reimbursement for eligible educational expenses.
• Remote or hybrid work options available for various positions.

About the Company

• Liberty Dental Plan is dedicated to improving oral health outcomes through quality, innovation, and collaboration.
• We are a mission-driven organization focused on improving oral health nationwide.
• Our employees are distributed in office locations in multiple markets across the United States.
• We are unable to hire or allow employees to work outside of the United States.

Equal Opportunity

• Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives.
• We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential.
• Liberty will leverage diverse perspectives in building high performance teams and organizational culture.
• Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.
• We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.
• Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.