Liberty Dental Plan Careers

Internal Auditor

Liberty Dental Plan Careers · Full Time · 9 hours ago

Liberty Dental Plan Careers

🌎 United States 💵 $24.5 - $29 per hour ⭐ 2-5 yrs exp 💼 Finance

The Internal Auditor conducts high-volume audits of claims processing, provider fee schedules, and group setups to ensure compliance and accuracy. They also analyze data to identify trends, generate actionable insights, and collaborate with cross-functional teams to improve operational performance.

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Quality Management Analyst

Liberty Dental Plan Careers · Other · 10 hours ago

Liberty Dental Plan Careers

🌎 United States 💵 $73000 - $80000 per year ⭐ 2-5 yrs exp 💼 Others

The Quality Program Administrator manages Medicaid and Medicare quality programs by ensuring regulatory compliance and operational excellence. They facilitate cross-functional projects, analyze performance data, and prepare reports to drive continuous quality improvement.

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IT Operational Analyst

Liberty Dental Plan Careers · Other · 10 hours ago

Liberty Dental Plan Careers

🌎 United States 💵 $80000 - $88000 per year ⭐ 2-5 yrs exp 💼 Others

The IT Operational Analyst serves as a liaison between business units and IT teams to translate business needs into technical requirements. They are responsible for analyzing system performance, identifying process improvements, and supporting the implementation of technology solutions.

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Grievance & Appeals Manager

Liberty Dental Plan Careers · Other · 10 hours ago

Liberty Dental Plan Careers

🌎 United States 💵 $85000 - $95000 per year ⭐ 5-10 yrs exp 💼 Others

The Manager of Grievance & Appeals oversees the grievance system, ensuring all member and provider disputes are resolved in compliance with state and federal regulations. This role also drives quality improvement initiatives, manages audit preparedness, and collaborates across departments to implement process improvements.

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Manager, Systems Engineering

Liberty Dental Plan Careers · Other · 10 hours ago

Liberty Dental Plan Careers

🌎 United States 💵 $150K - $168K per year ⭐ 5-10 yrs exp 💼 Others

Lead and mentor a team of systems engineers while driving operational excellence and infrastructure reliability. Oversee requirements management, system architecture, and verification processes to ensure compliance and performance.

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Claims Referral Specialist II

Liberty Dental Plan Careers · Full Time · a day ago

Liberty Dental Plan Careers

🌎 United States 💵 $20 - $25 per hour ⭐ 0-2 yrs exp 💼 Legal

The Claims Referral Specialist II is responsible for accurately processing dental claims, pre-authorizations, and referrals in accordance with regulatory guidelines and service level agreements. They will collaborate with internal teams to resolve claim-related issues while maintaining high standards of quality and productivity.

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Overpayment Specialist

Liberty Dental Plan Careers · Other · 2 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $24.5 - $28 per hour ⭐ 2-5 yrs exp 💼 Others

The Overpayment Specialist investigates and resolves dental claim overpayments by analyzing data and determining root causes. They manage recovery efforts, handle provider disputes, and collaborate with cross-functional teams to ensure financial and operational accuracy.

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Group Plan Integration Specialist

Liberty Dental Plan Careers · Other · 2 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $36 - $40 per hour ⭐ 2-5 yrs exp 💼 Software Development

The Group Plan Integration Specialist manages the onboarding and integration of group dental insurance plans into existing systems. This role involves coordinating with internal teams to validate requirements, configure benefits, and ensure data accuracy for clients.

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Population Health Integration Lead

Liberty Dental Plan Careers · Other · 4 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $60000 - $72000 per year ⭐ 2-5 yrs exp 💼 Software Development

The Population Health Integration Lead will develop and execute enterprise-wide strategies to improve health outcomes and reduce disparities across diverse populations. This role involves collaborating with clinical and operational teams to implement care integration programs and community outreach initiatives while ensuring regulatory compliance.

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State Fair Hearing Analyst

Liberty Dental Plan Careers · Other · 4 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $28 - $35 per hour ⭐ 2-5 yrs exp 💼 Others

The State Fair Hearing Analyst manages Medicaid Fair Hearing cases by preparing detailed legal documentation, evidence, and case analyses. They represent the organization during hearings and collaborate with internal teams and state regulators to ensure compliance.

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System Configuration Analyst

Liberty Dental Plan Careers · Full Time · 6 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $65000 - $75000 per year ⭐ 2-5 yrs exp 💼 Others

The System Configuration Analyst will coordinate and execute claims and utilization management system configurations while ensuring alignment with benefit designs and regulatory standards. This role involves collaborating with cross-functional teams to test system logic, audit rules, and support new business implementations.

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Compliance Program Manager (Regulatory Implementation)

Liberty Dental Plan Careers · Full Time · 6 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $105K - $115K per year ⭐ 5-10 yrs exp 💼 Product

The Compliance Program Manager leads the implementation of new regulatory and contractual requirements across various lines of business. They are responsible for conducting risk assessments, managing compliance audits, and ensuring organizational adherence to healthcare regulations.

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Quality Improvement Analyst

Liberty Dental Plan Careers · Full Time · 7 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $73000 - $80000 per year ⭐ 2-5 yrs exp 💼 Others

The Quality Improvement Analyst will lead and support quality improvement projects while analyzing healthcare data to identify performance trends and gaps. They will facilitate cross-functional collaboration and present actionable findings to leadership to drive clinical and non-clinical outcomes.

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Staff Dentist (Part-Time, Remote, New Jersey License)

Liberty Dental Plan Careers · Full Time · 15 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $74 - $82 per hour ⭐ 5-10 yrs exp 💼 Healthcare

Perform clinical reviews of dental claims, prior authorizations, and treatment requests to ensure evidence-based care and regulatory compliance. Collaborate with providers and leadership to maintain consistency in coverage determinations and support quality improvement initiatives.

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Staff Dentist (Part-Time, Remote, California License)

Liberty Dental Plan Careers · Full Time · 15 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $74 - $82 per hour ⭐ 5-10 yrs exp 💼 Healthcare

Perform clinical reviews of dental claims, prior authorizations, and treatment requests to ensure evidence-based care. Collaborate with providers and leadership to maintain quality outcomes and regulatory compliance across various member populations.

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Staff Dentist (Part-Time, Remote, Nevada License)

Liberty Dental Plan Careers · Full Time · 15 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $74 - $82 per hour ⭐ 5-10 yrs exp 💼 Healthcare

Perform clinical reviews of dental claims, prior authorizations, and treatment requests to ensure evidence-based care. Collaborate with providers and leadership to maintain quality outcomes and regulatory compliance across various member populations.

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Compliance Program Manager (Government-Managed Healthcare Regulations)

Liberty Dental Plan Careers · Full Time · 16 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $105K - $115K per year ⭐ 5-10 yrs exp 💼 Product

Oversee regulatory and contractual compliance across Commercial, Exchange, Medicaid, and Medicare lines of business. Manage risk assessments, regulatory audits, and HIPAA privacy programs while reporting findings to leadership and the Board of Directors.

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Compliance Program Manager (Government-Managed Healthcare Regulations)

Liberty Dental Plan Careers · Full Time · 16 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $105K - $115K per year ⭐ 5-10 yrs exp 💼 Product

Oversee regulatory and contractual compliance across Commercial, Exchange, Medicaid, and Medicare lines of business. This includes managing audits, conducting annual risk assessments, and serving as a subject matter expert on government-managed healthcare regulations.

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Claims Referral Specialist II

Liberty Dental Plan Careers · Full Time · 20 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $20 - $25 per hour ⭐ 2-5 yrs exp 💼 Legal

Process dental claims, pre-authorizations, and referrals accurately while adhering to plan guidelines and service level agreements. Manage complex claims including Coordination of Benefits and Orthodontics while maintaining high productivity and quality standards.

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Encounter Data & Regulatory Analytics Manager

Liberty Dental Plan Careers · Full Time · 21 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $115K - $144K per year ⭐ 5-10 yrs exp 💼 Software Development

Oversee encounter data submissions and regulatory reporting for Medicaid and Medicare lines of business. Lead a team of analysts while performing hands-on SQL analysis to ensure audit readiness and compliance.

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Staff Dentist (Nevada & New Jersey)

Liberty Dental Plan Careers · Full Time · 25 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $150K - $165K per year ⭐ 5-10 yrs exp 💼 Healthcare

Review dental claims and prior authorization requests to ensure medical necessity and adherence to coverage guidelines. Collaborate with clinical leaders and providers to maintain consistency in clinical determinations and support quality initiatives.

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Senior Staff Dentist

Liberty Dental Plan Careers · Full Time · a month ago

Liberty Dental Plan Careers

🌎 United States 💵 $175K - $185K per year ⭐ 10+ yrs exp 💼 Healthcare

The Senior Staff Dentist will perform clinical reviews of dental claims and prior authorizations, ensuring compliance and accuracy. Additionally, they will mentor staff dentists and support quality improvement initiatives across the organization.

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Senior Staff Dentist

Liberty Dental Plan Careers · Full Time · a month ago

Liberty Dental Plan Careers

🌎 United States 💵 $175K - $185K per year ⭐ 5-10 yrs exp 💼 Healthcare

Provide clinical leadership for Utilization Management and Review programs by reviewing dental claims and prior authorizations for medical necessity. Collaborate with providers and internal teams to improve care quality and ensure regulatory compliance across various populations.

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