Illinois Licensed Dental Director

Job Summary

A company is looking for a Dental Clinical Director to manage prior authorizations, claims, and appeals in dental care.

Key Responsibilities

• Review and decide on prior authorization and claim submissions
• Review and decide on member and provider appeals
• Develop and evaluate clinical policies in accordance with dental guidelines

Required Qualifications

• DDS/DMD degree required
• 5 years of experience in dental claims and care as a General Dentist or Specialty Dentist
• Valid dental license