Iowa Licensed Clinical Investigator

Job Summary

A company is looking for a Clinical Investigator Consultant residing in Iowa.

Key Responsibilities

• Conduct retrospective reviews of claims data to identify fraud, waste, or abuse
• Manage the investigative process, including communication with clients and providers
• Ensure compliance with regulations and maintain professional relationships with clients and agencies

Required Qualifications

• Licensed Registered Dental Hygienist preferred
• 3+ years of clinical or related investigative experience
• Experience in Dental Utilization Management or Review preferred
• Knowledge of dental procedures and terminology required
• Ability to independently manage workflow and meet contractual obligations