Wisconsin Licensed Dental Engagement Specialist

Job Summary

Serving as a clinical and operational liaison, the remote Wisconsin Licensed Dental Engagement Specialist will provide advanced education and technical assistance to Medicaid dental providers, manage prior authorization appeals, and identify opportunities for improving provider experience and program participation.

Key responsibilities

• Serve as an advanced resource for Medicaid dental providers on prior authorizations and ForwardHealth policy
• Provide escalated technical assistance and outreach to support provider enrollment and compliance
• Track and analyze provider inquiries and trends to recommend education and process improvements

Required qualifications

• Current, unrestricted Wisconsin license as a Registered Dental Hygienist (RDH) or equivalent dental credential
• Substantial clinical dental experience, preferably with Medicaid-enrolled populations
• Experience with Medicaid, dental benefits administration, and prior authorization processes
• Ability to interpret clinical and administrative policy and provide practical guidance
• Proficiency with Microsoft Office applications and virtual meeting platforms