Clinical Dental Quality Consultant (Remote Opportunity)
Join the CVS Health team and bring your passion for delivering exceptional healthcare to our members. As a Clinical Dental Quality Consultant, you will play a vital role in ensuring our members receive top-notch dental care. With 60+ years of experience, Aetna Dental is a leading provider of dental care to over nine million members, and we're seeking a dedicated professional to join our team.
In this fully remote position, you will serve as a key partner to our Compliance and Medicare business segments, reporting to Aetna's National Dental Director. Your expertise will be instrumental in driving quality management initiatives, providing clinical guidance, and fostering partnerships that enhance our members' experience.
Key Responsibilities:
Provide expert clinical input and analysis to support operational functions, strategic goals, and regulatory compliance
Participate in committees and collaborate with cross-functional teams to drive quality management and partnership initiatives
Conduct clinical reviews of complaints and grievances, developing resolutions that meet regulatory requirements
Support the identification and investigation of potential dental fraud, waste, and abuse
Requirements:
Valid state license to practice dental hygiene
Minimum 10 years of dental hygiene clinical practice experience
Demonstrated success in project management, leadership, analysis, and implementation
Knowledge of dental conditions, treatment, coding, billing, and current trends in the dental profession
Proficient in Microsoft Office applications
Preferred Qualifications:
Understanding of value-based contracting options, clinical quality programs, and clinical integration
Financial acumen, strong problem-solving, and analytical abilities
Excellent written, verbal, and presentation communication skills
Familiarity with state regulatory bodies and dental benefit products
What We Offer:
Competitive pay range: $105,446.25 - $227,100.00
Eligibility for CVS Health bonus, commission, or short-term incentive program
Comprehensive benefits package, including medical, dental, and vision coverage
401(k) retirement savings plan, Employee Stock Purchase Plan, and term life insurance
Well-being programs, education assistance, and paid time off
Apply now to join our team and make a meaningful impact on the lives of our members. For more information on our benefits and company culture, visit jobs.CVSHealth.com/benefits.
Apply Now
Apply Now
In this fully remote position, you will serve as a key partner to our Compliance and Medicare business segments, reporting to Aetna's National Dental Director. Your expertise will be instrumental in driving quality management initiatives, providing clinical guidance, and fostering partnerships that enhance our members' experience.
Key Responsibilities:
Provide expert clinical input and analysis to support operational functions, strategic goals, and regulatory compliance
Participate in committees and collaborate with cross-functional teams to drive quality management and partnership initiatives
Conduct clinical reviews of complaints and grievances, developing resolutions that meet regulatory requirements
Support the identification and investigation of potential dental fraud, waste, and abuse
Requirements:
Valid state license to practice dental hygiene
Minimum 10 years of dental hygiene clinical practice experience
Demonstrated success in project management, leadership, analysis, and implementation
Knowledge of dental conditions, treatment, coding, billing, and current trends in the dental profession
Proficient in Microsoft Office applications
Preferred Qualifications:
Understanding of value-based contracting options, clinical quality programs, and clinical integration
Financial acumen, strong problem-solving, and analytical abilities
Excellent written, verbal, and presentation communication skills
Familiarity with state regulatory bodies and dental benefit products
What We Offer:
Competitive pay range: $105,446.25 - $227,100.00
Eligibility for CVS Health bonus, commission, or short-term incentive program
Comprehensive benefits package, including medical, dental, and vision coverage
401(k) retirement savings plan, Employee Stock Purchase Plan, and term life insurance
Well-being programs, education assistance, and paid time off
Apply now to join our team and make a meaningful impact on the lives of our members. For more information on our benefits and company culture, visit jobs.CVSHealth.com/benefits.
Apply Now
Apply Now