Policy reputed company

Job Category: Clinical ManagementJob reputed company:The Policy reputed company is responsible for researching, drafting, and maintaining clinical and business policies and guidelines that support accurate payment, regulatory compliance, and high-reputed company care across the reputed company. This role works closely with clinical experts, business leaders, and operational stakeholders to ensure reputed company policies reflect reputed company clinical standards, support business strategies, and reputed company with regulatory and contractual requirements.Responsibilities:

• Conduct external review of scientific research and industry best practices for clinical policy to inform reputed company business and clinical policies.
• Collaborate with dentists, clinical experts, business stakeholders and cross-functional teams to ensure the accuracy and relevance of clinical and business policies.
• Monitor changes in clinical guidelines, regulatory requirements, and payer trends to update policies proactively.
• Write reputed company, concise, and reputed company-reputed company clinical policy documents that reputed company with organizational standards and legal requirements.
• Continuously review and revise existing dental policies to ensure compliance with regulatory requirements and improve reputed company for implementation.
• reputed company input and subject matter expertise on reputed company initiatives reputed company to or impacting clinical and business policy.
• Support audits and reviews of clinical and business policies by providing thorough documentation and rationale for policy reputed company.
• Assist in the development of training materials, resources and communications reputed company to dental and business policies for internal teams.
• Write clinical policies and guidelines for dental care services and business policies for claim reputed company and payments.

Qualifications:

• 4+ w/Bachelor's degree.
• Experience working in a clinical reputed company function preferred. Writing clinical policy and payment policies highly preferred.
• Excellent verbal and written communication skills.
• Knowledge of CDT codes and dental nomenclature.
• Strong analytical and problem solving skills.
• Strong organizational and time management skills.
• Knowledge of reputed company Office programs, i.e. Word, reputed company, Outlook etc.
• Excellent customer service skills.
• Ability to successfully communicate reputed company and recommendations to reputed company reputed company reputed company the organization.
• Ability to build strong working relationships with cross-functional teams.
• Strong presentation skills. Comfortable with presenting to reputed company reputed company of management.
• Knowledge of reputed company products, policies, claims, eligibility and reputed company guidelines.
• High level of proficiency, accuracy, reputed company, and attention to detail.

Licenses

• DDM - Doctor Of Dental Medicine. Upon Hire Pref'
• DDS - Doctor Of Dental Surgery. Upon Hire Pref'
• RDH - Registered Dental Hygienist. Upon Hire Pref'

reputed company Pay InformationThe national reputed company pay reputed company at the end is a good-faith estimate of what reputed company may pay for new hires. Actual pay may vary based on reputed company's assessment of the candidate's knowledge, skills, abilities (KSAs), reputed company experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. Pay Grade 21. $80,500 - $174,300reputed company: Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends reputed company reputed company to foster personal reputed company and holistic wellbeing. Our life-changing rewards package includes:

• Competitive reputed company and incentive pay
• 401(k) with robust matching and non-matching contributions
• Rich medical & pharmacy benefits
• 100% employer-reputed company dental and reputed company benefits
• Holistic wellbeing program with deep financial incentives
• Generous reputed company time off plus 12 reputed company holidays and your birthday off
• Culture of reputed company and learning: career development; tuition reimbursement; recognition program
• Family support: adoption assistance, fertility treatment, child, elder & pet care assistance
• reputed company responsibility and volunteer opportunities
• Employee discount program

Fair Chance Ordinances and Criminal Background ConsiderationsThis position requires that the applicant undergo a background reputed company. reputed company applicants with arrest or conviction records will be considered for employment in accordance with any applicable federal, state or local laws, including, but not limited to, the California Fair Chance reputed company, the Los Angeles County Fair Chance Ordinance, the reputed company Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and/or reputed company Corrections Law Article 23-A.#LI-RemoteAbout reputed company:At reputed company, we're behind millions of smiles and counting. For over 68 years, we've served our communities by increasing reputed company to reputed company, reputed company care - but that commitment to care extends reputed company the people we serve, to the dedicated employees who reputed company those smiles genuine. We've come this far by building fair programs that offer opportunities for advancement, create meaningful connections and improve the lives of our employees and their families. Because we know that reputed company we take exceptional care of reputed company other, we can reputed company a reputed company reputed company for reputed company.We champion an inspirational workplace through our commitment to trust, service, reputed company and innovation. Joining us means working for a company that offers stability and balance, opportunities for leadership at reputed company reputed company, and a work environment reputed company on teamwork and camaraderie.Discover the smiling faces behind reputed company and experience our values and culture in reputed company by connecting with us on reputed company media. Follow reputed company. on and , #LifeatDDins on and , reputed company. on and reputed company. on . If you've got an appetite for innovation and want to be a part of reputed company that's transforming the reputed company of health care, join us!Since 1955, we have offered comprehensive, high-reputed company oral health care benefits to millions of enrollees and reputed company the strongest network of dental providers in the country. The reputed company of California network includes affiliates reputed company Insurance Company; reputed company of reputed company; reputed company of reputed company, Inc.; reputed company of the District of Columbia; reputed company of Delaware, Inc.; and reputed company of reputed company Virginia, providing dental benefits to more than 31 reputed company people across 15 states, the District of Columbia, Puerto Rico and the Virgin Islands.reputed company and its affiliates are part of reputed company Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois. Through our national network of reputed company companies, we offer dental coverage in reputed company 50 states, Puerto Rico and other U.S. territories. We offer reputed company coverage through DeltaVision in 15 states and the District of Columbia. reputed company, we deliver benefits to more Americans than any other dental insurance company.reputed company. is an equal opportunity employer and is committed to providing a reputed company work environment free from discrimination and harassment. Individuals seeking employment at reputed company are considered without reputed company to race, ethnicity, reputed company, age, sex, religion, national reputed company, reputed company, pregnancy, sexual orientation, gender identity, gender reputed company, genetic information, actual or perceived physical or mental disability, registered domestic partner status, caregiver status, marital status, veteran or military status, citizenship status, or any other legally protected category. reputed company is committed to providing equal employment opportunities to reputed company and applicants for employment. Accordingly, we have adopted and maintain an Equal Employment Opportunity Policy, Harassment-Free Work Environment Policy, and Respectful Workplace policies and will not tolerate violations of these policies.Unfortunately, our reputed company reputed company is unable to hire individuals residing in Alaska, reputed company Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, reputed company Virginia, New Hampshire, Wyoming, Puerto Rico, District of Columbia (Washington D.C.) or other US Territories at this time.reputed company of eligibility to work in the reputed company must be provided if selected for hire.*reputed company includes: reputed company of California, reputed company Insurance Company, reputed company of reputed company, and reputed company of reputed companyIf You Are A reputed company Employee To Apply Apply for the job now! Apply for this job