Dental Compliance & Case Review Lead

Commonwealth of VA Careers

Virginia (MN)

On-site

USD 63,000 - 105,000

Full time

4 days ago
Be an early applicant
Application generator

Don’t send a generic resume — generate a resume and cover letter tailored to this exact role.

Get past ATS filters

Job summary

The Commonwealth of Virginia Department of Health Professions seeks a Dental Review Coordinator to act as the primary reviewer for the Board of Dentistry, assessing probable cause and guiding cases toward appropriate resolution. This senior role requires strong knowledge of dental practice, regulations and the disciplinary process.

Candidates should demonstrate analytical abilities, advanced computer skills, and the capacity to educate others in a formal teaching setting while collaborating

Qualifications

  • General knowledge of all dental specialties and related health care professions.
  • Knowledge of the principles of dental practice and healthcare delivery systems.
  • Knowledge of the laws and regulations governing the practice of dentistry and related professions.
  • Knowledge of the disciplinary process, Health Practitioners’ Monitoring Program, and Prescription Monitoring Program.
  • Knowledge of the Administrative Process Act and Freedom of Information Act.
  • Demonstrated ability to analyze clinical cases and apply the laws and regulations for probable cause determination.
  • Advanced computer literacy skills with the demonstrated ability to learn new systems and applications.
  • Demonstrated keyboarding skills to accomplish tasks with speed and accuracy.
  • Effective organization and communication skills.
  • Ability to prepare and present case findings.
  • Knowledge and demonstrated ability to educate and/or instruct others in a formal teaching environment.
  • Ability to work as part of a team to process cases at the probable cause level.

Responsibilities

  • The role reviews cases for probable cause and directs resolution pathways.
  • Serves as the primary reviewer for the Board of Dentistry.
  • Assesses probable cause and ensures cases are directed toward appropriate resolution.

Skills

Analytical skills
Communication skills
Teamwork
Organization
Case presentation
Teaching/education
Regulatory knowledge
Computer literacy
Knowledge of dental practice
Administrative process

Tools

Microsoft Office
Office365
IBM Box
My License Office (MLO)

Job description

The Commonwealth of Virginia Department of Health Professions seeks a Dental Review Coordinator to act as the primary reviewer for the Board of Dentistry, assessing probable cause and guiding cases toward appropriate resolution. This senior role requires strong knowledge of dental practice, regulations and the disciplinary process.

Candidates should demonstrate analytical abilities, advanced computer skills, and the capacity to educate others in a formal teaching setting while collaborating

Get your free, confidential resume review.

or drag and drop your file here.

Similar jobs

Similar jobs worth comparing

Dental Review & Compliance Coordinator
Dental Review & Compliance Coordinator

DHRM • Virginia (MN)

On-site
USD 95,000 - 105,000
Dental Review Coordinator
Dental Review Coordinator

DHRM • Virginia (MN)

On-site
USD 95,000 - 105,000
Dental Review Coordinator
Dental Review Coordinator

Commonwealth of VA Careers • Virginia (MN)

On-site
USD 63,000 - 105,000
Lead Clinical Reviewer
Lead Clinical Reviewer

Delta Dental of Arkansas • Sherwood (AR)

On-site
USD 75,000 - 105,000
Director of Clinical Audits and Peer Reviews
Director of Clinical Audits and Peer Reviews

North American Dental Group • Coraopolis Heights (PA)

On-site
USD 95,000 - 120,000
Comprehensive Benefits including 401(k)
Paid Time Off
Opportunities for continuing education and development
+1
Dental Fraud and Abuse Specialist
Dental Fraud and Abuse Specialist

Delta Dental of Virginia • Roanoke (VA)

On-site
USD 60,000 - 80,000
Annual Incentive Plan
Comprehensive insurance coverage
Tuition reimbursement
+2
Senior Dental Claims Reviewer & Clinical Lead
Senior Dental Claims Reviewer & Clinical Lead

Delta Dental of Arkansas • Sherwood (AR)

On-site
USD 75,000 - 105,000
Director of Clinical Audits and Peer Reviews
Director of Clinical Audits and Peer Reviews

North American Dental Group • Pittsburgh

On-site
USD 80,000 - 110,000
Comprehensive Benefits including 401(k)
Competitive Paid Time Off
Career Growth Opportunities
+1
Dental Director: Lead Clinic Operations & Compliance
Dental Director: Lead Clinic Operations & Compliance

Community Health Connections • Fitchburg (WI)

On-site
USD 135,000 - 157,000
Dental Assistant: Patient Care & Treatment Coordinator
Dental Assistant: Patient Care & Treatment Coordinator

Paycom • Virginia

On-site
USD 34,000 - 52,000
Medical benefits
Vision benefits
Dental benefits
+6