Medicaid Dental Facilitator

Virginia Health Catalyst; Virginia; Hybrid; USD 68,000 - 73,000; Full time

Job summary

Virginia Health Catalyst (vahealthcatalyst.org) seeks a Medicaid Dental Facilitator to help dentists navigate Virginia Medicaid processes, including enrollment, credentialing, and claims. This full-time, grant-funded role involves coordinating with DMAS, DentaQuest, and state dental groups to expand access to Medicaid dental care across Virginia.

The position emphasizes provider recruitment, enrollment assistance, relationship-building, and data tracking, with a hybrid in-office schedule in

Qualifications

• Three or more years of professional experience in a dental or health care office, state agency, health plan, or similar setting.
• Working knowledge of Medicaid processes, such as provider enrollment, credentialing, managed care, or claims and billing.
• Excellent customer service, problem-solving, and communication skills, with the ability to explain complex processes clearly.
• Strong attention to detail and the ability to track and follow through on many open cases at once.
• Ability to work collaboratively with diverse partners, including dental practices, state staff, and statewide organizations.
• Commitment to Catalyst's core values: transparency, partnership, excellence, equity, and respect.
• Dedication to equity and commitment to continued learning on issues related to race, equity, and inclusion.

Responsibilities

• Provider recruitment and retention: Increase access to care by helping dental providers join, and remain in, Virginia’s Medicaid dental network administered by DentaQuest.
• Hands-on support: Assist dental practices with Medicaid enrollment, credentialing, billing and claims, prior authorization, and other program requirements, and connect them to the right contacts at DMAS and DentaQuest.
• Relationship building: Build trusted relationships with private practices, community health centers, free clinics, and other safety-net dental providers across Virginia.
• Serving members well: Educating providers on how to work successfully with Medicaid members, including scheduling, missed appointments, and connecting patients to supports such as transportation.
• Systems improvement: Identify recurring barriers providers face in Virginia Medicaid and bring themes and recommendations to the Program Director and Senior Policy Manager to inform the Catalyst’s policy and advocacy work.
• Partnership with organized dentistry: Work closely with the Virginia Dental Association and local dental societies on outreach and provider communications.
• Data and evaluation: Track providers served, new and retained Medicaid dental providers by location, issues resolved, and dental utilization trends, and support HRSA grant reporting.
• Outreach and awareness: Develop provider resources, guides, and presentations; attend dental meetings and exhibitor events; and contribute content for the Catalyst website, newsletters, and social media through the Catalyst’s communications workflow.
• Events: Support webinars, trainings, and the Catalyst Annual Summit.
• Support the Catalyst's mission and assist with other organizational priorities as needed.

Skills

Dental/healthcare experience

Medicaid processes

Customer service

Case management

Collaboration

Equity focus

Clear communication

Education

Bachelor's degree in health/public health/public administration/communications/social science

Master's degree a plus

Job description

Position type: Full-time (40 hours); Exempt

Schedule: 9a-5p M-F; Hybrid

Salary range: $68,000-$73,000

Summary

Virginia Health Catalyst (vahealthcatalyst.org) strives to ensure all Virginians have equitable access to comprehensive health care that includes oral health. The Medicaid Dental Facilitator is the first role of its kind in Virginia: a statewide point of contact who helps dentists and dental practices navigate Virginia Medicaid processes, including enrollment, credentialing, and claims. Working closely with the Department of Medical Assistance Services (DMAS), DentaQuest, the Virginia Dental Association, and the Catalyst's statewide network, the Facilitator works to grow and retain the number of dentists who serve Medicaid members and to increase access to dental care for Virginians who rely on Medicaid. This is a full-time, grant-funded position.

Essential Job Functions

• Provider recruitment and retention: Increase access to care by helping dental providers join, and remain in, Virginia’s Medicaid dental network administered by DentaQuest.
• Hands-on support: Assist dental practices with Medicaid enrollment, credentialing, billing and claims, prior authorization, and other program requirements, and connect them to the right contacts at DMAS and DentaQuest.
• Relationship building: Build trusted relationships with private practices, community health centers, free clinics, and other safety-net dental providers across Virginia.
• Serving members well: Educating providers on how to work successfully with Medicaid members, including scheduling, missed appointments, and connecting patients to supports such as transportation.
• Systems improvement: Identify recurring barriers providers face in Virginia Medicaid and bring themes and recommendations to the Program Director and Senior Policy Manager to inform the Catalyst’s policy and advocacy work.
• Partnership with organized dentistry: Work closely with the Virginia Dental Association and local dental societies on outreach and provider communications.
• Data and evaluation: Track providers served, new and retained Medicaid dental providers by location, issues resolved, and dental utilization trends, and support HRSA grant reporting.
• Outreach and awareness: Develop provider resources, guides, and presentations; attend dental meetings and exhibitor events; and contribute content for the Catalyst website, newsletters, and social media through the Catalyst’s communications workflow.
• Events: Support webinars, trainings, and the Catalyst Annual Summit.
• Support the Catalyst's mission and assist with other organizational priorities as needed.

Qualifications

• Three or more years of professional experience in a dental or health care office, state agency, health plan, or similar setting.
• Working knowledge of Medicaid processes, such as provider enrollment, credentialing, managed care, or claims and billing.
• Excellent customer service, problem-solving, and communication skills, with the ability to explain complex processes clearly.
• Strong attention to detail and the ability to track and follow through on many open cases at once.
• Ability to work collaboratively with diverse partners, including dental practices, state staff, and statewide organizations.
• Commitment to Catalyst's core values: transparency, partnership, excellence, equity, and respect.
• Dedication to equity and commitment to continued learning on issues related to race, equity, and inclusion.

Preferred Qualifications

• Direct experience with Virginia Medicaid (DMAS) or DentaQuest.
• Experience with data collection, tracking, or program evaluation.
• Bachelor's degree in health, public health, public administration, communications, social science, or a related field; Master's degree a plus.

Work Environment and Travel

This position will be accomplished through remote and in-person responsibilities in an office environment with a predetermined Monday, Wednesday, and Thursday in-office hybrid schedule. Must be able to remain in a stationary position to operate a computer and occasionally move about inside the office to access office productivity equipment, such as a copy machine and printer. Regular in-state travel to dental practices, meetings, and events is required and may include overnight, evening, and weekend engagements.

The Catalyst provides equal employment opportunities to all employees and applicants for employment without regard to race, creed, color, religion, sex, national origin, ethnicity, ancestry, age, disability, marital status, military service, physical or mental disability, genetic information, sexual orientation, gender identity, pregnancy or related medical conditions, or other basis prohibited by federal or state law relating to discrimination in employment. The Catalyst will make any reasonable effort required by law to ensure that all applicants and employees receive equal opportunity in personnel matters, including recruitment, selection, training, placement, promotion, wages and benefits, transfers, terminations, and working conditions.

Other Duties

Duties and responsibilities may change, or new ones may be assigned at any time, with or without notice.

Location

Richmond, Virginia (Hybrid; flexibility for candidates elsewhere in Virginia)

Virginia Health Catalyst is based in Richmond, Virginia, and prefers candidates located in the Greater Richmond area who can work in the office Monday, Wednesday, and Thursday, and work remotely Tuesday and Friday.

Qualified candidates residing elsewhere in Virginia are also encouraged to apply.

For candidates outside the Richmond area, a modified hybrid schedule with periodic in-person attendance at the Richmond office may be considered, depending on location and organizational needs.