Remote Medicaid Optometric Policy Consultant

ND Health and Human Services; Bismarck (ND); Hybrid; USD 55,000 - 96,000; Part time

Job summary

ND Health and Human Services is seeking a Consulting Optometrist to work remotely in the Bismarck/Mandan area. You will review Medicaid prior authorization requests for optometric services and determine approvals or denials using the MMIS web portal.

The role requires ND licensure and strong Medicare/Medicaid policy knowledge to ensure compliant, timely decisions and professional guidance. You will support providers, interpret policies, and contribute to maintaining program integrity with clear

Qualifications

• Licensed optometrist in North Dakota.
• Understanding of Medicare and Medicaid vision policies and medical necessity determinations.
• Ability to interpret policies and make coverage decisions.

Responsibilities

• Review prior authorization requests for Medicaid optometric services.
• Provide clinical recommendations when policies are reviewed or updated.
• Ensure timely review within CMS regulations and respond to inquiries.

Skills

Licensed optometrist

Medicare/Medicaid policy knowledge

Clinical decision making

Written communication

Tools

MMIS web portal

Job description

ND Health and Human Services is seeking a Consulting Optometrist to work remotely in the Bismarck/Mandan area. You will review Medicaid prior authorization requests for optometric services and determine approvals or denials using the MMIS web portal.

The role requires ND licensure and strong Medicare/Medicaid policy knowledge to ensure compliant, timely decisions and professional guidance. You will support providers, interpret policies, and contribute to maintaining program integrity with clear