Senior Dental Policy Lead - Remote

Cotiviti; United States; Remote; USD 78,000 - 106,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Disability insurance

Life insurance

401(k) plan

Paid family leave

Holidays

Paid PTO

Job summary

Cotiviti is hiring a Dental Policy Manager I to serve as the client-facing policy resource for assigned clients and ensure accurate maintenance of dental payment policy sets. You will analyze payer policy, clinical standards, reimbursement rules, and regulatory considerations to recommend updates within policy frameworks.

The role emphasizes collaboration with Dental Clinical Leadership, Content Team, and Compliance to address clinical and regulatory considerations, resolve inquiries, and

Qualifications

• Bachelor’s Degree or equivalent such as Dental Hygienist.
• 2+ years of dental claims or policy experience.

Responsibilities

• Support accuracy and maintenance of client dental policy sets; review change requests and update accordingly.
• Conduct industry updates and present policy changes to the Dental Director and clients.
• Prepare payment policy documents and coordinate reviews with the Dental Director.

Skills

Dental policy knowledge

CDT coding knowledge

Analytical skills

Communication

Regulatory compliance

Customer service

Team collaboration

Problem-solving

MS Office

Education

Bachelor’s degree or dental-related

Tools

MS Office Suite

Job description

Cotiviti is hiring a Dental Policy Manager I to serve as the client-facing policy resource for assigned clients and ensure accurate maintenance of dental payment policy sets. You will analyze payer policy, clinical standards, reimbursement rules, and regulatory considerations to recommend updates within policy frameworks.

The role emphasizes collaboration with Dental Clinical Leadership, Content Team, and Compliance to address clinical and regulatory considerations, resolve inquiries, and