Staff Dentist

About the role

Join Liberty Dental Plan in a fully remote position as a New York Licensed Staff Dentist. In this role, you’ll use your clinical judgment to review claims and prior authorizations, ensuring members receive appropriate dental care across Commercial, Marketplace, Medicare Advantage, and Medicaid programs. This is an opportunity to collaborate with clinical leaders, contribute to quality initiatives, and grow your impact within a mission-driven organization dedicated to improving oral health nationwide.

Responsibilities

• Utilization Management & Clinical Review
  • Review dental claims and prior authorization requests, applying coverage guidelines and benefit plan policies to ensure accurate determinations.
  • Interpret dental records, radiographs, and clinical documentation to assess medical necessity.
  • Meet established productivity and quality benchmarks for clinical reviews.
  • Document clear, concise clinical rationale aligned with regulatory and accreditation standards.
• Calibration & Clinical Consistency
  • Participate in calibration sessions to ensure consistent application of clinical guidelines and policies.
  • Complete interrater reliability assessments and meet accuracy benchmarks.
  • Raise complex or unclear cases for peer discussion and resolution.
  • Incorporate feedback from audits and reviews to continuously improve accuracy.
• Provider Engagement & Peer Review
  • Conduct peer-to-peer consultations with providers regarding clinical decisions and treatment alternatives.
  • Support grievance and appeal reviews with clinical insight.
  • Collaborate with dental specialists and internal teams on complex cases.
• Training, Collaboration & Compliance
  • Participate in clinical trainings and team meetings.
  • Partner with Utilization Management, Claims, Dental Directors, and Grievances & Appeals teams.
  • Support regulatory reporting and maintain knowledge of applicable standards and guidelines.
  • Stay current on ADA coding updates and evidence-based clinical practices.

A typical day involves ~90% of your time reviewing prior authorizations and dental claims using internal systems, interpreting clinical documentation, and ensuring accurate, compliant determinations. The remaining ~10% is spent on calibration sessions, identifying trends (including fraud, waste, and abuse), and supporting workflow improvements.

Requirements

• DDS or DMD from an accredited institution.
• Active, unrestricted New York dental license in good standing (required).
• Minimum 6 years of experience as a practicing dentist.
• Experience with claims review, utilization management, or quality initiatives preferred.

Skills

• Strong clinical judgment and ability to evaluate dental necessity and treatment appropriateness.
• Ability to interpret dental radiographs and clinical records.
• Knowledge of managed care systems, reimbursement models, and regulatory requirements.
• Strong written communication skills to document clear and defensible clinical decisions.
• Ability to manage high-volume review work efficiently while maintaining accuracy.
• Comfort working in a remote, structured environment during standard business hours.
• Proficiency with computer systems and ability to learn new technology platforms, including AI-supported tools.

Work Environment & Expectations

• Fully remote position.
• Structured schedule aligned with core business hours (not a flexible-hours role).
• Highly collaborative environment with cross-functional teams.
• Focus on productivity, accuracy, and quality outcomes.

Pay

Salary Range: $150,000 – $165,000 annually. Final compensation will depend on experience, qualifications, and licensure.

Benefits

• Competitive pay structure and savings options to help reach financial goals.
• Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice.
• Affordable medical insurance with low-cost premiums for employee-only coverage; Liberty subsidizes costs for eligible dependents.
• 100% employer-paid dental coverage for employees and eligible dependents.
• Vision insurance with low-cost premiums for employee-only coverage and dependents.
• Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.
• Flexible Spending Accounts for healthcare and dependent care expenses.
• Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.
• Long-term disability coverage.
• Expansive wellness programs, including company-wide wellness challenges and gym discounts.
• Employee Assistance Program (EAP) to support mental health and well-being.
• Generous vacation and sick leave policies, with the ability to roll over unused time.
• 10 paid company holidays.
• Tuition reimbursement for eligible educational expenses.
• Remote or hybrid work options available for various positions.