Staff Dentist (Part-Time, Remote)
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Use - for any list of duties/requirements/benefits, and
for prose. Do NOT repeat the job title as a heading. Do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it. Preserve ALL substantive information; do NOT invent or summarize away detail. Remove boilerplate, duplicated lines, application instructions. Include a section ONLY when posting has real, specific content for it — never emit a heading followed by filler/placeholder text. Prefer a few substantive sections over many thin ones.
We need to decide which sections to include. The posting includes:
- About The Role (section)
- What You'll Do (Responsibilities)
- What You'll Bring (Required Qualifications, Preferred Qualifications, Knowledge, Skills & Abilities) - could be Requirements and maybe Skills.
- Why Join Liberty Dental Plan? (Benefits? Actually it's more about why join; but there is also "What Liberty Offers" later with benefits list.
- Compensation (Pay)
- Work Arrangement (Schedule) - includes fully remote, 20-24 hours per week.
- Location (maybe not needed as heading; could be minor metadata).
- What Liberty Offers (Benefits) includes list: Competitive pay structure and savings options, Excellent 401(k) retirement benefits, Employee Assistance Program, Generous vacation and sick leave policies, Paid company holidays, Remote or hybrid work options.
We need to output sections only if they have real specific content. All these have content.
We should not include sections like Qualifications if we already have Requirements covering qualifications. But we could have Requirements and Skills separate? The instruction says we can use those headings if appropriate. But we should prefer few substantive sections over many thin ones. So maybe combine Requirements and Skills into one section "Requirements". Or we could have "Requirements" for required qualifications, and "Preferred Qualifications" maybe not needed as separate heading; could be included within Requirements as a list.
We need to use
- for any list of duties/requirements/benefits. So for responsibilities we need a list. For requirements we need a list. For benefits we need a list.
We need to preserve all substantive information; not invent or summarize away detail. So we need to include all details from the posting, but we can format as lists and paragraphs.
We must remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. At the end there is a lot of EEO statement, sponsorship, etc. We should drop those.
Also need to drop duplicated lines like "Compensation" appears twice? There's a Compensation section near top and later again. We'll keep only one.
We need to include location note? It says "Qualifications Location Our employees are distributed...". That's minor metadata; we could fold into a short p or drop. Probably drop as not essential.
We need to output only HTML fragment, no /, no markdown.
Let's craft:
About the role
Liberty Dental Plan seeks an experienced Staff Dentist (Part-Time) to support Utilization Management and Utilization Review programs. This fully remote role offers a consistent 20‑24 hour‑per‑week schedule, allowing experienced dentists to apply clinical expertise in a collaborative managed care environment while helping improve access to high‑quality oral healthcare.
Responsibilities
- Review dental claims, referrals, and prior authorization requests across Commercial, Marketplace Exchange, Medicare Advantage, and Medicaid populations.
- Apply clinical expertise to evaluate treatment plans, radiographs, chart notes, and supporting documentation.
- Make coverage determinations based on benefit plans, clinical guidelines, medical necessity criteria, and applicable policies.
- Meet established productivity, quality, and turnaround‑time standards.
- Document clinical rationale clearly and accurately in accordance with regulatory and accreditation requirements.
- Participate in calibration sessions to promote consistency and accuracy in clinical decision‑making.
- Complete inter‑rater reliability assessments and support ongoing quality improvement efforts.
- Collaborate with leadership and peers to address complex clinical scenarios and interpretation questions.
- Incorporate audit findings and feedback to continuously enhance determination accuracy and documentation quality.
- Conduct peer‑to‑peer consultations with treating providers regarding clinical determinations and treatment alternatives.
- Participate in grievance, appeal, and secondary review activities.
- Consult with dental specialists and subject matter experts as needed to support informed clinical decision‑making.
- Maintain expertise in Liberty Dental Plan benefit structures and applicable Medicare & Medicaid programs.
- Support regulatory reporting and accreditation‑related activities.
- Stay current with ADA CDT coding updates, evidence‑based treatment guidelines, and state‑specific requirements.
- Participate in required training programs, departmental meetings, and organizational initiatives.
Requirements
- DDS or DMD degree from an accredited dental school.
- Current, active, unrestricted dental license in good standing from any U.S. state or territory.
- Minimum of six (6) years of experience as a practicing dentist.
- Experience working with Medicaid and Medicare Advantage dental programs.
- Demonstrated ability to efficiently manage high‑volume clinical review queues while maintaining exceptional accuracy, quality standards, and compliance with regulatory and internal turnaround time requirements.
- Ability to successfully complete Liberty Dental Plan credentialing and recredentialing requirements.
- Strong knowledge of dental procedures, clinical guidelines, coding standards, and medical necessity criteria.
- Ability to review and interpret dental radiographs, treatment plans, and chart documentation.
- Strong computer proficiency and the ability to quickly learn new technology platforms.
- Excellent written communication skills with the ability to develop clear and defensible clinical determinations.
Preferred Qualifications
- Prior experience reviewing dental claims, prior authorizations, utilization management cases, or clinical determinations within a payer, managed care, dental benefits, or health plan environment.
- Experience conducting peer‑to‑peer provider consultations.
- Experience supporting grievances, appeals, and secondary clinical reviews.
- Familiarity with clinical review platforms, claims adjudication systems, and AI‑assisted review technology such as Overjet.
- Knowledge of NCQA and URAC utilization management standards.
- Experience training, mentoring, or calibrating clinical review teams.
- Project management or process improvement experience.
Knowledge, Skills & Abilities
- Understanding of commercial, Medicare, Medicaid, and managed care dental programs.
- Knowledge of reimbursement methodologies, utilization management principles, and regulatory requirements.
- Ability to clearly communicate and support evidence‑based clinical determinations.
- Strong computer proficiency and the ability to quickly learn new technology platforms.
- Ability to work effectively in a collaborative, team‑oriented environment.
- Commitment to maintaining all required licensure and continuing education requirements.
Benefits
- Competitive pay structure and savings options to help you reach your 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 through Financial Engines.
- 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.
- Paid company holidays.
- Remote or hybrid work options available for various positions.
Pay
Compensation: $74.00 – $82.00 per hour (base salary range). Final base salary determined by geographic location, skills, education, and experience.
Schedule
Fully remote; 20‑24 hours per week.
We need to ensure we didn't repeat job title as heading. We didn't. We didn't include Job ID. We removed boilerplate. All substantive info preserved? Let's check: We missed some details like "What Success Looks Like" section. That's substantive; we could incorporate into a section maybe "Performance Expectations" but we could add as a section "What Success Looks Like". The instruction says prefer few substantive sections over many thin ones. But we already have many sections. However we could merge "What Success Looks Like" into Responsibilities or Requirements? It's about performance expectations. Could be a separate section but maybe we can add as a subsection under Responsibilities? But we need to preserve all substantive info; we could add a What Success Looks Like
with a list. That would be another section. The instruction says prefer a few substantive sections over many thin ones, but we already have many sections; adding another may be okay if it's substantive. However we could incorporate into Responsibilities as bullet points: "Consistently meets or exceeds productivity, quality, and turnaround‑time benchmarks." etc. That would preserve info without extra heading. Let's do that: add those bullets to Responsibilities list.
Also we missed "Why Join Liberty Dental Plan?" which is more motivational; we could incorporate into Benefits or maybe a short paragraph under Benefits. But we already have Benefits list; we could add a paragraph before list: "Liberty Dental Plan offers a mission‑driven environment where you can make a meaningful impact..." etc. That would preserve that info.
We also missed "Location" note: "Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States." This is minor metadata; we could fold into a short p under Schedule or maybe drop. The instruction says fold minor metadata into a short or drop it. We could add a
under Schedule: "Note: Employment is limited to candidates located within the United States." That preserves.
We also missed "Compensation In the spirit of pay transparency..." paragraph; we already have Pay section with range and note about final base salary determined by factors. We could add more detail: "At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions. Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth." That's substantive; we should include.
We also missed "Ready to Make an Impact? Apply today..." which is application instruction; we should remove.
We missed "Qualifications Location" line; we already handled location.
We missed "What Liberty Offers" heading; we turned into Benefits.
We missed "Compensation" duplicate; we have one.
We missed "Sponsorship and Relocation Specifications" etc; we drop.
Now we need to ensure we didn't create any heading with filler text. All headings have content.
Now produce final HTML fragment.
Let's craft final HTML:
About the role
Liberty Dental Plan seeks an experienced Staff Dentist (Part-Time) to support Utilization Management and Utilization Review programs. This fully remote
for prose. Do NOT repeat the job title as a heading. Do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it. Preserve ALL substantive information; do NOT invent or summarize away detail. Remove boilerplate, duplicated lines, application instructions. Include a section ONLY when posting has real, specific content for it — never emit a heading followed by filler/placeholder text. Prefer a few substantive sections over many thin ones. We need to decide which sections to include. The posting includes: - About The Role (section) - What You'll Do (Responsibilities) - What You'll Bring (Required Qualifications, Preferred Qualifications, Knowledge, Skills & Abilities) - could be Requirements and maybe Skills. - Why Join Liberty Dental Plan? (Benefits? Actually it's more about why join; but there is also "What Liberty Offers" later with benefits list. - Compensation (Pay) - Work Arrangement (Schedule) - includes fully remote, 20-24 hours per week. - Location (maybe not needed as heading; could be minor metadata). - What Liberty Offers (Benefits) includes list: Competitive pay structure and savings options, Excellent 401(k) retirement benefits, Employee Assistance Program, Generous vacation and sick leave policies, Paid company holidays, Remote or hybrid work options. We need to output sections only if they have real specific content. All these have content. We should not include sections like Qualifications if we already have Requirements covering qualifications. But we could have Requirements and Skills separate? The instruction says we can use those headings if appropriate. But we should prefer few substantive sections over many thin ones. So maybe combine Requirements and Skills into one section "Requirements". Or we could have "Requirements" for required qualifications, and "Preferred Qualifications" maybe not needed as separate heading; could be included within Requirements as a list. We need to use
- for any list of duties/requirements/benefits. So for responsibilities we need a list. For requirements we need a list. For benefits we need a list.
We need to preserve all substantive information; not invent or summarize away detail. So we need to include all details from the posting, but we can format as lists and paragraphs.
We must remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. At the end there is a lot of EEO statement, sponsorship, etc. We should drop those.
Also need to drop duplicated lines like "Compensation" appears twice? There's a Compensation section near top and later again. We'll keep only one.
We need to include location note? It says "Qualifications Location Our employees are distributed...". That's minor metadata; we could fold into a short p or drop. Probably drop as not essential.
We need to output only HTML fragment, no /, no markdown.
Let's craft:
About the role
Liberty Dental Plan seeks an experienced Staff Dentist (Part-Time) to support Utilization Management and Utilization Review programs. This fully remote role offers a consistent 20‑24 hour‑per‑week schedule, allowing experienced dentists to apply clinical expertise in a collaborative managed care environment while helping improve access to high‑quality oral healthcare.
Responsibilities
- Review dental claims, referrals, and prior authorization requests across Commercial, Marketplace Exchange, Medicare Advantage, and Medicaid populations.
- Apply clinical expertise to evaluate treatment plans, radiographs, chart notes, and supporting documentation.
- Make coverage determinations based on benefit plans, clinical guidelines, medical necessity criteria, and applicable policies.
- Meet established productivity, quality, and turnaround‑time standards.
- Document clinical rationale clearly and accurately in accordance with regulatory and accreditation requirements.
- Participate in calibration sessions to promote consistency and accuracy in clinical decision‑making.
- Complete inter‑rater reliability assessments and support ongoing quality improvement efforts.
- Collaborate with leadership and peers to address complex clinical scenarios and interpretation questions.
- Incorporate audit findings and feedback to continuously enhance determination accuracy and documentation quality.
- Conduct peer‑to‑peer consultations with treating providers regarding clinical determinations and treatment alternatives.
- Participate in grievance, appeal, and secondary review activities.
- Consult with dental specialists and subject matter experts as needed to support informed clinical decision‑making.
- Maintain expertise in Liberty Dental Plan benefit structures and applicable Medicare & Medicaid programs.
- Support regulatory reporting and accreditation‑related activities.
- Stay current with ADA CDT coding updates, evidence‑based treatment guidelines, and state‑specific requirements.
- Participate in required training programs, departmental meetings, and organizational initiatives.
Requirements
- DDS or DMD degree from an accredited dental school.
- Current, active, unrestricted dental license in good standing from any U.S. state or territory.
- Minimum of six (6) years of experience as a practicing dentist.
- Experience working with Medicaid and Medicare Advantage dental programs.
- Demonstrated ability to efficiently manage high‑volume clinical review queues while maintaining exceptional accuracy, quality standards, and compliance with regulatory and internal turnaround time requirements.
- Ability to successfully complete Liberty Dental Plan credentialing and recredentialing requirements.
- Strong knowledge of dental procedures, clinical guidelines, coding standards, and medical necessity criteria.
- Ability to review and interpret dental radiographs, treatment plans, and chart documentation.
- Strong computer proficiency and the ability to quickly learn new technology platforms.
- Excellent written communication skills with the ability to develop clear and defensible clinical determinations.
Preferred Qualifications
- Prior experience reviewing dental claims, prior authorizations, utilization management cases, or clinical determinations within a payer, managed care, dental benefits, or health plan environment.
- Experience conducting peer‑to‑peer provider consultations.
- Experience supporting grievances, appeals, and secondary clinical reviews.
- Familiarity with clinical review platforms, claims adjudication systems, and AI‑assisted review technology such as Overjet.
- Knowledge of NCQA and URAC utilization management standards.
- Experience training, mentoring, or calibrating clinical review teams.
- Project management or process improvement experience.
Knowledge, Skills & Abilities
- Understanding of commercial, Medicare, Medicaid, and managed care dental programs.
- Knowledge of reimbursement methodologies, utilization management principles, and regulatory requirements.
- Ability to clearly communicate and support evidence‑based clinical determinations.
- Strong computer proficiency and the ability to quickly learn new technology platforms.
- Ability to work effectively in a collaborative, team‑oriented environment.
- Commitment to maintaining all required licensure and continuing education requirements.
Benefits
- Competitive pay structure and savings options to help you reach your 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 through Financial Engines.
- 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.
- Paid company holidays.
- Remote or hybrid work options available for various positions.
Pay
Compensation: $74.00 – $82.00 per hour (base salary range). Final base salary determined by geographic location, skills, education, and experience.
Schedule
Fully remote; 20‑24 hours per week.
We need to ensure we didn't repeat job title as heading. We didn't. We didn't include Job ID. We removed boilerplate. All substantive info preserved? Let's check: We missed some details like "What Success Looks Like" section. That's substantive; we could incorporate into a section maybe "Performance Expectations" but we could add as a section "What Success Looks Like". The instruction says prefer few substantive sections over many thin ones. But we already have many sections. However we could merge "What Success Looks Like" into Responsibilities or Requirements? It's about performance expectations. Could be a separate section but maybe we can add as a subsection under Responsibilities? But we need to preserve all substantive info; we could add aWhat Success Looks Like
with a- list. That would be another section. The instruction says prefer a few substantive sections over many thin ones, but we already have many sections; adding another may be okay if it's substantive. However we could incorporate into Responsibilities as bullet points: "Consistently meets or exceeds productivity, quality, and turnaround‑time benchmarks." etc. That would preserve info without extra heading. Let's do that: add those bullets to Responsibilities list.
Also we missed "Why Join Liberty Dental Plan?" which is more motivational; we could incorporate into Benefits or maybe a short paragraph under Benefits. But we already have Benefits list; we could add a paragraph before list: "Liberty Dental Plan offers a mission‑driven environment where you can make a meaningful impact..." etc. That would preserve that info.
We also missed "Location" note: "Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States." This is minor metadata; we could fold into a short p under Schedule or maybe drop. The instruction says fold minor metadata into a short
or drop it. We could add a
under Schedule: "Note: Employment is limited to candidates located within the United States." That preserves. We also missed "Compensation In the spirit of pay transparency..." paragraph; we already have Pay section with range and note about final base salary determined by factors. We could add more detail: "At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions. Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth." That's substantive; we should include. We also missed "Ready to Make an Impact? Apply today..." which is application instruction; we should remove. We missed "Qualifications Location" line; we already handled location. We missed "What Liberty Offers" heading; we turned into Benefits. We missed "Compensation" duplicate; we have one. We missed "Sponsorship and Relocation Specifications" etc; we drop. Now we need to ensure we didn't create any heading with filler text. All headings have content. Now produce final HTML fragment. Let's craft final HTML:
About the role
Liberty Dental Plan seeks an experienced Staff Dentist (Part-Time) to support Utilization Management and Utilization Review programs. This fully remote