Pediatric Orthodontist Claims Review

Remote Orthodontist & Pediatric General Dentist Opportunities - New Hampshire Medicaid Program

Flexible Remote Consulting Roles New Hampshire Licensed Providers Part-Time Hours

Compensation:

• Orthodontist: $145/hour
• Pediatric General Dentist: $130/hour
• Approximately 50 hours per month

We are seeking experienced dental professionals to support a New Hampshire Medicaid program through clinical review consultation and authorization oversight services. These are flexible fully remote opportunities for providers who want to leverage their clinical expertise in a non-chairside consulting capacity while maintaining work-life balance.

We are actively seeking:

• 1 Orthodontist & 1 Pediatric General Dentist
  OR
• 1 provider qualified in both Orthodontics and Pediatric General Dentistry

Immediate priority is for Orthodontist coverage during July and August.

Position Overview

In this role providers will review clinical documentation submitted by participating providers and determine authorization and payment decisions based on established clinical criteria and Medicaid guidelines. Providers will serve as subject matter experts supporting quality and appropriate care delivery within the Medicaid program.

This is an excellent opportunity for licensed dental professionals seeking flexible supplemental income reduced clinical burnout and meaningful impact in public healthcare programs.

Key Responsibilities

• Review of dental clinical documentation and treatment requests
• Evaluate cases for medical necessity and authorization approval
• Approve or deny claims based on clinical guidelines and program criteria
• Provide clinical consultation and oversight support
• Utilize expertise related to the Handicapping Labio Lingual Deviation (HLD) Index
• Maintain accurate and timely documentation of reviews and determinations
• Participating in hearings or office visits if required

Qualifications

Orthodontist Requirements

• DDS or DMD from an accredited institution
• Completion of accredited Orthodontics residency program
• Active Orthodontic licensure
• Experience with Medicaid or utilization review preferred
• Familiarity with HLD Index strongly preferred

Pediatric General Dentist Requirements

• DDS or DMD from an accredited institution
• Pediatric dentistry experience required
• Active dental licensure
• Experience reviewing pediatric treatment plans preferred
• Medicaid experience is highly desirable

Licensing Requirements

• Must hold an active New Hampshire dental license OR be willing to obtain one
• Providers may work remotely from anywhere in the United States
• Must be willing to travel onsite at least once every two months or as needed for hearings

Schedule & Work Environment

• Fully remote opportunity
• Flexible scheduling
• Approximately 50 hours per month
• Independent consulting-style environment
• Part-time engagement

Why This Opportunity Stands Out

• Flexible remote work arrangement
• Competitive hourly compensation
• Supplemental income opportunity
• Reduced administrative and clinical burden
• Meaningful contribution to Medicaid patient care quality
• Long-term consulting potential

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Throughout the past 35 years MMC one of the most trusted names in workforce management services has successfully delivered strategic solutions to large and small businesses in numerous industries.

We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate to the right client for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.

MMC is a privately owned business with corporate headquarters in Irving Texas. With 2000 employees working in 40 states MMC is able to support all United States locations and some international locations.

We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at

Benefits with MMC Group
MMC offers health insurance plans for our active candidates on assignment including:

• Medical dental and vision coverage
• Life and disability insurance
• Additional voluntary benefits

Join MMC and enjoy the support of a team that values your well-being both on and off the job!

MMC strives to ensure all job postings confirm details of the position the rate of pay and acknowledge that medical benefits are offered.

Get started on your career journey today! Apply to become a part of the MMC Team!

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability status protected veteran status or any other characteristic protected by compliance with federal law all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.