Staff Dentist

Staff DentistFully Remote • New York - NY; Remote - Corp - Tustin, CA 92782Join Liberty Dental Plan as We Shape the Future of Dental Insurance!Liberty Dental Plan is looking for a New York Licensed Staff Dentist to join our growing team! Unrestricted license or certification to practice dentistry in the State of New York.Ready to take your clinical expertise beyond the traditional practice setting? At LIBERTY Dental Plan, our Staff Dentists play a critical role in shaping how quality dental care is delivered at scale.In this fully remote position, you'll use your clinical judgment to review claims and prior authorizations, helping ensure members receive the right care at the right time. Your work directly influences patient outcomes, supports providers, and strengthens the integrity of dental benefits across Commercial, Marketplace, Medicare Advantage, and Medicaid programs.This is more than a review role—it's an opportunity to collaborate with experienced clinical leaders, contribute to meaningful quality initiatives, and grow your impact within a mission-driven organization dedicated to improving oral health nationwide.What You'll DoUtilization Management & Clinical ReviewReview dental claims and prior authorization requests, applying coverage guidelines and benefit plan policies to ensure accurate determinationsInterpret dental records, radiographs, and clinical documentation to assess medical necessityMeet established productivity and quality benchmarks for clinical reviewsDocument clear, concise clinical rationale aligned with regulatory and accreditation standardsCalibration & Clinical ConsistencyParticipate in calibration sessions to ensure consistent application of clinical guidelines and policiesComplete interrater reliability assessments and meet accuracy benchmarksRaise complex or unclear cases for peer discussion and resolutionIncorporate feedback from audits and reviews to continuously improve accuracyProvider Engagement & Peer ReviewConduct peer-to-peer consultations with providers regarding clinical decisions and treatment alternativesSupport grievance and appeal reviews with clinical insightCollaborate with dental specialists and internal teams on complex casesTraining, Collaboration & ComplianceParticipate in clinical trainings and team meetingsPartner with Utilization Management, Claims, Dental Directors, and Grievances & Appeals teamsSupport regulatory reporting and maintain knowledge of applicable standards and guidelinesStay current on ADA coding updates and evidence-based clinical practicesA Day in the LifeIn this role, your day is highly focused and structured around clinical review and collaboration:~90% of your time reviewing prior authorizations and dental claims using internal systems (including AI-supported platforms)Interpreting clinical documentation and applying your judgment to ensure accurate, compliant determinations~10% of your time participating in calibration sessions, identifying trends (including fraud, waste, and abuse), and supporting workflow improvementsYou'll start your day by logging in, reviewing assigned cases, and managing your review queue while maintaining quality and turnaround expectations. You'll also engage with colleagues and providers as needed to support accurate and consistent outcomes.What You'll BringRequired QualificationsDDS or DMD from an accredited institutionActive, unrestricted New York dental license in good standing (required)Minimum 6 years of experience as a practicing dentistExperience with claims review, utilization management, or quality initiatives preferredKey Skills & ExpertiseStrong clinical judgment and ability to evaluate dental necessity and treatment appropriatenessAbility to interpret dental radiographs and clinical recordsKnowledge of managed care systems, reimbursement models, and regulatory requirementsStrong written communication skills to document clear and defensible clinical decisionsAbility to manage high-volume review work efficiently while maintaining accuracyComfort working in a remote, structured environment during standard business hoursProficiency with computer systems and ability to learn new technology platforms, including AI-supported toolsWork Environment & ExpectationsFully remote positionStructured schedule aligned with core business hours (not a flexible-hours role)Highly collaborative environment with cross-functional teamsFocus on productivity, accuracy, and quality outcomesCompensationSalary Range: $150,000 – $165,000 annually (Final compensation will depend on experience, qualifications, and licensure.)Why Join LIBERTY Dental Plan?At LIBERTY, you'll be part of a mission-driven organization dedicated to improving oral health outcomes through quality, innovation, and collaboration. This role offers the opportunity to apply your clinical expertise in a new way—impacting care at scale while working alongside a supportive and experienced team.Ready to Apply?If you are a clinically strong dentist with an active New York license and a passion for improving care quality in a managed care environment, we encourage you to apply today.What Liberty OffersHappy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That's why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.Our first-class benefits package supports employees and their dependents with: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.Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.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.CompensationIn the spirit of pay transparency, the base salary range for this position is $150,000 - $165,000 annually, not including fringe benefits or potential bonuses. 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.Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.