Back to Jobs search

Healthcare Claims Examiner Dental Hygienist (NC Dental Hygiene license required)

General Dynamics Information Technology • Raleigh, NC • 1h ago

Req ID: RQ216015

Type of Requisition: Regular

Clearance Level Must Be Able to Obtain: None

Public Trust/Other Required: None

Job Family: Ancillary Health

Skills:

Computer Literacy,Dental Hygiene,Dental Imaging,Microsoft Applications,Pre Approvals

Experience:

3 + years of related experience

Job Description:

GDIT NCMMIS is a claims processing system for the North Carolina Department of Health and Human Services (NC DHHS), supporting North Carolina citizens enrolled in state-administered benefit plans. The program is seeking a Dental Prior Approval Reviewer to evaluate dental prior approval requests for North Carolina Medicaid. This role requires extensive use of computer systems, claims processing applications, and electronic documentation tools to analyze requests, apply Medicaid policy, and ensure accurate and timely determinations in a high-volume, technology-driven environment.

Minimum Requirements:

Requires active North Carolina license as a Registered Dental Hygienist (RDH).
3+ years of clinical dental hygiene experience.
Demonstrated ability to effectively use computers, electronic systems, and digital tools.

The ideal candidate will have:

Ability to work independently in a remote or office-based, technology-dependent environment while meeting service level agreements and individual performance standards.

Strong proficiency with Microsoft Office applications (Word, Excel, OneNote) and Microsoft Outlook for documentation, analysis, and communication.

Extensive experience using Windows-based computer applications and navigating multiple systems simultaneously.

Experience using NCTracks or similar Medicaid claims processing systems.

Thorough knowledge of Medicaid dental policy and prior approval processes.

High level of proficiency in general computer skills, including data entry, electronic record review, system navigation, and use of common software and digital tools required for claims examination.

The likely salary range for this position is $62,900 - $85,100. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee's date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.

Join our Talent Community to stay up to date on our career opportunities and events at https://gdit.com/tc.

Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans

Similar Jobs

Licensed Practical Nurse

UNC Health Care • Clayton, NC • 38min ago

Hospital & Medical

Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Provides direct patient care, meeting bo...

38min ago

Go to Apply

Physical Therapist, (PT) - Home Health

BAYADA Home Health Care • Raleigh, NC • 1h ago

Hospital & Medical

BAYADA Home Health Care is currently seeking an experienced Physical Therapist, PT, for a part time opportunity performing home health visits for our Raleigh-Durham senior living office. This office services adult and ge...

1h ago

Go to Apply

Physical Therapist, (PT) - Senior Living Visits

BAYADA Home Health Care • Durham, NC • 1h ago

Hospital & Medical

BAYADA Home Health Care is currently seeking an experienced Physical Therapist, PT, for a per diem opportunity performing home health visits for our Raleigh-Durham senior living office. This office services adult and ger...

1h ago

Go to Apply

Pharmacy Operations Manager

Walgreens • Knightdale, NC • 7h ago

Hospital & Medical

Job Description: Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patie...

7h ago

Go to Apply

Director, Application Development & Maintenance - Pharmacy & Specialty Solutions

Cardinal Health • Raleigh, NC • 22h ago

Hospital & Medical

What Application Development & Maintenance contributes to Cardinal Health Information Technology oversees the effective development, delivery, and operation of computing and information services. This function antici...

22h ago

Go to Apply

Senior Clinical Research Associate - Oncology - FSP

Parexel • Raleigh, NC • 23h ago

Hospital & Medical

Job Summary: The Senior Clinical Research Associate (Sr CRA) will be a member of the Monitoring team and provide monitoring expertise to individual clinical trials and/or programs. Key Accountabilities: Conduct and provi...

23h ago

Go to Apply

Home Health Baylor Registered Nurse

CenterWell • Raleigh, NC • 1d ago

Hospital & Medical

Become a part of our caring community and help us put health first As a CenterWell Home Health nurse, reporting to the Clinical Manager, you will provide personalized, one-on-one care that helps patients regain independe...

1d ago

Go to Apply

Center Medical Director

CVS Health • Raleigh, NC • 1d ago

Hospital & Medical

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate...

1d ago

Go to Apply

Center Medical Director

CVS Health • Raleigh, NC • 1d ago

Hospital & Medical

1d ago

Go to Apply

Pharmacy Operations Manager

Walgreens • Cary, NC • 1d ago

Hospital & Medical

1d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.