Dental Consultant
Location: Omaha, Nebraska
Description: Catapult Consultants is at present looking to employ Dental Consultant right now, this vacancy will be ordered in Nebraska. More details about this vacancy opportunity kindly read the description below. Job Summary:
Catapult Consultants LLC is seeking a Dental Consultant. This position works as a member of a multidisciplinary team that supports a federal government project investigating fraud, waste and abuse in the billing by Medicare and Medicaid providers.
The Dental Consultant shall provide dental insight and expertise for Medicaid claims review decisions regarding Dental claims, providing expert testimony as needed, in the performance of fraud, waste and abuse detection, deterrence and prevention activities involving Medicaid providers other entities receiving reimbursement under a Medicaid program. This includes providers, suppliers, and other entities performing under Medicaid Managed Care, and other programs administered or operated by State Medicaid Agencies for Medicaid claims processed within the jurisdiction.
- Part-Time, working depending on project needs.
- Preference will be given to candidates who can work part-time in an office located in Omaha, NE or Grove City, OH, but highly qualified candidates may be considered for full-time telework positions.
- Initially engaged through 7/18/18 with potential for extension depending on project needs.
- Employed by Catapult Consultants, but will work as a subcontractor in AdvanceMed's office in Omaha, NE.
• Doctor of Dental Surgery (DDS) or Doctor of Medicine in Dentistry (DMD) degree.
• Active DDS or DMD license for state of Nebraska.
• 3 to 5 years of experience with stainless steel crowns and sealants.
• Must pass pre-employment screenings for a criminal background check, credit check, and other related suitability screenings.
Responsibilities:
• The Dental Consultant will primarily support activities related to Medicaid claims processed in Nebraska.
• Provides insight and expertise forMedicaid dental claims review decisions completed.
• Maintains working knowledge ofdental practice standards, guidelines and related technology.
• Presents dental specialty educationsessions as needed.
• Provides expert testimony asrequired.
• Ensures compliance with Medicaiddental guidelines and CMS directives concerning Medical Review and supportsHearings and Appeals.
• Performs other duties as assignedby AdvanceMed Technical Monitor.
Background Information:
Personnel support the Centers for Medicare and Medicaid Services (CMS) to carry out health care fraud, waste, and abuse control activities as Unified Program Integrity Contractors (UPICs) in Jurisdiction 1 for states located in the Midwest.
Healthcare fraud is of significant concern in the Medicare program. Media and governmental reports have periodically intensified this concern by claiming that fraud is the cause of large financial losses. The National Health Care Anti-Fraud Association (NHCAA) estimates conservatively that 3% of all health care spending is lost to health care fraud, with rates likely much higher for Medicare and other public-funded programs. Estimates by federal law enforcement agencies place the loss due to health care fraud between 3 and 10 percent of total health care expenditures. However, despite the publicly cited estimates of fraud, a statistically valid estimate of the rate of fraud in Medicare does not currently exist.
Abilities Required:
• While performing the duties of this job the employee is regularly required to sit and use hands to finger, handle, or feel while typing at a computer keyboard.
• The employee is occasionally required to stand, walk, reach, or lift objects up to 10 pounds.
• The employee is frequently required to talk or hear. The vision requirements include: close vision.
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If you were eligible to this vacancy, please give us your resume, with salary requirements and a resume to Catapult Consultants.
Interested on this vacancy, just click on the Apply button, you will be redirected to the official website
This vacancy will be opened on: Sat, 20 Jan 2018 23:05:29 GMT