Licensed Clinical Investigator - Pompano Beach Florida

Company: VirtualVocations
Location: Pompano Beach, Florida
Posted On: 02/02/2025

A company is looking for a Clinical Investigator Consultant to conduct investigations related to fraud, waste, and abuse in dental claims.



Key Responsibilities

Conduct retrospective reviews of paid claims and analyze claims data to identify provider fraud, waste, or abuse
Perform in-depth analysis, including peer and statistical analysis, to assess provider utilization patterns
Manage professional relationships with clients and oversee all aspects of the investigative process


Required Qualifications

5+ years of dental clinical experience required
Licensed Registered Dental Hygienist is preferred
Experience in Dental Utilization Management or Review is preferred More...

Register an account with us and set up job agents! We'll email you immediately when jobs like this are posted on our site.