Licensed Clinical Investigator
Company: VirtualVocations
Location: Pompano Beach
Posted on: February 1, 2025
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Job Description:
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
Keywords: VirtualVocations, The Hammocks , Licensed Clinical Investigator, Healthcare , Pompano Beach, Florida
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