This position has been filled.
Envolve Dental is a Dental Benefits Manager committed to improving the oral health of the community and to improving the overall health of individuals. Envolve Dental’s innovative client solutions, education programs, personal attention, and provider support create a comprehensive dental care system that reduces administrative burden for providers and offers quality dental services for its client’s members.
Envolve Dental is a wholly-owned subsidiary of Centene Corporation, a diversified, multi-national healthcare enterprise providing a portfolio of services to government-sponsored healthcare programs with a specific focus on under-insured and uninsured individuals. Many receive benefits provided under Medicaid, including the State Children’s Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs and Medicare (Special Needs Plans). The Company operates local health plans and offers a range of health insurance solutions. It also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, correctional healthcare services, dental benefits management, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services. Fortune Magazine has ranked Centene Corporation No. 66 in its annual FORTUNE 500 list of largest corporations in the United States, ranked by revenue, up from 124th spot last year. Centene has risen 420 spots since first entering the list in 2010.
The Dental Director of Envolve Dental administers, maintains and implements utilization and quality management activities, which includes the review of prior authorizations, clinical appeals and potential quality issues. The Dental Director provides dental expertise to internal and external customers as needed, and is responsible for reviewing, administering, and maintaining prior and retrospective authorizations and clinical appeals.
- Doctor of Dental Surgery (DDS) or Dental Medicine (DMD) degree from a university-based dental education program accredited by the American Dental Association Commission on Dental Accreditation.
- Seven or more years of clinical dental practice.
- Three or more years of experience in insurance or benefits administration setting.
- Hold an active, unrestricted license or certification to practice medicine or a health profession in a state or territory of the United States.