Staff Dentist (Nevada & New Jersey)

Liberty Dental Plan Careers•, NV

40d•$150,000 - $165,000•Remote

About The Position

Join Liberty Dental Plan as We Shape the Future of Dental Insurance! Liberty Dental Plan is looking for a Nevada and New Jersey Licensed Staff Dentist to join our growing team! Unrestricted license or certification to practice dentistry in the State of Nevada & New Jersey. Ready to take your clinical expertise beyond the traditional practice setting? At LIBERTY Dental Plan, our Staff Dentists play a critical role in shaping how quality dental care is delivered at scale. In this fully remote position, you’ll use your clinical judgment to review claims and prior authorizations, helping ensure members receive the right care at the right time. Your work directly influences patient outcomes, supports providers, and strengthens the integrity of dental benefits across Commercial, Marketplace, Medicare Advantage, and Medicaid programs. This is more than a review role—it’s an opportunity to collaborate with experienced clinical leaders, contribute to meaningful quality initiatives, and grow your impact within a mission-driven organization dedicated to improving oral health nationwide.

Requirements

DDS or DMD from an accredited institution
Active, unrestricted Nevada and New Jersey dental license in good standing (required)
Minimum 6 years of experience as a practicing dentist
Proficiency with computer systems and ability to learn new technology platforms, including AI-supported tools

Nice To Haves

Experience with claims review, utilization management, or quality initiatives preferred
Strong clinical judgment and ability to evaluate dental necessity and treatment appropriateness
Ability to interpret dental radiographs and clinical records
Knowledge of managed care systems, reimbursement models, and regulatory requirements
Strong written communication skills to document clear and defensible clinical decisions
Ability to manage high-volume review work efficiently while maintaining accuracy
Comfort working in a remote, structured environment during standard business hours

Responsibilities

Review dental claims and prior authorization requests, applying coverage guidelines and benefit plan policies to ensure accurate determinations
Interpret dental records, radiographs, and clinical documentation to assess medical necessity
Meet established productivity and quality benchmarks for clinical reviews
Document clear, concise clinical rationale aligned with regulatory and accreditation standards
Participate in calibration sessions to ensure consistent application of clinical guidelines and policies
Complete interrater reliability assessments and meet accuracy benchmarks
Raise complex or unclear cases for peer discussion and resolution
Incorporate feedback from audits and reviews to continuously improve accuracy
Conduct peer-to-peer consultations with providers regarding clinical decisions and treatment alternatives
Support grievance and appeal reviews with clinical insight
Collaborate with dental specialists and internal teams on complex cases
Participate in clinical trainings and team meetings
Partner with Utilization Management, Claims, Dental Directors, and Grievances & Appeals teams
Support regulatory reporting and maintain knowledge of applicable standards and guidelines
Stay current on ADA coding updates and evidence-based clinical practices

Benefits

Competitive pay structure and savings options to help you reach your financial goals.
Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.
100% employer-paid dental coverage for employees and eligible dependents.
Vision insurance with low-cost premiums for employee-only coverage and dependents.
Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.
Flexible Spending Accounts for healthcare and dependent care expenses.
Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.
Long-term disability coverage.
Expansive wellness programs, including company-wide wellness challenges, and gym discounts.
Employee Assistance Program (EAP) to support mental health and well-being.
Generous vacation and sick leave policies, with the ability to roll over unused time.
10 paid company holidays.
Tuition reimbursement for eligible educational expenses.
Remote or hybrid work options available for various positions.