Healthcare Claims Examiner - Dental Hygienist in Apex, North Carolina at General Dynamics Information Technology

Location: Any Location / Remote
Full Part/Time: Full time
Job Req: RQ228360
Type of Requisition:
Regular

Clearance Level Must Currently Possess:
None

Clearance Level Must Be Able to Obtain:
None

Public Trust/Other Required:
None

Job Family:
Ancillary Health

Job Qualifications:

Skills:
Claims Processing, Computer Literacy, Dental Hygiene, Independent Thinking, Microsoft Office
Certifications:
None
Experience:
5 + years of related experience
US Citizenship Required:
No

Job Description:

GDIT NCMMIS is a claims processing system for the North Carolina Department of Health and Human Services (NC DHHS) to which North Carolina citizens have become entitled through enrollment in benefit plans offered by the State of North Carolina.

The program is seeking a Dental Prior Approval Reviewer to analyze dental prior approval requests for North Carolina Medicaid to ensure compliance with organizational and government guidelines.

Minimum Requirements:

• Requires active North Carolina license as a Registered Dental Hygienist (RDH).
• 5+ years of clinical dental hygiene experience.

The ideal candidate will have:

• Ability to work independently to meet service level agreements within the contract and individual performance standards.
• Proficiency with Microsoft Office (Word, Excel, OneNote, etc.) and Microsoft Outlook email.
• Experience using Windows based computer applications.
• Experience using NCTracks.
• Thorough knowledge of Medicaid policy.
• Proficiency in general computer skills, common software, and general digital tools.

The likely salary range for this position is $62,050 - $83,950. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours:
40

Travel Required:
None

Telecommuting Options:
Hybrid

Work Location:
Any Location / Remote

Additional Work Locations:

Total Rewards at GDIT:
Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee's date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

Our Identity Verification Process:
As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes.

About Our Work:
We are GDIT. A global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50+ countries worldwide, offering leading mission-ready capabilities in AI, cloud, cyber and software development.

Join our Talent Community to stay up to date on our career opportunities and events at
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Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans