full-time 2 months ago
Staff Dentist (1099 Independent Contractor)
LIBERTY Dental Plan
Tustin, CA 92782
Competitive Compensation
About the Practice
N/A Team Members
Dentrix Software
Office Tour & Photos
Job Description
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Staff Dentist (1099 Independent Contractor – 6-Month Assignment | Fully Remote)
About the Role
We are seeking an experienced Staff Dentist (1099 Independent Contractor) to support Utilization Management (UM) and Utilization Review (UR) functions across our dental plans. This is a fully remote, non-clinical, review-focused role ideal for dentists who want to apply their clinical expertise to drive quality, compliance, and appropriate care delivery at scale.
In this role, you will perform clinical reviews of claims, prior authorizations, and referrals across Commercial, Medicare Advantage, and Medicaid lines of business, helping ensure regulatory compliance, cost-effective care, and high-quality oral health outcomes.
Assignment Details
Work Type: 100% Remote (U.S.-based)
Contract Type: 1099 Independent Contractor
Duration: 6-month assignment with potential for extension
Schedule: Flexible, based on business needs
Licensure: Active, unrestricted dental license in California or New Jersey is required; candidates without one of these state licenses will not be considered
Key Responsibilities
Utilization Management & Clinical Review
Perform timely clinical adjudication of dental claims and prior authorization requests
Determine medical necessity and benefit coverage using clinical expertise and plan guidelines
Interpret radiographs, charts, and supporting documentation to inform decisions
Identify inappropriate, unnecessary, or low-value services
Quality Management & Improvement
Participate in quality improvement initiatives, audits, and utilization analyses
Conduct focused chart reviews to identify utilization trends and potential quality concerns
Support SIU activities, including provider site reviews and corrective recommendations
Analyze treatment patterns and recommend improvements
Provider Engagement & Peer Review
Conduct peer-to-peer consultations with network providers
Participate in grievance, appeal, and secondary review processes
Collaborate with specialists or subject-matter experts as needed
Collaboration, Training & Committees
Participate in calibration sessions, trainings, and interrater reliability activities
Attend clinical and operational meetings
Contribute to credentialing and quality committees
Support resolution of provider and member concerns
Tele-Dentistry & Clinical Support
Provide clinical input during tele-dentistry consultations when needed
Regulatory & Subject Matter Expertise
Maintain expertise in dental benefit plans and Medicaid program requirements
Support regulatory reporting and compliance initiatives
Qualifications
DDS or DMD from an accredited dental school
Active, unrestricted dental license in good standing in a U.S. state
Minimum:
4+ years practicing as a dentist
2+ years experience with claims review, utilization management, or payer-side dentistry preferred
Strong knowledge of:
Dental coding and clinical guidelines
Managed care and reimbursement systems
Medical necessity criteria and adjudication processes
Ability to interpret radiographs and dental records
Strong analytical, decision-making, and communication skills
Current professional malpractice insurance required (must be maintained throughout the contract period)
Work Environment & Structure
Fully remote, computer-based role
Work is primarily sedentary and requires extended screen time
Flexible scheduling aligned with business needs
1099 contractor position (no employee benefits)
What Makes You a Strong Fit
You bring a clinical lens to business decisions, balancing quality, cost, and compliance
You are detail-oriented and consistent in applying guidelines and policies
You communicate effectively in peer-to-peer provider discussions
You thrive in a collaborative, healthcare environment
Why Join
Fully remote opportunity with flexible scheduling
Apply your clinical expertise beyond the operatory
Influence care quality and outcomes at a population level
Work on meaningful, mission-driven initiatives
Opportunity for contract extension based on performance and business needs
How to Apply
Submit your resume, licensure details, and proof of current malpractice insurance to be considered for this opportunity.
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Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.
Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.
We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.
Sponsorship and Relocation Specifications
Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.
No relocation assistance or sponsorship available at this time.
Staff Dentist (1099 Independent Contractor – 6-Month Assignment | Fully Remote)
About the Role
We are seeking an experienced Staff Dentist (1099 Independent Contractor) to support Utilization Management (UM) and Utilization Review (UR) functions across our dental plans. This is a fully remote, non-clinical, review-focused role ideal for dentists who want to apply their clinical expertise to drive quality, compliance, and appropriate care delivery at scale.
In this role, you will perform clinical reviews of claims, prior authorizations, and referrals across Commercial, Medicare Advantage, and Medicaid lines of business, helping ensure regulatory compliance, cost-effective care, and high-quality oral health outcomes.
Assignment Details
Work Type: 100% Remote (U.S.-based)
Contract Type: 1099 Independent Contractor
Duration: 6-month assignment with potential for extension
Schedule: Flexible, based on business needs
Licensure: Active, unrestricted dental license in California or New Jersey is required; candidates without one of these state licenses will not be considered
Key Responsibilities
Utilization Management & Clinical Review
Perform timely clinical adjudication of dental claims and prior authorization requests
Determine medical necessity and benefit coverage using clinical expertise and plan guidelines
Interpret radiographs, charts, and supporting documentation to inform decisions
Identify inappropriate, unnecessary, or low-value services
Quality Management & Improvement
Participate in quality improvement initiatives, audits, and utilization analyses
Conduct focused chart reviews to identify utilization trends and potential quality concerns
Support SIU activities, including provider site reviews and corrective recommendations
Analyze treatment patterns and recommend improvements
Provider Engagement & Peer Review
Conduct peer-to-peer consultations with network providers
Participate in grievance, appeal, and secondary review processes
Collaborate with specialists or subject-matter experts as needed
Collaboration, Training & Committees
Participate in calibration sessions, trainings, and interrater reliability activities
Attend clinical and operational meetings
Contribute to credentialing and quality committees
Support resolution of provider and member concerns
Tele-Dentistry & Clinical Support
Provide clinical input during tele-dentistry consultations when needed
Regulatory & Subject Matter Expertise
Maintain expertise in dental benefit plans and Medicaid program requirements
Support regulatory reporting and compliance initiatives
Qualifications
DDS or DMD from an accredited dental school
Active, unrestricted dental license in good standing in a U.S. state
Minimum:
4+ years practicing as a dentist
2+ years experience with claims review, utilization management, or payer-side dentistry preferred
Strong knowledge of:
Dental coding and clinical guidelines
Managed care and reimbursement systems
Medical necessity criteria and adjudication processes
Ability to interpret radiographs and dental records
Strong analytical, decision-making, and communication skills
Current professional malpractice insurance required (must be maintained throughout the contract period)
Work Environment & Structure
Fully remote, computer-based role
Work is primarily sedentary and requires extended screen time
Flexible scheduling aligned with business needs
1099 contractor position (no employee benefits)
What Makes You a Strong Fit
You bring a clinical lens to business decisions, balancing quality, cost, and compliance
You are detail-oriented and consistent in applying guidelines and policies
You communicate effectively in peer-to-peer provider discussions
You thrive in a collaborative, healthcare environment
Why Join
Fully remote opportunity with flexible scheduling
Apply your clinical expertise beyond the operatory
Influence care quality and outcomes at a population level
Work on meaningful, mission-driven initiatives
Opportunity for contract extension based on performance and business needs
How to Apply
Submit your resume, licensure details, and proof of current malpractice insurance to be considered for this opportunity.
a { text-decoration: none; color: #464feb;}tr th, tr td { border: 1px solid #e6e6e6;}tr th { background-color: #f5f5f5;}
Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.
Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.
We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.
Sponsorship and Relocation Specifications
Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.
No relocation assistance or sponsorship available at this time.
About LIBERTY Dental Plan
LIBERTY Dental Plan is dedicated to making members shine by providing individual and family dental plans across various states. They offer a wide variety of plans and options to choose from, aiming to ensure oral health and wellness for their members.
Position Closed
This job is no longer accepting applications.