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Gainwell Technologies

Remote Dental PA Review Hygienist Consultant

northern, KY

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Job description

Gainwell Technologies is seeking a Dental Hygienist Consultant to review Medicaid prior authorizations based on medical necessity and state guidelines. This role acts as a clinical SME and liaison for internal Gainwell entities, with no patient-facing duties.

The position emphasizes collaboration with the dental team to ensure timely adjudications, provider education, and accurate MMIS entries. Location is remote within the United States, with up to 10% travel.

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