CNSI and Kepro are now Acentra Health!  Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. 

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. 

Acentra is looking for a      to join our growing team.

Job Summary:

The Dental Physician Reviewer-Orthodontist will oversee utilization review/management activities to include peer review, utilization review, fair hearings and appeals, and other clinical consultations related to the applicable contract. The Dental Orthodontics Physician Reviewer will support the dental UM contract for Arkansas Medicaid.

Job Responsibilities:

Collaborate with Medical Director and other Dental Physician Reviewers on case consultations s needed. Discuss complicated Utilization Management reviews or clinical scenarios with Utilization Management Dental Hygienist Reviewers. Review safety, sentinel, and Quality of Care events and provide detailed feedback and recommendations as per organization and policy. Complete all secondary-level Dental/Orthodontia Utilization Management reviews. Develop and complete an annual review of clinical medical necessity criteria. Travel in-state as needed for client-requested meetings or in-services (minimal travel required). · Perform any other duties assigned.