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

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