Dental/Dentist Fraud and Waste Lead

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The Humana Dental SIU Team has an exciting new opportunity for an experienced Dentist who loves to investigate and finding solutions to complex issues in outstanding dental cases. Within this position the Dental Fraud and Waste Lead for the Humana Dental SIU Team will complete dental clinical reviews associated with fraud, waste and abuse cases, as well as perform peer to peer reviews with other dentists. They will also have the pleasure of providing continued education on dental industry standards and trends to a team of 5 other Dental Investigators within the development of fraud, waste and abuse concepts.

• Complete all clinical reviews associated with dental fraud, waste and abuse investigations and create a recommendation on the case direction.

• Stay up to date on all dental industry standards and provide education and guidance to creating new data tools to review provider outlier...

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Submit your application today and join our talented team at Humana.