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Senior Medicaid Specialist
full-timeDallas

Summary

Location

Dallas

Type

full-time

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About this role

The vision of Smile Doctors is our people-first culture which creates an environment of passionate, caring Team Members dedicated to providing fun and encouraging relationships with each other and our patients. Smile Doctors offers every Team Member the opportunity to be a part of something bigger. We focus on the importance of the individual and recognize that each person on our Team has something great to offer. We recognize talents and strengths and take care to nurture those abilities to help our Team Members grow into successful people in their careers, in our organization, and beyond.

 

Looking for a position that makes you smile?

We’re seeking a Sr. Medicaid Specialist to join our growing team.

The Sr. Medicaid Specialist is responsible for Medicaid development, compliance, credentialing and payor enrollment processes.  This position will bridge tactical execution and strategic alignment to drive department Medicaid goals.

 

How you’ll make us better:

 

  • Monitor and interpret federal and state Medicaid dental regulations
  • Conduct research on Medicaid updates, reimbursement models, and best practices
  • Draft Medicaid development requests to ensure system functionality
  • Draft Medicaid policies and procedures
  • Analyze Medicaid data to identify trends in access barriers or regulatory shifts
  • Support manager in ensuring organizational practices align with current Medicaid guidelines
  • Mentor the Medicaid Specialist
  • Serve as a subject matter expert on Medicaid dental coverage and policy changes
  • Maintain up-to-date knowledge of eligibility criteria and renewal procedures
  • Track enrollment timelines
  • Act as a resource for clinics and provide training on Medicaid procedures and best practices
  • Provide customer service for billing inquiries and assist with their documentation
  • Assist in training clinic team members on Medicaid processes and update
  • Liaison with Medicaid Advocates for guidance and clarification on Medicaid processes

 

Your special skills:

  • Strong policy writing and process improvement skills
  • Strong analytical and problem-solving abilities
  • Strong oral and written communication skills

Prerequisites for success:

  • High School diploma or equivalent required
  • Five (5) years of experience in revenue cycle management, claims, or service access required with two (2) of those years in Orthodontics insurance or billing preferred
  • Experience with Medicaid and commercial payor enrollment across multiple states preferred
  • Intermediate proficiency in Microsoft Excel and SharePoint

 

 

We saved the best for last.

In exchange for the dynamic contribution you’ll bring to our team, we offer:

  • Competitive salary 
  • Medical, dental, vision and life insurance 
  • Short and long-term disability coverage 
  • 401(k) plan 
  • 3 weeks paid time off in your first year + paid holidays 
  • Discounts on braces and clear aligners for you and your family members 

 

Why Smile Doctors?

As the nation’s leading Orthodontic Support Organization, Smile Doctors is shaping the future of orthodontics through strategic partnerships with top local doctors. We provide best-in-class support services so our partner orthodontists can focus on what they do best — driving extraordinary treatment outcomes and providing patients with an unmatched experience.

 

With hundreds of partnered practices across the nation, our synergistic approach has made us the fastest-growing organization in our industry and produced an ever-expanding need for top talent as we continue our unprecedented trajectory. To us, there’s no such thing as “top of our game.” We’re always climbing higher — together. And as our business grows, there’s plenty of room for our team to grow their careers, too.

 

Our dynamic support services team is comprised of world-class professionals whose diverse experiences drive innovation and development. Together, we are committed to passionately helping others achieve their best, most confident smiles.

 

 

This is the perfect opportunity to grow with an expanding organization! Apply today!

 

 

 

Smile Doctors and all our affiliating practices are proud to be an equal opportunity workplace and welcome diversity in our organization.  We do not discriminate against any team member or applicant for employment regardless of age, race, color, national origin, religion, disability, veteran status, sex, sexual orientation, or gender identity.

Other facts

Tech stack
Policy Writing,Process Improvement,Analytical Skills,Problem-Solving,Oral Communication,Written Communication

About Smile Doctors

Smile Doctors, LLC, is the largest ortho-focused dental support organization (OSO) in the U.S. As the fastest-growing network of leading orthodontists with more than 560+ convenient locations in 36 states, Smile Doctors has a rich history of developing and growing affiliated practices by providing tools and technology that allow orthodontists to focus entirely on patient care. Smile Doctors is the largest network of Diamond Plus Invisalign® providers and its affiliated orthodontists are proud members of the American Association of Orthodontists, and American Dental Association, and host for the Lecture Center for Orthodontic Excellence. Smile Doctors’ mission is to create confident smiles that inspire the best in patients, each other, and the communities they serve.

Smile Doctors-affiliated practices are committed to providing affordable, all-inclusive orthodontic treatment to patients. Smile Doctors’ patient-forward approach and team collaboration result in beautiful, confident smiles and genuine, unforgettable experiences.

For more information, please visit: www.smiledoctorspartners.com.

Team size: 1,001-5,000 employees
LinkedIn: Visit
Industry: Hospitals and Health Care
Founding Year: 2015

What you'll do

  • The Sr. Medicaid Specialist is responsible for Medicaid development, compliance, credentialing, and payor enrollment processes. This position will bridge tactical execution and strategic alignment to drive department Medicaid goals.

Ready to join Smile Doctors?

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Frequently Asked Questions

What does a Senior Medicaid Specialist do at Smile Doctors?

As a Senior Medicaid Specialist at Smile Doctors, you will: the Sr. Medicaid Specialist is responsible for Medicaid development, compliance, credentialing, and payor enrollment processes. This position will bridge tactical execution and strategic alignment to drive department Medicaid goals..

Why join Smile Doctors as a Senior Medicaid Specialist?

Smile Doctors is a leading Hospitals and Health Care company.

Is the Senior Medicaid Specialist position at Smile Doctors remote?

The Senior Medicaid Specialist position at Smile Doctors is based in Dallas, Texas, United States. Contact the company through Clera for specific work arrangement details.

How do I apply for the Senior Medicaid Specialist position at Smile Doctors?

You can apply for the Senior Medicaid Specialist position at Smile Doctors directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process. You can also learn more about Smile Doctors on their website.