Gainwell Technologies

Dental Consultant- California

Gainwell Technologies • $121K — $173K *
Wrangell, AK 99929In-Person
Healthcare
8 - 10 years of experience
Today
Be an Early Applicant
Job Overview by Ladders

Qualifications

  • 10+ years of clinical dental experience in general or specialty practice.
  • Active, good-standing California dental license with no sanctions.
  • 2+ years experience with Medi-Cal Dental services, preferred in adjudication and claims processing.
  • In-depth knowledge of Medi-Cal Dental criteria and program requirements.

Responsibilities

  • Review claims and Treatment Authorization Requests for compliance with Medi-Cal policies.
  • Collaborate with a team to manage and adjudicate dental claims effectively.
  • Mentor and train new dental consultants through guidance and job coaching.
  • Provide second opinions on complex cases, especially for special-needs populations.
  • Assist other departments with operational tasks as needed, including Claims and Quality Management.

Benefits

  • Remote work flexibility with occasional onsite presence in Roseville, CA.
  • Comprehensive health benefits package.
  • Generous, flexible vacation policy.
  • 401(k) employer match program.
  • Educational assistance and professional development opportunities.
Full Job Description
Summary

Gainwell Technologies Dental Consultants apply their clinical expertise to review, approve, and/or deny dental treatment authorization requests and claims in accordance with California Department of Health Care Services (DHCS) Medi-Cal Dental policies.

Your role in our mission

  • Review claims, Treatment Authorization Requests (TARs), and related documentation for California Medi-Cal members to support adjudication decisions, ensuring compliance with Medi-Cal Dental policies and procedures.
  • Collaborate within a team of dental consultants to manage a shared workload of claims requiring the professional expertise of an experienced dentist. These claims are referred by other members of the Claims Processing team, making strong communication and collaboration skills essential to maintaining operational continuity.
  • Assist with the training and onboarding of new dental consultants by providing guidance, mentorship, job shadowing opportunities, and coaching, as needed.
  • Provide support to fellow dental consultants by reviewing complex cases and offering second opinions, including collaboration on cases involving special-needs populations served by the Medi-Cal Dental Program.
  • Support other departments, as requested, including: (a) Claims Processing and Operations, (b) Provider and Member Services, (c) Grievances and Appeals, (d) Human Resources, Onboarding, and Interviews, (e) Quality Management, (f) Peer Review, and (g) referrals to and reviews of findings and adjudication related to Clinical Screening Dentist evaluations.


What we're looking for

  • Minimum of ten 10 years of hands-on clinical experience practicing dentistry in a general dentistry setting or a recognized dental specialty.
  • Active (non-expired) license to practice dentistry in California, in good standing and free of any suspensions, restrictions, or sanctions imposed by federal, state, or local regulatory authorities.
  • Minimum of 2 years of experience working within an organization that provides Medi-Cal Dental services. Prior experience with adjudication and claims processing for the California Medi-Cal Dental Program is preferred but not required.
  • Demonstrated expertise and in-depth knowledge of Medi-Cal Dental criteria, policies, and program requirements.


What you should expect in this role

  • California residency required.
  • Full-time, exempt salaried position (40 hours per week).
  • Remote position with occasional onsite presence required at our Roseville, CA office, based on business needs.
  • Employee must maintain Gainwell Technologies as their sole full-time employer.


The application period will remain open until August 14, 2026.

The pay range for this position is $121,700.00 - $173,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

About Gainwell Technologies

Gainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled industry expertise in offering clients scalable and flexible health and human services solutions for their most complex challenges.

Gainwell Technologies Careers

There has never been a more opportune time to join Gainwell Technologies, a leader in providing cutting-edge technology solutions. As a hub of innovation and diversity, Gainwell Technologies offers a plethora of job opportunities aimed at enhancing the digital landscape.

Work You’ll Do

Join Gainwell Technologies' esteemed team to assist some of the most prominent organizations in mastering their technological advancements and digital transformations. At Gainwell Technologies, the focus is on leveraging a unique blend of technology, industry expertise, and digital innovation to lead the market. Professionals at Gainwell Technologies are positioned uniquely at the crossroads of technology and consulting, driving leadership and growth in various sectors through transformative solutions.

Gainwell Technologies Professional Growth and Opportunities

The team is dedicated to building a leading-edge environment that fosters professional growth and innovation. Gainwell Technologies is not just about addressing the current needs of the market but also about foreseeing and shaping the future of technology.

Innovative Work

At Gainwell Technologies, employees engage in groundbreaking work at the intersection of technology and practical application. The company is home to a large group of dedicated professionals who are committed to delivering robust solutions on trusted platforms.

Career Advancement

Embark on a career journey with Gainwell Technologies where the sky is the limit. The company supports ambitious professionals with comprehensive training, development programs, and diverse certification opportunities designed to future-proof careers in the technology sector.

Explore Job Opportunities and Culture

Gainwell Technologies is committed to creating a workplace culture that promotes diversity and inclusion, where every team member’s contribution is valued. Explore various job opportunities, from internships to full-time positions, and become part of a team that values innovation and leadership.

The Gainwell Technologies Commitment to Diversity and Professional Development

Gainwell Technologies recognizes the importance of diversity training and professional development in creating a thriving workplace. The company is dedicated to providing employees with the resources they need to succeed in their careers and contribute to the industry effectively.

Stay Connected with Gainwell Technologies Careers

Join the Team

Discover open positions that align with your skills and interests. Gainwell Technologies is on the lookout for passionate, curious, and creative professionals who are driven to find solutions and excel in their careers. SEARCH GAINWELL TECHNOLOGIES JOBS

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Learn more about Gainwell Technologies
Size
10,001 employees
Industry
Information Technology
* Ladders Estimates

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