Clinical Manager - Dental Consultants

Overjet is on a mission to improve oral health for all.

Our cutting-edge artificial intelligence technology encodes dentist-level training and analysis into scalable software tools. Today, our flagship products are used by some of the country’s largest insurance companies, dental support organizations, and dental practices to enable the best patient care.

We’re building an ambitious team of data scientists, software engineers, clinicians, and business thinkers and doers.

Overjet is backed by an amazing consortium of Venture Capital including General Catalyst, Insight Partners, Crosslink Capital and the E14 Fund. The company has raised nearly $80 million in capital to accelerate talent acquisition and product development driven by strong demand for Overjet’s dental AI. 

The Role 

Complementing our dental AI review services, Overjet provides licensed dental claims review for insurers through our nationwide network of dental consultants. These highly trained consultants review insurance claims based on medical necessity and eligibility, process claim appeals, and confer with providers. Your claims review work will utilize Overjet’s industry-leading dental AI technology to support your decision making.

Responsibilities

• Authorize or deny predeterminations and claims by reviewing radiographs and/or other supporting documentation, in accordance with member plan benefits and with support from Overjet’s dental AI technology
• Evaluate appeals, request additional information, make revised claim decisions and make further recommendations
• Communicate claim review outcomes to participating Dentists and plan members
• Conduct training and calibration sessions and provide regular feedback to the consultant team to improve productivity and accuracy of claims review
• Provide oversight to the professional review system on clinical reviews, self-audits, and quality management assessment reviews
• Develop and maintain relationships with clinical leaders of payers and dental care organizations to assist them in implementing Overjet’s artificial intelligence to transform utilization management and improve patient outcomes
• Establish a scalable dental implementation process with payers. This includes clinical requirement analysis, clinical review implementation workflow and post implementation support for payers.
• Ensure that Overjet’s dental services are delivered per contractual requirements and in compliance with best practices of clinical policy implementation.
• Assist payers’ key contacts who manage implementation of AI with clinical issues in claim adjudication
• Provide assistance and regular feedback to Overjet’s clinical operations team to improve performance and to enhance customer success
• Provide payers with clinical confidence, credibility and capability to seamlessly implement AI in national payers’ workflows
• Act as a liaison between internal clinical, engineering and machine learning teams in improving the clinical product by continually providing them with feedback from users
• Work closely with talent acquisition to ensure hiring, retention and training of dental consultants to support clinical delivery of products and services to payers

Qualifications 

• 8+ years of management/clinical experience in a clinical dental program
• Active dental license with experience in implementing dental policies in dental care
• In depth knowledge of dental technology, dental science and workflow
• Possess knowledge of and ability to apply management principles and techniques
• Outstanding interpersonal skills
• Outstanding oral and written communication skills. Proficient in excel, google docs and creating presentations and clinical reports
• Ability to work collaboratively across multiple departments internally, and with external payers/partners and business stakeholders

Why Overjet? 

• Competitive Compensation and Equity
• Fully Remote Working Policy for US Based Employees
• 401k plans with a matching program
• Medical, Dental and Vision coverage: 99% employee premium covered, 75% dependent premium covered
• Life and AD+D Insurance 
• 8 weeks Paid Parental Leave 
• Optional HSA with Employer contribution
• Flexible PTO policies and company paid holidays
• Annual Learning and Development Stipend
• Work from Home Stipend
  

Company Recognition

• 2022 AI-50 Forbes
• 2022 22 Start-ups to Watch in 2022 - Built in Boston
• 2021 AI 100 Ranking, showcasing the 100 most promising private artificial intelligence companies in the world - CB Insights
• 2021 Digital Health 150, highlighting the 150 most promising private digital health companies in the world - CB Insights
• 2020 & 2019 Digital Health 150 - CB Insights

EEOC

Overjet is an equal opportunity employer. 

We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. We believe diversity enriches our team so we hire people with a wide range of identities, backgrounds, and experiences. Even if you don't meet 100% of the qualifications for this job, we strongly encourage you to apply! 

If you are a Colorado resident: Please contact us by emailing recruiting@overjet.ai to receive compensation and benefits information for this role. Please include the job title in the subject line of the email.

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