The Medical/Dental Prior Approval Division provides medical necessity reviews and service determinations for NC Medicaid in accordance to Clinical Coverage Policies.
Position is for full time employment Monday – Friday; and will be based at our Wycliff Road office in Raleigh, NC.
Processing orthodontic prior approval cases: preparing all documentation and orthodontic study models for review (this includes researching recipient Medicaid or NCHC eligibility; researching prior approval history; printing and organizing all required documents; keying case review outcomes; tracking orthodontic inventory; preparing cases to return to orthodontic providers.)
Dental/Orthodontic office experience a plus
Medicaid/NCTracks experience a plus
MS Office proficient- particularly Outlook, Excel, and Word
Problem solving skills
Data Entry experience
Superior organizational workflow skills (ability to work through large volumes quickly while staying organized)
Place of performance: 2610 Wycliff Road, Raleigh NC
Period of performance: Start date through end of contract
About Our Work
We are GDIT. The people supporting some of the most complex government, defense, and intelligence projects across the country. We deliver. Bringing the expertise needed to understand and advance critical missions. We transform. Shifting the ways clients invest in, integrate, and innovate technology solutions. We ensure today is safe and tomorrow is smarter. We are there. On the ground, beside our clients, in the lab, and everywhere in between. Offering the technology transformations, strategy, and mission services needed to get the job done.
GDIT does not have a vaccination mandate applicable to all employees. To protect the health and safety of its employees and to comply with customer requirements, however, GDIT may require employees in certain positions to be fully vaccinated against COVID-19. Vaccination requirements will depend on the status of the federal contractor mandate and customer site requirements.
GDIT is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.