A company is looking for a Clinical Investigator Consultant residing in Iowa.
Key Responsibilities Conduct retrospective reviews of claims data to identify fraud, waste, or abuse Manage the investigative process, including communication with clients and providers Ensure compliance with regulations and maintain professional relationships with clients and agencies Required Qualifications Licensed Registered Dental Hygienist preferred 3+ years of clinical or related investigative experience Experience in Dental Utilization Management or Review preferred Knowledge of dental procedures and terminology required Ability to independently manage workflow and meet contractual obligations