Healthcare Claims Examiner, Dental Hygienist – NC Dental Hygiene License Required

General Dynamics Information Technology

. Evaluate dental prior approval requests for North Carolina Medicaid .

Posted 5/15/2026full-timeRaleigh • North Carolina • 🇺🇸 United StatesMid-LevelSenior💰 $62,050 - $83,950 per yearWebsite

About the role

Key responsibilities & impact

Evaluate dental prior approval requests for North Carolina Medicaid
Analyze requests, apply Medicaid policy, and ensure accurate and timely determinations
Use computer systems, claims processing applications, and electronic documentation tools to perform tasks

Requirements

What you’ll need

Requires active North Carolina license as a Registered Dental Hygienist (RDH)
5+ years of clinical dental hygiene experience
Demonstrated ability to effectively use computers, electronic systems, and digital tools
Ability to work independently in a remote or office-based, technology-dependent environment while meeting service level agreements and individual performance standards
Strong proficiency with Microsoft Office applications (Word, Excel, OneNote) and Microsoft Outlook for documentation, analysis, and communication
Extensive experience using Windows-based computer applications and navigating multiple systems simultaneously
Experience using NCTracks or similar Medicaid claims processing systems
Thorough knowledge of Medicaid dental policy and prior approval processes
High level of proficiency in general computer skills, including data entry, electronic record review, system navigation, and use of common software and digital tools required for claims examination.

Benefits

Comp & perks

A variety of medical plan options with Health Savings Accounts
Dental plan options
A vision plan
401(k) plan with both pre and post-tax contributions and company match
Full flex work weeks where possible
Paid time off plans including vacation, sick, personal time, holidays, paid parental leave, military leave, bereavement, and jury duty leave
15 days paid leave per calendar year for vacations, personal business, and illness
10 paid holidays per year
Paid Family Leave program providing up to 160 hours of paid leave in a rolling 12 month period
Short and long-term disability benefits
Life, accidental death and dismemberment insurance
Personal accident, critical illness, and business travel and accident insurance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical dental hygienedata entryelectronic record reviewsystem navigationclaims processingMedicaid policyprior approval processesMicrosoft OfficeWindows-based applicationsNCTracks

Soft Skills

independent worktime managementcommunicationanalytical skillsattention to detail

Certifications

Registered Dental Hygienist (RDH)