NEW JOB OPENING
DENTAL HYGIENE AUTHORIZATION ANALYST
IN OKLAHOMA CITY, OK, USA!

 

Date Posted: 09/01/2026
Hiring Organization: Rose International
Position Number: 506682
Industry: Government
Job Title: Dental Hygiene Authorization Analyst
Job Location: Oklahoma City, OK, USA, 73105
Work Model: Hybrid
Work Model Details: Can work fully remote after the initial training
Shift: Ability to set your own schedule, including outside normal business hours.
Employment Type: Temporary
FT/PT: Part-Time
Estimated Duration (In months): 13
Min Hourly Rate($): 28.00
Max Hourly Rate($): 35.00
Must Have Skills/Attributes: Analysis, Authorization, Compliance, Medicaid
Experience Desired: Demonstrated experience reviewing periodontal conditions and treatment plans for medical necessity (5+ yrs); Proficiency interpreting clinical documentation, dental records, and diagnostic imaging (5+ yrs); Experience applying established clinical criteria and policy guidelines consistently (5+ yrs); Strong working knowledge of dental terminology, procedures, and standards of care (5+ yrs)
Required Minimum Education: High School Diploma or equivalent
Preferred Education: Bachelor’s Degree
Required Certifications/Licenses: Dental Hygiene certificate/degree from an accredited dental hygiene college

**C2C is not available**

 

Job Description
Required Education:
- Dental Hygiene certificate/degree from an accredited dental hygiene college

Preferred Education:
- Bachelor's degree in Dental Hygiene; Advanced degree (MPH, MPA, MPM, M.Ed.)

Required Experience:
- Demonstrated experience reviewing periodontal conditions and treatment plans for medical necessity
- Proficiency interpreting clinical documentation, dental records, and diagnostic imaging to support authorization decisions
- Experience applying established clinical criteria and policy guidelines consistently across a high volume of case reviews
- Strong working knowledge of dental terminology, procedures, and standards of care
- Proven ability to work independently with limited supervision while managing competing deadlines and productivity expectations

Preferred Experience:
- Prior experience in a utilization review, prior authorization, or claims review setting
- Experience working within a state or federal healthcare agency or managed care organization
- Familiarity with SoonerCare or other state Medicaid program policies and billing practices
- Experience collaborating with clinical directors, consultants, or multidisciplinary review teams
- Background in data tracking, spreadsheet maintenance, or reporting related to clinical case review

Job Summary:
Under supervision, responsible for researching, reviewing, and analyzing dental provider prior authorization requests per federal mandates to ensure compliance with SoonerCare policy, procedures, and billing practices, and to identify potential over- or under-utilization and/or fraud. This position does not supervise.

Job Duties:
- Determines compensability for dental services requested for SoonerCare-eligible members by interpreting doctors' statements, dental and medical records, and agency forms to ensure eligibility standards are met
- Works with agency Dental Director and consultants in evaluating members' medical conditions to determine medical appropriateness of services requested according to state and federal guidelines
- Reviews and makes approval decisions on periodontal prior authorization requests for dental services based on medical necessity; pends to dentist consultant when not meeting qualifications for approval
- Adheres to all OHCA rules and policies while providing services
- Consults with agency's Dental Director and consultants as necessary on issues requiring technical or clinical assistance
- Performs Dental, OHCA, and multi-agency special projects as required
- Creates and maintains spreadsheets pertaining to Dental Unit; identifies system issues and collaborates with appropriate OHCA staff when necessary
- Represents OHCA and assists the Dental Director and Dental Manager with Dental Focus Group meetings or other external meetings the Dental Unit may host, including preparing and archiving meeting minutes
- Maintains current valid Dental Hygienist license in Oklahoma
- Other duties as assigned

  • **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

  • **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**

 

Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.

California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.

Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.

If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.

Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).

 

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About Rose

  • Founded in 1993
  • Office Locations Across the U.S.
  • 150+ Clients: Corporations and Government Agencies
  • Employee Oriented Company
  • Challenging Assignments Across the U.S.
  • Continuous Professional Development

Each time I contacted Rose, I was completely satisfied with the great attention and customer service I received. Each person was extremely knowledgeable and patient with my concerns or questions.

Diana, Consultant

It was great working for Rose International. Everyone was extremely helpful.

Rosann, Consultant

Any time I did have a question and called, the phone was always answered, and my question/concern was immediately resolved.

Sally, Consultant

My on-boarding with Rose was outstanding. The packets of information, the process, and great attention to detail each person gave me allowed me to get started quickly.I appreciated each person's friendly and helpful attitude.

Diana, Consultant

Rose is an assembly of people grounded in honesty, truth and dignity for all of its employees and contractors.

Samba, Consultant

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