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Dental Utilization Management Manager Jobs (NOW HIRING)

UHS

Utilization Management Specialist

Plymouth, IN · On-site

Excellent Medical, Dental, Vision and Prescription Drug Plan * 401(K) with company match and ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.

Pacer Group

Utilization Management RN

Pomona, CA · On-site

$45 - $55/hr

Utilization Management RN Location: Pomona, CA Duration: 13 weeks Schedule: 08:00am - 04:30pm (Part time) Payrate : $45/hr - $55/hr on W2 Required Minimum Qualifications: * Licensure: RN License in ...

WelbeHealth

Utilization Management RN

Los Angeles, CA · On-site

$99K - $131K/yr

Utilization Management RN Los Angeles, CA, USA At WelbeHealth, we are transforming the reality of ... Medical insurance coverage (Medical, Dental, Vision) * Work/life balance - we mean it! 17 days of ...

Wellpath

Director Utilization Mgmt

Lemoyne, PA · On-site

$199K - $249K/yr

... dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their ... How you make a difference The Medical Director of Utilization Management leads and oversees ...

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Dental Utilization Management Manager information

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$39K

$91K

$167.5K

How much do dental utilization management manager jobs pay per year?

As of Jun 12, 2026, the average yearly pay for dental utilization management manager in the United States is $91,011.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $109,500.00 per year, depending on experience, location, and employer.

What are some of the common challenges faced by a Dental Utilization Management Manager, and how can they be addressed?

Dental Utilization Management Managers often encounter challenges such as balancing cost containment with quality patient care, staying updated on evolving dental guidelines, and effectively communicating with both dental providers and insurance teams. Addressing these challenges typically involves staying current with industry best practices, fostering collaborative relationships with stakeholders, and implementing clear review protocols to ensure consistency and fairness in utilization decisions. Strong analytical and leadership skills are essential for navigating these complexities and ensuring both compliance and high standards of care.

What are the key skills and qualifications needed to thrive as a Dental Utilization Management Manager, and why are they important?

To thrive as a Dental Utilization Management Manager, you need a deep understanding of dental procedures, insurance policies, and utilization review, often supported by a dental degree or certification and experience in managed care. Familiarity with claims processing systems, dental coding (such as CDT codes), and utilization management software is typically required. Strong analytical abilities, attention to detail, leadership, and effective communication are standout soft skills in this role. These competencies ensure accurate benefit determinations, regulatory compliance, and high-quality service for both providers and members.

What does a Dental Utilization Management Manager do?

A Dental Utilization Management Manager oversees the evaluation of dental treatment requests to ensure they are medically necessary and meet established clinical guidelines. They review claims, coordinate with dental providers, manage a team of utilization review specialists, and help implement policies to improve efficiency and cost-effectiveness in dental benefit programs. Their goal is to ensure quality patient care while controlling costs for dental insurance plans.

What is the difference between Dental Utilization Management Manager vs Dental Utilization Review Coordinator?

AspectDental Utilization Management ManagerDental Utilization Review Coordinator
CredentialsTypically requires a dental or healthcare-related degree and management experienceUsually requires dental assisting, dental hygiene, or healthcare certification
Work EnvironmentSupervises teams, manages policies, and oversees utilization processesPerforms case reviews, evaluates treatment plans, and communicates with providers
Employer & Industry UsageFound in insurance companies, healthcare organizations, and dental benefit plansCommon in insurance companies, dental clinics, and healthcare providers

The Dental Utilization Management Manager oversees the utilization review process, manages teams, and develops policies, while the Dental Utilization Review Coordinator focuses on case-by-case reviews and provider communication. Both roles are essential in dental insurance and healthcare settings but differ mainly in scope and responsibilities.

More about Dental Utilization Management Manager jobs
What cities are hiring for Dental Utilization Management Manager jobs? Cities with the most Dental Utilization Management Manager job openings:
What are the most commonly searched types of Dental Utilization Management jobs? The most popular types of Dental Utilization Management jobs are:
What states have the most Dental Utilization Management Manager jobs? States with the most job openings for Dental Utilization Management Manager jobs include:
What job categories do people searching Dental Utilization Management Manager jobs look for? The top searched job categories for Dental Utilization Management Manager jobs are:
Dental Utilization Management Manager jobs near you
Infographic showing various Dental Utilization Management Manager job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 89% Full Time, 9% Part Time, and 1% Contract. Highlights an 92% In-person, 1% Hybrid, and 7% Remote job distribution, with an average salary of $91,011 per year, or $43.8 per hour.

Manager, Utilization Management Nurse Management

Blue Shield of CA

Woodland Hills, CA • Hybrid

Other

Posted 17 days ago

Job description

Your Role

The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi-Cal and Medicare populations. The Utilization Management Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply advanced clinical knowledge and proven management skills to organize work, coach staff, and manage risk. Your leadership helps drive consistent, high-quality utilization management outcomes.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

  • Requires maintaining an active, unrestricted RN license in assigned states or the ability to obtain required state (in addition to primary state license) RN license within 90 days of hire
  • Requires 7 years of prior relevant experience including 3 years of management experience gained as a team leader, supervisor or project/program manager
  • Requires knowledge of regulatory requirements for government lines of business (Medi-Cal and Medicare)
  • Bachelor of Science in Nursing or advanced degree preferred
  • Demonstrated experience with basic management approaches such as work scheduling, prioritizing, coaching, process execution, work organization, inventory management, risk management and delegation
  • Strong emotional intelligence skills
  • Strong communication and computer navigation skills
  • Strong teamwork and collaboration skills
  • Strong critical thinking skills
  • Independent motivation and strong work ethic

Hybrid Virtual Work

This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.

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