ZipRecruiter

Log In

1

Dental Utilization Management Manager Jobs in Reston, VA

Luminis Health

Utilization Management Nurse

Lanham, MD

$34 - $55/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Monitors and identifies patterns or trends in utilization management; monitors potential and actual ... Pay Range $34--$55 USD Luminis Health Benefits Overview: • Medical, Dental, and Vision Insurance ...

AmeriHealth Caritas

Clinical Care Reviewer UM

Washington, DC · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Role Overview Under the direction of a supervisor, the Utilization Management Reviewer evaluates ... dental, life insurance, disability insurance, 401(k), paid time off and more. The targeted hiring ...

Amerihealth Caritas

Clinical Care Reviewer UM

Washington, DC · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Role Overview Under the direction of a supervisor, the Utilization Management Reviewer evaluates ... dental, life insurance, disability insurance, 401(k), paid time off and more. The targeted hiring ...

next page

Showing results 1-20

All JobsDental Utilization Management JobsDental Utilization Management Manager JobsDental Utilization Management Manager Jobs in Reston, VA

Dental Utilization Management Manager information

See Reston, VA salary details

$40.6K

$94.7K

$174.3K

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

As of Aug 18, 2026, the average yearly pay for dental utilization management manager in Reston, VA is $94,684.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,900.00 and $113,900.00 per year, depending on experience, location, and employer.

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 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 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.

What job categories do people searching Dental Utilization Management Manager jobs in Reston, VA look for?

The top searched job categories for Dental Utilization Management Manager jobs in Reston, VA are:

What cities near Reston, VA are hiring for Dental Utilization Management Manager jobs?

Cities near Reston, VA with the most Dental Utilization Management Manager job openings:

Dental Utilization Management Manager jobs near you
Infographic showing various Dental Utilization Management Manager job openings in Reston, VA as of August 2026, with employment types broken down into 71% Full Time, and 29% Part Time. Highlights an 100% In-person job distribution, with an average salary of $94,684 per year, or $45.5 per hour.

Utilization Management Nurse

Luminis Health

Lanham, MD

$34 - $55/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago

Luminis Health rating

7.9

Company rating: 7.9 out of 10

Based on 54 frontline employees who took The Breakroom Quiz

107th of 888 rated healthcare providers

Job description

Position Objective:  Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment.  

Essential Job Duties:

1. Chart Review:

Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource utilization; enters clinical review in EPIC; maintains close communication with external reviews, care coordinators, and providers; reconciles and records days authorized in EPIC

2. Denial Management:

Monitors and identifies patterns or trends in utilization management; monitors potential and actual denials and collaborates with care coordinator for any follow up necessary; documents actions taken to avoid denial;  assists Care Coordinator in communicating with the patient denied hospital days with work toward resolution and discharge.

3. Care Coordination:

Collaborates with the Care Coordinator to achieve optimal and efficient patient outcomes while decreasing length of stay, avoidable delays and denied days; utilizes Physician Advisor and administrative personnel for unresolved issues; identifies opportunities for expedited appeals and collaborates with the care coordinator and Physician Advisor to resolve payer issues.

4.  Process improvement initiatives

Participates in nursing unit and department clinical outcome projects as well as process improvement initiatives of care management.

Educational/Experience Requirements:

  • Bachelor’s of Science in Nursing or Associate’s degree in Nursing with equivalent experience.  BSN must be achieved within 5 years of start date in the role.  
  • Three years of clinical nursing in an acute care hospital setting.

RequiredLicense/Certifications:

  • Current RN license from Maryland Board of Nursing.

Working Conditions, Equipment, Physical Demands:

There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens.

Physical Demands -

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

The above job description is an overview of the functions and requirements for this position.  This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

Pay Range
$34—$55 USD

Luminis Health Benefits Overview:
•    Medical, Dental, and Vision Insurance
•    Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
•    Paid Time Off
•    Tuition Assistance Benefits
•    Employee Referral Bonus Program
•    Paid Holidays, Disability, and Life/AD&D for full-time employees
•    Wellness Programs
•    Employee Assistance Programs and more
*Benefit offerings based on employment status

Opt-in for text notifications!
Luminis Health's two-way SMS texting platform lets you receive notifications and messages from our Talent Acquisition team directly on your phone.
To enable this feature, select "yes" when asked to "opt-in to receive text messages" and to "Receive updates from a recruiter about this job via SMS" when completing your application. Once you are opted in, you can easily opt-out at any time. 
Standard text messaging rates may apply based on the candidate's mobile carrier plan. Luminis Health is not responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and usage charges.


What Luminis Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply