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Dental Utilization Management Manager Jobs (NOW HIRING)

Medical University of South Carolina

Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type Regular Cost Center CC005921 MCP - Utilization Management Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours ...

Medical University of South Carolina

Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type PRN Cost Center CC005921 MCP - Utilization Management Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours 19 ...

Medical University of South Carolina

Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type Regular Cost Center CC005921 MCP - Utilization Management Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours ...

Medical University of South Carolina

Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type Regular Cost Center CC005921 MCP - Utilization Management Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours ...

CVS Health

MI · On-site

$29.10 - $62.32/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ... The benefits for this position include medical, dental, and vision coverage, paid time off ...

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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 Aug 14, 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.

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Dental Utilization Management Manager jobs near you
Infographic showing various Dental Utilization Management Manager job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $91,011 per year, or $43.8 per hour.

Utilization Management Nurse-1

Medical University of South Carolina

On-site

Part-time

Posted 7 days ago

Job description

Job Description Summary

MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina (MUSC) that provides healthcare to patients within the rural health network throughout the state of South Carolina.

Entity

MUSC Community Physicians (MCP)

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC005921 MCP - Utilization Management

Pay Rate Type

Salary

Pay Grade

Health-28

Scheduled Weekly Hours

32

Work Shift

Job Description

Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with physicians as needed.

Additional Job Description

Bachelor's degree in Nursing from an accredited school of nursing and three years' work experience as a Registered Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in regards to education requirement. Must possess excellent verbal and written communication skills. Familiarity with InterQual or Milliman and Robinson screening criteria desired. Licensure as a registered nurse by the state of South Carolina or compact state required.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees

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