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Remote Dental Utilization Management Jobs (NOW HIRING)

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

May require weekends This is a fully remote work at home role. You must have a secure, private wok ... Medical * Dental * Vision * Life Insurance * Short-Term and Long-Term Disability * Flexible ...

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

May require weekends This is a fully remote work at home role. You must have a secure, private wok ... Medical * Dental * Vision * Life Insurance * Short-Term and Long-Term Disability * Flexible ...

Sagility LLC

RN Utilization Management Reviewer

$35 - $40/hr

May require weekends This is a fully remote work at home role. You must have a secure, private wok ... Medical * Dental * Vision * Life Insurance * Short-Term and Long-Term Disability * Flexible ...

Sagility LLC

RN Utilization Management Reviewer

$35 - $40/hr

May require weekends This is a fully remote work at home role. You must have a secure, private wok ... Medical * Dental * Vision * Life Insurance * Short-Term and Long-Term Disability * Flexible ...

CHPW

Utilization Management Clinician I

Seattle, WA · On-site +1

$35.92 - $55.67/hr

This position is available fully remote in Washington state. Who we are Community Health Plan of ... Medical, Prescription, Dental, and Vision * Telehealth app * Flexible Spending Accounts, Health ...

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Remote Dental Utilization Management information

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$15

$31

$53

How much do remote dental utilization management jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for remote dental utilization management in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.

What is the difference between Remote Dental Utilization Management vs Remote Dental Claims Processing?

AspectRemote Dental Utilization ManagementRemote Dental Claims Processing
Primary RoleReviewing and authorizing dental treatments based on medical necessityProcessing and adjudicating dental insurance claims for reimbursement
Required SkillsDental knowledge, review protocols, insurance policiesClaims coding, data entry, insurance guidelines
Work EnvironmentRemote, healthcare/insurance industryRemote, insurance/healthcare industry
CertificationsDental credentials often preferred; insurance knowledgeClaims processing certifications, insurance knowledge

Remote Dental Utilization Management focuses on evaluating dental treatments for necessity, while Remote Dental Claims Processing handles the financial reimbursement process. Both roles are essential in dental insurance workflows but differ in responsibilities and skill sets.

What are some common challenges faced by professionals in Remote Dental Utilization Management roles?

Professionals in Remote Dental Utilization Management often encounter challenges such as staying updated on evolving dental policies and coverage criteria, as well as interpreting complex clinical documentation without direct patient interaction. Communicating effectively with providers and patients via phone or email, rather than in-person, can also be demanding. Additionally, balancing productivity expectations with the need for careful, accurate reviews requires strong time management and attention to detail. Collaborating virtually with team members and adapting to new technologies are also important aspects of the role.

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

To thrive as a Remote Dental Utilization Management professional, you need a background in dental hygiene or dentistry, strong analytical abilities, and knowledge of insurance guidelines, usually supported by credentials such as RDH, DDS, or DMD. Familiarity with dental claims processing software, electronic health record (EHR) systems, and utilization review platforms is typically required. Exceptional communication, attention to detail, and critical thinking skills help professionals effectively assess claims and collaborate with providers. These competencies are essential to ensure accurate adjudication, cost control, and high levels of service in remote dental benefits management.

What is a Remote Dental Utilization Management job?

A Remote Dental Utilization Management job involves reviewing dental treatment plans and claims to ensure they meet established clinical guidelines and policies, all while working from a remote location. Professionals in this role assess the necessity and appropriateness of dental services, help control costs, and may interact with dentists, patients, and insurance companies. They often use their dental expertise to make recommendations or decisions about coverage and authorizations. This position typically requires a background in dentistry or dental hygiene, strong analytical skills, and familiarity with insurance processes.
More about Remote Dental Utilization Management jobs
What cities are hiring for Remote Dental Utilization Management jobs? Cities with the most Remote Dental Utilization Management 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 Remote Dental Utilization Management jobs? States with the most job openings for Remote Dental Utilization Management jobs include:
What job categories do people searching Remote Dental Utilization Management jobs look for? The top searched job categories for Remote Dental Utilization Management jobs are:
Remote Dental Utilization Management jobs near you
AVP, Utilization Management

AVP, Utilization Management

Ensemble Health Partners, Inc.

Remote

Full-time

Medical, Retirement

Posted 9 days ago

Ensemble Health Partners rating

6.5

Company rating: 6.5 out of 10

Based on 237 frontline employees who took The Breakroom Quiz

129th of 138 rated financial services

Job description

Thank you for considering a career at Ensemble!
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
  • Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
  • Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
  • Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:
By embodying our core purpose of customer obsession, driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The Assistant Vice President, Utilization Management provides senior operational leadership for utilization management programs, supporting enterprise strategies focused on regulatory compliance, clinical documentation integrity, and reimbursement optimization. This role partners closely with clinical, operational, and financial leaders to execute utilization management initiatives, reduce preventable denials, and improve care coordination.
The AVP supports the execution of enterprise utilization management strategy, oversees day-to-day operational performance across assigned programs or service lines, and leads managers and senior leaders responsible for utilization review, authorization, and medical necessity processes. This role will include travel, up to 25%.
KEY RESPONSIBILITIES
  • Executes enterprise utilization management strategy aligned with organizational and regulatory requirements
  • Oversees operations including prior authorization, medical necessity review, and concurrent review processes
  • Ensures compliance with CMS, payer, and state regulatory requirements
  • Identifies and mitigates audit, compliance, and reimbursement risks
  • Monitors performance metrics including denial trends and utilization efficiency
  • Drives performance improvement initiatives based on data analysis
  • Collaborates with clinical, case management, and revenue cycle teams to improve documentation and reduce denials
  • Supports implementation and optimization of utilization management technologies and workflows
  • Leads and develops managers and operational leaders
  • Supports succession planning and organizational capability development
  • May be required to perform other job-related duties as requested.
  • Able to travel up to 25% of the time, any may include occasional international travel

EDUCATION AND EXPERIENCE
  • Bachelor's degree or equivalent combination of education and experience
  • Current RN license
  • 10+ years of relevant experience including advanced knowledge of utilization management and healthcare reimbursement
  • 5+ years of people leadership experience
  • Strong executive presence with the ability to project confidence, credibility and authority; able to remain calm & show decisiveness under pressure
  • Exhibits strong strategic and analytical skills with the ability to drive operational improvements
  • Ability to build and maintain relationships with key internal and external stakeholders
  • Ability to effectively lead diverse teams and influence change management in a complex healthcare operations environment
  • Effective communication skills with ability to clearly and succinctly convey information and ideas
  • Demonstrated advanced usage of AI, success in translating AI into Business outcomes, and the ability to move teams from experimentation to scale.

* This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs dictate.
* This position pays between $134,000 - $167,500 based on experience, and is eligible for bonus incentives.
Join an award-winning company
Five-time winner of "Best in KLAS" 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
  • Innovation
  • Work-Life Flexibility
  • Leadership
  • Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
  • Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
  • Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
  • Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
  • Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
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