Exciting New Opportunity: Manager, Utilization Management
Join a growing organization dedicated to improving access to dental care! We are seeking a Manager of Utilization Management (UM) to oversee regional operations and drive productivity, compliance, and process improvements across multiple sites. In this role, you will manage teams, monitor workflow and metrics, support audits, and collaborate with leadership to ensure departmental goals are met.
📍 Position Requirement:
Candidate must be available to work Central or Eastern Time (CST/EST) hours to support departmental operations.
Key Responsibilities:
Manage all UM staff, including hiring, coaching, evaluating performance, and setting departmental goals.
Oversee supervisory teams and daily workflow, including team huddles and performance monitoring.
Ensure staff is properly trained and assist in developing written training materials and procedures.
Communicate, implement, and monitor compliance with company policies and procedures.
Actively participate in audits, address findings, and conduct research as needed.
Develop and implement process enhancements within the UM program.
Maintain, publish, and communicate detailed operational metrics.
Handle complex UM issues and review cases managed by supervisors.
Approve pre-estimates and referrals for timely and accurate processing.
Mentor and coach call center staff to ensure professionalism, motivation, and quality service
Collaborate with Workforce Management to optimize staffing and departmental initiatives.
Perform statistical analysis to identify efficiencies and improve performance.
Perform other related duties as assigned.
Education & Experience Requirements:
Bachelor’s degree in a related field or equivalent experience preferred.
Minimum 5 years of experience in Utilization Management or a related field.
Prior supervisory experience required.
Experience with Medicaid/Medicare audits preferred.
Key Skills & Knowledge:
Strong dental knowledge highly preferred.
Understanding of health insurance call center operations preferred.
Ability to build and lead collaborative, high-performing teams.
Advanced analytical and reporting skills.
Proficient with Microsoft Office tools (Word, Excel, Access).
Effective conflict management and problem-solving skills.
Ability to exercise independent judgment and make sound decisions.
Location
Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.
Candidate must be available to work Central or Eastern Time (CST/EST) hours to support departmental operations.
What Liberty Offers
Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That’s why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.
Our first-class benefits package supports employees and their dependents with:
Competitive pay structure and savings options to help you reach your financial goals.
Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.
100% employer-paid dental coverage for employees and eligible dependents.
Vision insurance with low-cost premiums for employee-only coverage and dependents.
Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.
Flexible Spending Accounts for healthcare and dependent care expenses.
Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.
Long-term disability coverage.
Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.
Employee Assistance Program (EAP) to support mental health and well-being.
Generous vacation and sick leave policies, with the ability to roll over unused time.
10 paid company holidays.
Tuition reimbursement for eligible educational expenses.
Remote or hybrid work options available for various positions.
Compensation
In the spirit of pay transparency, the base salary range for this position is $77,000 - $100,000, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.
Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.
Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.
Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.
We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.
Sponsorship and Relocation Specifications
Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled
No relocation assistance or sponsorship available at this time.