Utilization Management Supervisor (Dental Insurance)

Join Our Team: Utilization Management Supervisor with Dental Insurance Industry Experience
This position is responsible for overseeing Utilization Management (UM) staff, managing inventory turnaround times and deadlines, and creating and distributing daily and weekly reports to staff and management. Monitors and redistributes workload as needed, fosters staff development, supports and displays a teamwork atmosphere, and improves department morale. The UM Supervisor will work directly with front line staff to ensure processing guidelines are followed and clients’ Service Level Agreements (SLAs) are achieved.

• Assist with recruiting, hiring, evaluation, and selection.
• Update job descriptions and develop performance expectations.
• Supervise employee and team performance.
• Train and provide adequate coaching, counseling, and motivation; identify training needs and coordinate time with the department trainer as needed.
• Evaluate performance and conduct annual performance reviews; investigate complaints or performance concerns as needed.
• Implement performance improvement plan or disciplinary action.
• Meet project deadlines and communicate project status to manager as appropriate.
• Perform other duties as assigned and deemed appropriate by management.

Education/Experience:

• Bachelor’s Degree (BA/BS) preferred, or equivalent combination of education and relevant work experience.

Years of Experience:

• Minimum 3 years in Claims or Utilization Management processing experience with emphasis in Medicaid PPO, and HMO required prior supervisory, or team lead experience preferred.

Specific Skills/Knowledge

• Dental knowledge required.
• Understanding of health care call center preferred.
• Must have strong MS Word, PowerPoint, and Excel skills.
• Strong leadership skills.
• Strong knowledge of pre-authorization/referral determination and processing.
• Knowledge of claims/UM systems and information technology.

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.

WHAT LIBERTY OFFERS

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their society. That’s why LIBERTY offers competitive and attractive benefit packages for their employees. We strive to care for employees in positive ways that promotes wellness and productive employees.

Our first-class benefit package supports our employees and their dependents with:

• Competitive pay structure and saving options that help you reach your financial goals
• Excellent 401k retirement benefits available which includes employer match and ability to save via a Roth IRA, plus immediate vesting during Safe Harbor period and professional financial advice through Financial Engines!
• Medical insurance offered with low-cost premium for employee only coverage and LIBERTY subsidizes 50% of dependent coverage for eligible enrolled dependents.
• 100% employer paid dental coverage for employees and eligible dependents.
• 100% employer paid vision coverage for employee only coverage, low-cost premium for dependents!
• Company paid basic life and AD&D coverage; options to elect additional supplemental coverage.
• Long Term Disability coverage
• Expansive wellness program including companywide Get Active challenges and Burn-A-Long with option for gym discounts.
• Employee Assistance Program
• Generous vacation and sick leave with the ability to roll time over.
• 10 paid company holidays
• Tuition Reimbursement
• Remote or Hybrid options for various positions
• And so much more...

COMPENSATION

In the spirit of pay transparency, we are excited to share the base salary for this position is $58,760 - $76,388, exclusive of fringe benefits or potential bonuses. If you are hired at LIBERTY, your final base salary compensation will be determined based on factors such as geographic location, skills, education, and/or experience. In addition to those factors – we believe in the importance of pay equity and consider internal equity of our current team members as a part of any, final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued 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.

LIBERTYDental 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.