Sr. UM Coordinator

Join us as a Sr. UM Coordinator — drive efficiency, resolve critical requests, and help improve healthcare processes every day.

We are looking for a Senior Utilization Management (UM) Coordinator to join our team and play a vital role in supporting our Utilization Management department. This individual will serve as a key point of contact for both internal and external stakeholders, manage incoming requests, and assist with the coordination of special projects. The Sr. UM Coordinator will also contribute to process improvements and support testing efforts for new systems and enhancements.

Please Note:​​​​​​

This position may require working Saturday and Sunday up to twice per month. To support work-life balance, employees who work scheduled weekends will receive two weekday days off, coordinated by the manager and scheduled at times that are most convenient for the employee whenever possible.

What You’ll Do:

• Serve as a primary point of contact for inquiries related to UM processing, delivering timely and accurate responses.
• Manage the UM team’s inquiry mailbox, reviewing and routing requests appropriately.
• Process special handling requests, ensuring proper documentation and resolution.
• Assist with identifying trends and performing root cause analysis to improve existing processes.
• Collaborate with internal teams to develop and implement process improvements.
• Support User Acceptance Testing (UAT) efforts for new systems or enhancements by documenting and reporting results.
• Ensure all tasks comply with internal policies and regulatory requirements while maintaining confidentiality.
• Support general UM processing tasks and complete special assignments from management.
• Perform other related duties as assigned.

Education & Experience:

• Bachelor’s degree preferred or equivalent experience in the healthcare industry.
• Minimum of 4 years of experience in Utilization Management or claims processing, preferably in dental.

What You Bring:

• Familiarity with dental terminology is a plus but not required.
• Excellent written and verbal communication skills.
• Proficiency in Microsoft Word, Excel, and Teams.
• Strong customer service and organizational skills.
• Ability to prioritize tasks and manage multiple responsibilities effectively.
• Detail-oriented with excellent analytical and problem-solving skills.
• Able to work independently in a fast-paced environment.
• Results-driven and focused on delivering high-quality outcomes.
• Comfortable interacting with individuals across all levels of the organization.