Manager UM Compliance and Audit

Job description

Job DetailsJob Location: Remote - Corp - Tustin, CA 92782Position Type: Full TimeJob Shift: DayJob Category: Management a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; } Lead Compliance. Strengthen Quality. Elevate Performance. Are you an experienced Utilization Management (UM) compliance leader who thrives in a fast‑paced, mission‑driven environment? Do you enjoy building audit frameworks, collaborating across departments, and ensuring regulatory excellence? LIBERTY Dental Plan is seeking a Manager, UM Compliance & Audit to oversee the full spectrum of UM compliance, audit, reporting, and training activities. In this highly visible leadership role, you will ensure our UM programs meet federal and state regulatory requirements, accreditation standards, and contractual obligations—directly impacting quality, service delivery, and organizational performance. What You’ll Do: You will lead a comprehensive UM compliance and audit program across all lines of business: Oversee the UM Compliance & Audit program end‑to‑end. Develop and lead the annual UM compliance risk assessment, maintaining the risk register, tes...