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Anthem Utilization Management Jobs (NOW HIRING)

Amylyx Pharmaceuticals

Elevance Health - Anthem/CarelonRx * Assigned national and regional payer accounts * Assigned State ... Develop payer coverage and utilization-management strategy recommendations that support compliant ...

Elevance Health

Med Mgmt Nurse (contract)

Decatur, GA · On-site

$85 - $110/hr

Anthem Care Management Platform experience a plus. Experience of at least 3 years of acute inpatient experience, utilization management experience and discharge planning experience. 08:30-05:30 M-F ...

My Time Recovery

Case Manager

Fresno, CA · On-site

$21 - $27.25/hr

Provide and delivers group and individual counseling services daily, case management services ... Complete Utilization Reviews as directed by supervisor * Drives clients as needed to appointments ...

Elevance Health

Med Mgmt Nurse (contract)

Decatur, GA · Remote

Anthem Care Management Platform experience a plus. * Experience of at least 3 years of acute inpatient experience, utilization management experience and discharge planning experience. * 08:30-05:30 M ...

Elevance Health

Family Care-Service Coordinator

Sparta, WI · Hybrid

$18.50 - $24.50/hr

Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and ... Submits utilization/authorization requests to utilization management with documentation supporting ...

Elevance Health

Family Care-Service Coordinator

West Bend, WI · Hybrid

$20.25 - $26.75/hr

Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and ... Submits utilization/authorization requests to utilization management with documentation supporting ...

Elevance Health

Family Care-Service Coordinator

Waukesha, WI · Hybrid

$19.25 - $26/hr

Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and ... Submits utilization/authorization requests to utilization management with documentation supporting ...

Elevance Health

Family Care-Service Coordinator

Monroe, WI · Hybrid

$18.75 - $25/hr

Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and ... Submits utilization/authorization requests to utilization management with documentation supporting ...

Elevance Health

Family Care-Service Coordinator

Elkhorn, WI · Hybrid

$20.75 - $27.50/hr

Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and ... Submits utilization/authorization requests to utilization management with documentation supporting ...

Elevance Health

Family Care-Service Coordinator

Waukesha, WI · Hybrid

$20 - $26.50/hr

Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and ... Submits utilization/authorization requests to utilization management with documentation supporting ...

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Anthem Utilization Management information

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$21

$42

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How much do anthem utilization management jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for anthem utilization management in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is an Anthem Utilization Management?

An Anthem Utilization Management job involves reviewing healthcare services to ensure they are medically necessary and cost-effective. Professionals in this role analyze patient records, apply clinical guidelines, and collaborate with providers to determine coverage. They help manage healthcare costs while ensuring patients receive appropriate care. This position typically requires a background in nursing or healthcare and familiarity with insurance policies and regulations.

What does an Anthem Utilization Management do?

Professionals in Anthem Utilization Management are primarily responsible for reviewing medical authorization requests, assessing the necessity and appropriateness of care based on clinical guidelines, and communicating decisions to both providers and members. Daily tasks often include analyzing patient records, collaborating with physicians and care managers, and documenting determinations in specialized software systems. You may also participate in case rounds, handle appeals, and work closely with teams to ensure consistent adherence to policies and standards. The role requires a balance of independent review and team collaboration, offering a dynamic and meaningful contribution to patient care management.

What are the key skills and qualifications needed for Anthem Utilization Management?

To thrive in Anthem Utilization Management, you need a background in healthcare or nursing, strong analytical skills, and familiarity with medical terminology and insurance procedures, often evidenced by RN or LPN licensure or a relevant Bachelor's degree. Proficiency with utilization management software, electronic medical records (EMR), and knowledge of regulatory guidelines (such as CMS or NCQA) are typically required. Excellent communication, attention to detail, and problem-solving abilities are important soft skills for collaborating with providers and guiding patient care decisions. These competencies are crucial for ensuring efficient, compliant review of medical services and effective coordination across care teams.

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Anthem Utilization Management jobs near you
Infographic showing various Anthem Utilization Management job openings in the United States as of August 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 100% In-person job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Outpatient Physical Therapist - Ortho - Anthem

Honorhealth

Phoenix, AZ

$66K - $90K/yr

Full-time

Posted 17 days ago

HonorHealth rating

7.8

Company rating: 7.8 out of 10

Based on 211 frontline employees who took The Breakroom Quiz

136th of 898 rated healthcare providers

Job description

Primary City/State:

Medical Office Building - 3654 W Anthem Way Anthem, AZ 85086

Category:

Therapy and Rehabilitation

Shift:

Day

Department:

Therapy Services OP-Anthem

  • Up to $15,000 Sign-on Bonus Available

  • Monday & Wednesday - Friday 8:00am-6:30pm

  • Located @ Anthem Way & I-17, Anthem

Great care starts with great people. (Like you.)

At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area.

Responsibilities:

JOB SUMMARY

The Physical Therapist is responsible for the evaluation, administration, and oversight of evidence-based physical therapy services provided to individuals with physical disabilities and/or functional limitations. They use specialized skills to promote goals of prevention of dysfunction, restoration of function and/or reversal of the progression of pathology in order to enhance quality of movement and daily living skills for individuals with physical disabilities and/or functional limitations. They develop and update appropriate plan of care in collaboration with the patient/family to assist in returning to their prior level of function. They act in accordance with physician referral guidelines, state and national organizational standards, regulatory agencies, and established departmental policies and procedures. They embody strong customer service skills and communicate in a concise, tactful manner with physicians, co-workers, caregivers, family members, patients, and other healthcare providers.

ESSENTIAL FUNCTIONS
  • Implements an individualized treatment plan through the use of skilled, evidence-based therapy techniques, including therapeutic exercises, manual techniques, functional mobility training, activities of daily living training, and modalities as indicated. Provides verbal and written instructions to patients, caregivers, and family members as needed. Maintains a current knowledge of physical therapy techniques, through continuing education courses, professional journals, etc., as well as DNV and Medicare requirements.
  • Evaluates patients per the Department Operating Policy. Demonstrates sound clinical reasoning in synthesizing data gathered in the evaluation and identifying treatment diagnoses. Establishes an appropriate, comprehensive plan of treatment with measurable, obtainable and functional goals and a defined discharge plan. Performs ongoing evaluation of patient's response to treatment to assure effective and appropriate provision of services as demonstrated through documentation.
  • Maintains accurate and current documentation in the patient's medical record as required by the profession and the department, including evaluations, daily treatment notes, updated individualized treatment plans, progress reports, discharge summaries, and daily patient charges. Completes billing and billing sheets according to department billing procedures and within established timeframes. Assumes responsibility for role in achieving/maintaining financial stewardship by utilizing all resources effectively and efficiently.
  • Confers with the interdisciplinary team to clarify treatment plan and discuss patient status when indicated. Consults with appropriate medical personnel regarding patient's needs, status, and discharge plans. Provides timely, proactive feedback to case managers and other key personnel regarding discharge needs, including recommended discharge level of care and equipment needs as appropriate. Participates in interdisciplinary rounds as indicated. Communicates information and addresses concerns to achieve optimal treatment outcomes as demonstrated through feedback and documentation. Utilizes effective communication and interpersonal skills to enhance and encourage collaborative staff relationships. Delegates appropriate patients to physical therapist assistants; supervises care delivered by the therapist assistants and assistive personnel, and provides updated plan of treatment and instruction to the same. Acts as a resource for therapy-related issues to therapy assistive personnel and staff from other departments.
  • Assists in the identification of department needs and process improvements. Contributes to the recruitment and retention of talented staff through positive role-modeling and fostering peer relationships. Participates in departmental and interdepartmental staff meetings, in-services, utilization review programs, committees, and student preceptor and/or mentor programs.

EDUCATION
  • Bachelors in in Physical Therapy from an accredited university approved by the APTA, prior to starting employment. Required
  • Masters in or Doctorate in Physical Therapy from an accredited university approved by the APTA, prior to starting employment. Preferred

EXPERIENCE
  • Other Network float position: six (6) months recent experience Preferred
  • 6 months experience Preferred

LICENSE AND CERTIFICATIONS
  • Basic Life Support (BLS) - Certification Required
  • Physical Therapist - License AZ State Board of Physical Therapy and/or PT Compact License - Current license issued by the Arizona Board of Physical Therapy that is in good standing, and/or Compact State Licensure Upon Hire Required
  • American Physical Therapy Association (APTA) - Certificate Preferred

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About HonorHealth

Sourced by ZipRecruiter

HonorHealth is a non-profit, local community healthcare system serving an area of 1.6 million people in the greater Phoenix area. The network encompasses six acute-care hospitals, an extensive medical group, outpatient surgery centers, a cancer care network, clinical research, medical education, a foundation, and community services with approximately 13,100 team members, 3,500 affiliated providers and nearly 700 volunteers. HonorHealth was formed by a merger between Scottsdale Healthcare and John C. Lincoln Health Network. HonorHealth's mission is to improve the health and well-being of those we serve.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Scottsdale, AZ, US

Year founded

2014

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