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Anthem Utilization Management Jobs (NOW HIRING)

Gulf Valor Rehabilitation

RN MDS

Pensacola, FL

$35 - $42.50/hr

Conduct and participate in IDT meetings including: daily PDPM, weekly CMI, Utilization Review ... 401(k) managed by Merrill Lynch * DailyPay * Health Insurance with Anthem Blue Cross or Cigna

Mustang Cat

VisionLink Support Specialist

Houston, TX ยท On-site

Ensure customers understand features including: o Health alerts o Utilization tracking o Preventive ... Strong attention to detail with effective organization and time management skills โœ… Additional ...

ncgCARE

Clinical Supervisor (3133)

Fredericksburg, VA ยท Hybrid

$61K - $83K/yr

You will manage clinical operations, oversee staff performance, and maintain community partnerships ... Oversee case assignments for team members and monitor caseload utilization. * Provide clinical ...

True Team Medical

Clinical Supervisor

Winchester, VA ยท On-site

$61K - $83K/yr

You will manage clinical operations, oversee staff performance, and maintain community partnerships ... Oversee case assignments for team members and monitor caseload utilization. * Provide clinical ...

True Team Medical

Clinical Supervisor

Suffolk, VA ยท Hybrid

$61K - $83K/yr

You will manage clinical operations, oversee staff performance, and maintain community partnerships ... Oversee case assignments for team members and monitor caseload utilization. * Provide clinical ...

ncgCARE

Clinical Supervisor (3239)

Winchester, VA ยท On-site

$61K - $83K/yr

You will manage clinical operations, oversee staff performance, and maintain community partnerships ... Oversee case assignments for team members and monitor caseload utilization. * Provide clinical ...

ncgCARE

Clinical Supervisor (3375)

Newnan, GA ยท On-site

$64K - $83K/yr

Manages case assignment for team * Engages and maintains community partnerships with stakeholders ... Monitors utilization of the caseloads of assigned team members * Provides consultation for crisis ...

Kodiak

Senior Product Analyst

Mountain View, CA

Work with Product Management to define and track KPIs related to autonomy and operational ... Excellent Medical, Dental, and Vision plans through Kaiser Permanente, Anthem, and Guardian ...

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How much do anthem utilization management jobs pay per hour?

As of Jun 9, 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 job?

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 are the key skills and qualifications needed to thrive in the Anthem Utilization Management position, and why are they important?

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.

What are some typical responsibilities and daily tasks for someone in Anthem Utilization Management?

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.

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Anthem Utilization Management jobs near you
Varsity Assistant Cheerleading Coach

Varsity Assistant Cheerleading Coach

American Leadership Academy

Florence, AZ โ€ข On-site

Part-time

Posted 3 days ago

Job description

Charter One works with schools across the country to provide all-inclusive education management services. At Charter One we pride ourselves on our thorough knowledge of charter school operations, academics, finance, human resources, information technology, marketing, and more. We handle the day-to-day work so that client school boards can focus on governance and policy issues to be sure that the vision and mission of the school are being carried out properly.


American Leadership Academy - Anthem JH/HS is currently seeking a qualified Varsity Assistant Cheerleading Coach for the 2026-2027 season. Candidates must possess, or be willing to obtain, a valid Arizona IVP fingerprint clearance card.


Duties include, but are not limited to:

  • Handling/maintaining equipment and utilization of playing areas in conjunction with the Athletic Director.
  • Assist Varsity Head Coach with making specific requests for equipment and supplies.
  • Manage care and distribution of equipment and supplies
  • Attend all meetings held by the Athletic Director and the League Chairperson.
  • Establish good public relations with parents, teachers, community, and the news media.
  • Report contest results to the Varsity Head Coach.
  • Verify all practice/game fields are safe for players and spectators.
  • Coordinate fundraising with the Booster Clubs.
  • Have a well-developed coaching philosophy.
  • Have a โ€œPlan for Successโ€ that outlines expectations and discipline for the program.
  • Assist in developing a year-round action plan for maximizing the potential of each athlete.
  • Other duties as assigned, including any pre or post-season responsibilities.

Required Qualifications:

  • Valid AZ IVP Fingerprint Clearance card

Preferred Requirements:

  • Previous experience as Coach
  • Previous classroom teaching experience


๏ปฟInterested candidates are encouraged to submit the following supporting documentation:

โ€ข Cover Letter

โ€ข Current Resume

โ€ข Valid AZ IVP Fingerprint Clearance card

โ€ข Letters of recommendation (2-3)

โ€ข Any other relevant documentation


If you have any questions about the position, please send an email to jobs@alaschools.org