Responsibilities The Director of Utilization Management is responsible for overseeing the ... Report denials to the CEO & CFO daily. Ensure the department meets Joint Commission, Medicare ...
Responsibilities The Director of Utilization Management is responsible for overseeing the ... Report denials to the CEO & CFO daily. Ensure the department meets Joint Commission, Medicare ...
Medical Director, Utilization Management (Commercial & MA) Start Date: 08/10/2026 End Date: 02/10 ... Reporting to the Chief Medical Officer, this role evaluates the medical necessity and ...
Medical Director, Utilization Management (Commercial & MA) Start Date: 08/10/2026 End Date: 02/10 ... Reporting to the Chief Medical Officer, this role evaluates the medical necessity and ...
Medical Director, Utilization Management (Commercial & MA) Start Date: 08/10/2026 End Date: 02/10 ... Reporting to the Chief Medical Officer, this role evaluates the medical necessity and ...
Medical Director, Utilization Management (Commercial & MA) Start Date: 08/10/2026 End Date: 02/10 ... Reporting to the Chief Medical Officer, this role evaluates the medical necessity and ...
Medical Director, Utilization Management (Commercial & MA) Start Date: 08/10/2026 End Date: 02/10 ... Reporting to the Chief Medical Officer, this role evaluates the medical necessity and ...
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Medical Director, Utilization Management (Commercial & MA) Start Date: 08/10/2026 End Date: 02/10 ... Reporting to the Chief Medical Officer, this role evaluates the medical necessity and ...
Director of Utilization Management
Troy, MI · On-site +1
$160K - $160K/yr
Integra's Utilization Management (UM) division is looking for an experienced individual to direct ... Work with Chief Medical Director to establish, adopt, and review UM benefit and medical necessity ...
Director of Utilization Management
Troy, MI · On-site +1
$160K - $160K/yr
Integra's Utilization Management (UM) division is looking for an experienced individual to direct ... Work with Chief Medical Director to establish, adopt, and review UM benefit and medical necessity ...
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
PACE Utilization Management Registered Nurse
San Diego, CA · On-site
$50.29 - $66.27/hr
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
PACE Utilization Management Registered Nurse
San Diego, CA · On-site
$50.29 - $66.27/hr
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
Director of Utilization Management
Troy, MI · Remote
$160K - $160K/yr
Integra's Utilization Management (UM) division is looking for an experienced individual to direct ... Work with Chief Medical Director to establish, adopt, and review UM benefit and medical necessity ...
Quick apply
Director of Utilization Management
Troy, MI · Remote
$160K - $160K/yr
Integra's Utilization Management (UM) division is looking for an experienced individual to direct ... Work with Chief Medical Director to establish, adopt, and review UM benefit and medical necessity ...
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
Utilization Management Manager - Remote Nonprofit Role
$111K - $142K/yr
Utilization Management Physical Strength: Light (L) Reports To: Nursing Director - RN Work Location ... Collaborates with the YCCO Chief Medical Officer (CMO) and/or Associate Medical Director to ...
Utilization Management Manager - Remote Nonprofit Role
$111K - $142K/yr
Utilization Management Physical Strength: Light (L) Reports To: Nursing Director - RN Work Location ... Collaborates with the YCCO Chief Medical Officer (CMO) and/or Associate Medical Director to ...
PACE Utilization Management Registered Nurse
San Diego, CA · On-site
$50.29 - $66.27/hr
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
PACE Utilization Management Registered Nurse
San Diego, CA · On-site
$50.29 - $66.27/hr
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
Utilization Management Manager - Remote Nonprofit Role
Mcminnville, OR · Remote
$111K - $142K/yr
Utilization Management Physical Strength: Light (L) Reports To: Nursing Director - RN Work Location ... Collaborates with the YCCO Chief Medical Officer (CMO) and/or Associate Medical Director to ...
Quick apply
Utilization Management Manager - Remote Nonprofit Role
Mcminnville, OR · Remote
$111K - $142K/yr
Utilization Management Physical Strength: Light (L) Reports To: Nursing Director - RN Work Location ... Collaborates with the YCCO Chief Medical Officer (CMO) and/or Associate Medical Director to ...
The Executive Director of Utilization Management (UM) provides strategic and operational leadership ... The Executive Director partners with senior clinical and operational leaders, including the Chief ...
The Executive Director of Utilization Management (UM) provides strategic and operational leadership ... The Executive Director partners with senior clinical and operational leaders, including the Chief ...
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
This position works directly with the PACE CMO or their designee, to evaluate and monitor medical ... Provides utilization management, and issuance of all appropriate authorizations for covered ...
Chief Medical Officer Start Date: Immediate Need Key Responsibilities * Utilization Review ... Partner with Care Management and UM teams to identify utilization trends, reduce avoidable ...
Chief Medical Officer Start Date: Immediate Need Key Responsibilities * Utilization Review ... Partner with Care Management and UM teams to identify utilization trends, reduce avoidable ...
Position Purpose With minimal supervision the Inpatient Utilization Management Specialist assesses ... Consults and reviews with Market Leader, CMO, as necessary; * Embraces change with a positive ...
Position Purpose With minimal supervision the Inpatient Utilization Management Specialist assesses ... Consults and reviews with Market Leader, CMO, as necessary; * Embraces change with a positive ...
Chief Utilization Management information
See salary details
$33K - $48.2K
1% of jobs
$48.2K - $63.5K
3% of jobs
$63.5K - $78.7K
9% of jobs
$93.9K is the 25th percentile. Wages below this are outliers.
$78.7K - $93.9K
12% of jobs
$93.9K - $109.1K
14% of jobs
The median wage is $119.3K / yr.
$109.1K - $124.4K
16% of jobs
$124.4K - $139.6K
14% of jobs
$145.9K is the 75th percentile. Wages above this are outliers.
$139.6K - $154.8K
13% of jobs
$154.8K - $170K
11% of jobs
$170K - $185.3K
5% of jobs
$185.3K - $200.5K
1% of jobs
$33K
$124.4K
$200.5K
How much do chief utilization management jobs pay per year?
As of Sep 11, 2026, the average yearly pay for chief utilization management in the United States is $124,409.00, according to ZipRecruiter salary data. Most workers in this role earn between $93,000.00 and $146,000.00 per year, depending on experience, location, and employer.
What is the difference between Chief Utilization Management vs Utilization Management Coordinator?
| Aspect | Chief Utilization Management | Utilization Management Coordinator |
|---|---|---|
| Credentials | Typically requires a healthcare management or nursing degree, with certifications like CCM or CUC | Often requires a nursing license or health administration degree, with similar certifications |
| Work Environment | Senior leadership in healthcare organizations, overseeing utilization strategies | Operational role, working under managers to coordinate utilization review activities |
| Employer & Industry Usage | Hospitals, insurance companies, healthcare systems | Hospitals, clinics, insurance providers |
The Chief Utilization Management focuses on strategic oversight and policy development, while the Utilization Management Coordinator handles day-to-day review activities. Both roles require healthcare credentials and are integral to healthcare cost management, but differ in scope and seniority.
What are popular job titles related to Chief Utilization Management jobs?
For Chief Utilization Management jobs, the most frequently searched job titles are:
GROUP DIR - UTILIZATION MANAGEMENT
Jacksonville, FL • On-site
UHS
• Health Care and Social Assistance • 10K+ employees10,000+ employees
Full-time
Re-posted 7 days ago
Universal Health Services rating
6.8
Based on 255 frontline employees who took The Breakroom Quiz
Job description
Responsibilities
The Director of Utilization Management is responsible for overseeing the Utilization Management Program for the Inpatient, Partial Hospital, Intensive Outpatient, ECT (River Point) services for Wekiva Springs Center and River Point Behavioral Health. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, overseeing the response to requests for services and interfaces with managed care organizations, external reviewers and other payers.
Conduct department meetings on a regular basis.
Work with clinical leadership to ensure interdisciplinary treatment planning is organized with participation of all appropriate clinical disciplines.
Provide education on the UM plan, documentation requirements, and medical necessity criteria.
Coordinate the collection of outcome data with the company deadline
Ensure that a system is developed to provide continuity of care and communication with family and appropriate referral sources, and ensure the system is evaluated and reviewed regularly.
Report denials to the CEO & CFO daily.
Ensure the department meets Joint Commission, Medicare, federal and state regulatory requirements.
Develop and implement a Performance Improvement tracking system, evaluate the results monthly, and report them to the Performance Improvement Committee in a timely manner.
Ensure all deficiencies identified through the performance improvement analysis are address with appropriate problem solving actions.
Qualifications
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
The Director of Utilization Management is responsible for overseeing the Utilization Management Program for the Inpatient, Partial Hospital, Intensive Outpatient, ECT (River Point) services for Wekiva Springs Center and River Point Behavioral Health. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, overseeing the response to requests for services and interfaces with managed care organizations, external reviewers and other payers.
Conduct department meetings on a regular basis.
Work with clinical leadership to ensure interdisciplinary treatment planning is organized with participation of all appropriate clinical disciplines.
Provide education on the UM plan, documentation requirements, and medical necessity criteria.
Coordinate the collection of outcome data with the company deadline
Ensure that a system is developed to provide continuity of care and communication with family and appropriate referral sources, and ensure the system is evaluated and reviewed regularly.
Report denials to the CEO & CFO daily.
Ensure the department meets Joint Commission, Medicare, federal and state regulatory requirements.
Develop and implement a Performance Improvement tracking system, evaluate the results monthly, and report them to the Performance Improvement Committee in a timely manner.
Ensure all deficiencies identified through the performance improvement analysis are address with appropriate problem solving actions.
Qualifications
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
What Universal Health Services employees say
Pay
Benefits
Hours and flexibility
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Get the full story on Breakroom
About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US