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Director Of Utilization Jobs (NOW HIRING)

UHS

Director of Utilization Management

Danville, VA · On-site

$79K - $95K/yr

Visit us online: www.thehughescenter.com The Director of Utilization Management assists admissions in screening patients at the pre-hospital level to ensure that admission criteria are met, and when ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Oakland Park, FL

The Director of Utilization Management is required to meet Foundations standards of customer service and best practices as well as adhere to UHS Code of Conduct. The person must demonstrate excellent ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Oakland Park, FL · On-site

The Director of Utilization Management is required to meet Foundations standards of customer service and best practices as well as adhere to UHS Code of Conduct. The person must demonstrate excellent ...

Wellpath

Director Utilization Mgmt

Lemoyne, PA

Overview The Medical Director of Utilization Management leads and oversees utilization review, case management, quality improvement, and related policy and practice initiatives within their assigned ...

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How much do director of utilization jobs pay per year?

As of Jul 8, 2026, the average yearly pay for director of utilization in the United States is $52,322.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $60,000.00 per year, depending on experience, location, and employer.

What is the highest paying job in healthcare management?

The highest paying roles in healthcare management often include Chief Executive Officers (CEOs) of healthcare organizations and hospital administrators, with salaries exceeding $150,000 annually. These positions require extensive experience, strong leadership skills, and often advanced degrees such as an MBA or healthcare administration certification.

What does a director of utilization management do?

A director of utilization management oversees the review and approval of healthcare services to ensure they are necessary, appropriate, and cost-effective. They develop policies, coordinate with medical staff, and use data analysis tools to optimize resource use and improve patient care outcomes.

What jobs in the US pay 300,000 a year?

In the US, roles such as Director of Utilization, senior healthcare executives, specialized physicians, and certain executive positions in finance or technology can earn $300,000 or more annually. These roles typically require advanced degrees, extensive experience, and strong leadership or technical skills.

What does a Director of Utilization do?

A Director of Utilization oversees the utilization management process within healthcare organizations, ensuring that patients receive appropriate, efficient, and cost-effective care. They are responsible for developing and implementing policies to evaluate the necessity, appropriateness, and efficiency of medical services. Their role often includes supervising utilization review staff, analyzing data to improve patient outcomes, and ensuring compliance with healthcare regulations and payer requirements. This position is crucial for balancing quality care with cost control and resource management.

What is the difference between Director Of Utilization vs Utilization Manager?

AspectDirector Of UtilizationUtilization Manager
CredentialsBachelor's degree, often with healthcare or related certificationsBachelor's degree, relevant certifications may be preferred
Work EnvironmentStrategic planning, overseeing utilization across departmentsOperational focus, managing daily utilization activities
Industry UsageCommon in healthcare, insurance, and staffing agenciesTypically found in healthcare and staffing industries
Primary FocusSetting policies and strategies for optimal resource useImplementing utilization policies and monitoring compliance

The main difference is that the Director Of Utilization focuses on strategic planning and policy development, while the Utilization Manager handles day-to-day management and implementation of utilization practices. Both roles are essential in optimizing resource use within organizations, especially in healthcare and staffing sectors.

What are some common challenges faced by a Director of Utilization in managing resource allocation across multiple departments?

A Director of Utilization often encounters the challenge of balancing resource allocation among departments with competing priorities while ensuring compliance with regulations and organizational goals. Coordinating with clinical and administrative teams to optimize patient flow, reduce unnecessary utilization, and monitor key metrics requires strong communication and analytical skills. Additionally, adapting to shifting healthcare policies and payer requirements can add complexity to daily operations. Proactively addressing these challenges through cross-functional collaboration and continuous process improvement is key to success in this role.

What are the key skills and qualifications needed to thrive as a Director of Utilization, and why are they important?

To thrive as a Director of Utilization, you need in-depth knowledge of utilization management, healthcare regulations, and clinical review processes, typically supported by an advanced degree in healthcare or nursing and relevant licensure. Familiarity with utilization management software, electronic health records (EHRs), and data analysis tools is essential for overseeing workflow and compliance. Strong leadership, communication, and critical thinking skills help in guiding teams, collaborating with providers, and making complex decisions. These competencies are crucial to ensure efficient resource use, regulatory compliance, and optimal patient care outcomes.

What jobs pay 500,000 a year in the US?

High-level executive roles such as Chief Executive Officers, Chief Financial Officers, and other C-suite positions often have annual compensation exceeding $500,000, especially in large corporations. Additionally, specialized roles like certain surgeons, investment bankers, and successful entrepreneurs can also reach or surpass this income level, often requiring advanced skills, extensive experience, and significant responsibility.
What cities are hiring for Director Of Utilization jobs? Cities with the most Director Of Utilization job openings:
What states have the most Director Of Utilization jobs? States with the most job openings for Director Of Utilization jobs include:
Director Of Utilization jobs near you
Director of Utilization Management/Review

Director of Utilization Management/Review

UHS

Hopkinsville, KY • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago

Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 250 frontline employees who took The Breakroom Quiz

489th of 880 rated healthcare providers

Job description

Responsibilities
Director of Utilization Review Management Opportunity
Cumberland Hall Hospital is a 97 bed, licensed, acute psychiatric hospital located in beautiful Hopkinsville, KY. Cumberland Hall features individual units for youth, adults and active-duty military, and offers inpatient acute care, partial hospitalization, and intensive outpatient programs. On average, over 1500 patients receive care from our compassionate health care team each year at Cumberland Hall Hospital.
Website: https://cumberlandhallhospital.com/
Job Duties to include:
  • Oversees all utilization management functions.
  • Oversees precertification, concurrent, and discharge utilization reviews.
  • Facilitates regulatory compliance by ensuring proper documentation and allocation of treatment resources.
  • Serves as a key member of the hospital management team.
  • Acts as a key participant in hospital operations meetings that drive financial and clinical results.
  • Functions as a key liaison with all hospital physicians to align physician engagement with payer expectations, patient acuity and discharge planning requirements.
  • Leads payer engagement activities including post payment reviews, payer audit oversight and denial/appeal oversight.
  • Oversees the Utilization Management committee structure.
  • Develops and monitors utilization management plans.
  • Manages utilization management staff and performs all administrative department head functions.

This role will also be responsible for their own case-management load, while supporting and supervising the Utilization Review team.
As a senior leader, the Director of Utilization Management is a working director participating as an administrator on call and working evenings and weekends as required to support the team.
Benefits for staff include:
  • Challenging and rewarding work environment
  • Competitive Compensation and Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(k) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Retention Bonus Program
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • More information is available on our Benefits Guest Website: benefits.uhsguest.com
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. 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
Qualifications
Director of Utilization Review Management Requirements:
  • Education: Bachelor's Degree from an accredited college or university in Nursing, Master's Degree from an accredited college or university in nursing, social work, mental health, or related field preferred.
  • Experience: A minimum of 3 years of experience working in an acute inpatient psychiatric setting as a treatment team member or 3-5 years of experience in utilization management for both mental health and substance abuse behavioral health disorders.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and oir subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters

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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

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