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Director Utilization Management Jobs in Minnesota

Pharmacy Careers

Appeals Pharmacist (Remote)

Minneapolis, MN · On-site

$59.75 - $72.75/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred -- retail and hospital ...

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Director Utilization Management information

See Minnesota salary details

$17.6K

$51.2K

$82.3K

How much do director utilization management jobs pay per year?

As of Aug 9, 2026, the average yearly pay for director utilization management in Minnesota is $51,244.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,200.00 and $58,800.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the director utilization management position, and why are they important?

To thrive as a Director Utilization Management, you need a strong background in healthcare administration, case management, and data-driven decision-making, often supported by a clinical degree and several years of management experience. Familiarity with utilization management software, electronic health records (EHRs), and certifications such as CCM or ACM are typically valued. Exceptional leadership, communication, and problem-solving skills distinguish top performers in this role. These competencies are vital for optimizing resource use, ensuring regulatory compliance, and leading teams to meet quality care standards.

What is a director utilization management?

A Director of Utilization Management oversees the review and approval of medical services to ensure they are necessary, efficient, and cost-effective. They develop strategies to improve care quality while managing healthcare costs, working closely with providers, payers, and regulatory bodies. Their responsibilities include policy development, compliance with healthcare regulations, and leading a team of utilization review professionals. This role is common in hospitals, insurance companies, and managed care organizations.

What are the typical daily responsibilities of a director utilization management?

A Director Utilization Management generally oversees a team responsible for reviewing patient care to ensure appropriate resource use and compliance with payer requirements. Daily tasks may include analyzing utilization data, developing policy and process improvements, collaborating with clinical and administrative staff, and addressing escalated cases or issues. Directors frequently attend strategy meetings, conduct staff training, and engage with external partners like insurance providers. This role requires balancing administrative oversight with hands-on problem solving to support both cost efficiency and quality patient care.

What are the most commonly searched types of Utilization Management jobs in Minnesota? The most popular types of Utilization Management jobs in Minnesota are:
What are popular job titles related to Director Utilization Management jobs in Minnesota? For Director Utilization Management jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Director Utilization Management jobs in Minnesota look for? The top searched job categories for Director Utilization Management jobs in Minnesota are:
What cities in Minnesota are hiring for Director Utilization Management jobs? Cities in Minnesota with the most Director Utilization Management job openings:
Director Utilization Management jobs near you
Infographic showing various Director Utilization Management job openings in Minnesota as of August 2026, with employment types broken down into 91% Full Time, and 9% Part Time. Highlights an 91% In-person, and 9% Remote job distribution, with an average salary of $51,244 per year, or $24.6 per hour.

Consultant, Clinical Pharmacy Program

HealthPartners/GHI

Bloomington, MN • On-site

$110 - $140/hr

Other

Posted 2 days ago

New

Job description

HealthPartners is hiring a Clinical Pharmacy Program Consultant. This position has responsibility for coordinating strategic approaches for effective and efficient quality and utilization management of medications. This position will work closely with the Clinical Pharmacy Program Managers and internal and external partners to implement pharmacy program management interventions resulting in measurable outcomes that improve affordability.

Accountabilities
  • Facilitate the development, management and evaluation of key medication management strategies in partnership with multiple stakeholders across the organization.
  • Identify new clinical programs through marketplace and data analyses. Manage the adoption, implementation and evaluation of these approaches.
  • Apply Lean and other Quality Improvement Project principles to existing and new utilization management initiatives to improve effectiveness and efficiencies.
  • Direct the development of clinical management strategies for drugs and drug classes. This includes conducting drug reviews and proposing coverage criteria for evaluation and adoption by the Pharmacy & Therapeutics Committee.
  • Partner with others to communicate the value of our clinical programs to external purchasers.
  • Establish and maintain positive relationships with key management staff, medical directors, and internal departments.
  • Facilitate the Quality Utilization Improvement program for specialty pharmacy.
  • Participate in the management of specialty pharmacy partner relationships.
  • Perform other duties as assigned.
Required Qualifications
  • Bachelor’s degree in pharmacy or Doctor of Pharmacy degree
  • Current Pharmacist License in the State of Minnesota
  • Completion of a Pharmacy Residency or 2 years in managed care pharmacy leadership
  • Able to assess and utilize business data to detect opportunities and issues; strong analytical thinking.
  • Excellent verbal and written communication skills
  • Excellent problem solving skills
  • Excellent organizational and project management skills
  • Demonstrated ability to maintain effective relationships with peers and customers
  • Demonstrated ability to work independently
  • Proficiency with Microsoft Office software
Preferred Qualifications
  • Specialty pharmacy and/or medical benefit management experience
  • Familiarity with HealthPartners clinical pharmacy programs and systems
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