ZipRecruiter

Log In

1

Director Utilization Management Jobs in Decatur, GA

next page

Showing results 1-20

People also search for

All JobsDirector Utilization Management JobsDirector Utilization Management Jobs in Decatur, GA

Director Utilization Management information

See Decatur, GA salary details

$17.6K

$51.1K

$82K

How much do director utilization management jobs pay per year?

As of Jun 4, 2026, the average yearly pay for director utilization management in Decatur, GA is $51,083.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,100.00 and $58,600.00 per year, depending on experience, location, and employer.

What is a Director Utilization Management job?

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 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 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.
More about Director Utilization Management jobs
What are popular job titles related to Director Utilization Management jobs in Decatur, GA? For Director Utilization Management jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Director Utilization Management jobs in Decatur, GA look for? The top searched job categories for Director Utilization Management jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Director Utilization Management jobs? Cities near Decatur, GA with the most Director Utilization Management job openings:
Director Utilization Management jobs near you
Director, Utilization Management

Director, Utilization Management

Emory Healthcare

Atlanta, GA • On-site

Full-time

Posted 12 days ago

Emory Healthcare rating

7.7

Company rating: 7.7 out of 10

Based on 209 frontline employees who took The Breakroom Quiz

161st of 865 rated healthcare providers

Job description

Overview
Be inspired. Be rewarded. Belong. At Emory Healthcare.
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
  • Comprehensive health benefits that start day 1
  • Student Loan Repayment Assistance & Reimbursement Programs
  • Family-focused benefits
  • Wellness incentives
  • Ongoing mentorship, development, and leadership programs
  • And more

Work Location: Atlanta, GA
Description
The Director of Utilization Management plays a pivotal role in our healthcare system by overseeing and optimizing the utilization of resources and services across our organization.
Utilization management includes, but is not limited to, analyzing entrance into care environments from multiple perspectives including payors, healthcare system, patient/family, and providers; ensuring appropriate and high quality care in the most appropriate setting and most appropriate cost; analyzing the effectiveness of treatment before, during and after care delivery; and, developing relationships with and educating payors, healthcare executives, patients and families, and providers.
This position is responsible for developing and implementing utilization management strategies that align with our commitment to high quality and safe care, outstanding patient experience, cost-effectiveness, and regulatory compliance.
Strategic Planning:
  • Develop and execute utilization management strategies that align with the organization's mission, vision, and values
  • Collaborate with senior leadership to establish short-term and long-term objectives

Team Leadership:
  • Lead and manage a team of utilization management professionals, including nurses, case managers, and analysts, to ensure efficient and effective utilization of resources

Utilization Review:
  • Implement systemwide utilization review processes and policies to assess the appropriateness of healthcare services, medical treatments, and length of stay
  • Make recommendations for adjustments as needed

Quality and Process Improvement:
  • Collaborate with the Office of Quality to continuously improve care delivery processes and outcomes
  • Ensure adherence to quality standards and regulations

Operational Efficiency:
  • Develop and monitor utilization management programs that control internal and external costs without compromising the quality of care, making data-driven decisions to reduce unnecessary resource utilization

Data Analysis:
  • Utilize data and analytics to identify trends, opportunities for improvement, and areas where resource utilization can be optimized
  • Educate direct reports in utilization of data and analytics to drive performance improvement
  • Regularly report findings and recommendations to the executive team

Regulatory Compliance:
  • Stay informed about healthcare regulations and reimbursement policies, ensuring that the organization complies with all relevant laws and guidelines
  • Ensure that each direct report is aware of these and practices the same

Interdepartmental Collaboration:
  • Foster effective communication and collaboration with various departments, including medical staff, finance, nursing, and administration, to ensure seamless utilization management

Education and Training:
  • Provide training and education to staff members regarding utilization management processes, policies, and best practices

Reporting: Prepare and present regular reports to senior leadership on utilization management initiatives, outcomes, and performance indicators
Required Minimum Qualifications:
  • Masters degree in healthcare management, nursing, or a related field
  • Valid healthcare administration license or certification (e.g., Registered Nurse, Certified Professional in Healthcare Management)
  • Proven leadership experience in utilization management or a related field within the healthcare industry
  • In-depth knowledge of healthcare regulations, insurance, and reimbursement policies
  • Strong analytical, problem-solving, and data-driven decision-making skills
  • Excellent interpersonal, communication, and presentation skills
  • Ability to lead, motivate, and develop a high-performing team
  • Strong project management, process improvement, and organizational skills

JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.
Additional Details
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

What Emory Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply