... utilization management, case management, preventive health/disease management, and quality ... Minimum of five year of direct clinical patient care experience post-residency is required. Minimum ...
... utilization management, case management, preventive health/disease management, and quality ... Minimum of five year of direct clinical patient care experience post-residency is required. Minimum ...
Medical Director, Utilization Management- CFHP
San Antonio, TX · On-site
$111 - $149.04/hr
... utilization management, case management, preventive health/disease management, and quality ... Minimum of five year of direct clinical patient care experience post-residency is required. Minimum ...
Medical Director, Utilization Management- CFHP
San Antonio, TX · On-site
$111 - $149.04/hr
... utilization management, case management, preventive health/disease management, and quality ... Minimum of five year of direct clinical patient care experience post-residency is required. Minimum ...
Medical Director - Utilization Management (Remote)
Salt Lake City, UT · On-site +1
$240K/yr
An award-winning remote work environment Position Summary Our Medical Director, also known as a Physician Advisor, is responsible for performing clinical utilization management, peer review ...
Medical Director - Utilization Management (Remote)
Salt Lake City, UT · On-site +1
$240K/yr
An award-winning remote work environment Position Summary Our Medical Director, also known as a Physician Advisor, is responsible for performing clinical utilization management, peer review ...
Utilization Management Director
Orange, CA · On-site
$200K - $235K/yr
Utilization Management Director Healthcare is increasingly unaffordable for many Americans. For those who can afford it, they are in a health insurance system that has become more confusing ...
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Utilization Management Director
Orange, CA · On-site
$200K - $235K/yr
Utilization Management Director Healthcare is increasingly unaffordable for many Americans. For those who can afford it, they are in a health insurance system that has become more confusing ...
Leads the oversight and management of key performance indicators and monitors and tracks to independently identify over/under utilization patterns and/or deviation from expected results. * Develops ...
Leads the oversight and management of key performance indicators and monitors and tracks to independently identify over/under utilization patterns and/or deviation from expected results. * Develops ...
Dynamic physician leader needed to champion FirstHealth's Utilization Management efforts. We are a private, community-based healthcare system with four hospitals serving 15 counties in the mid ...
Dynamic physician leader needed to champion FirstHealth's Utilization Management efforts. We are a private, community-based healthcare system with four hospitals serving 15 counties in the mid ...
Dynamic physician leader needed to champion FirstHealth's Utilization Management efforts. We are a private, community-based healthcare system with four hospitals serving 15 counties in the mid ...
Dynamic physician leader needed to champion FirstHealth's Utilization Management efforts. We are a private, community-based healthcare system with four hospitals serving 15 counties in the mid ...
Director Utilization Management MedStar Family Choice
Washington, DC · On-site
$120K - $238K/yr
About the Job General Summary of Position The Director of Utilization Management (UM) provides strategic and operational leadership for the health plan's centralized utilization management function ...
Director Utilization Management MedStar Family Choice
Washington, DC · On-site
$120K - $238K/yr
About the Job General Summary of Position The Director of Utilization Management (UM) provides strategic and operational leadership for the health plan's centralized utilization management function ...
Physician Reviewer (Part -Time) - Utilization Management
New York, NY · Remote
$140 - $145/hr
Call rotation - 16 weekend hours per month You will report into the Associate Medical Director, Utilization Management. Work Location: This is a remote position, open to candidates who reside in the ...
Physician Reviewer (Part -Time) - Utilization Management
New York, NY · Remote
$140 - $145/hr
Call rotation - 16 weekend hours per month You will report into the Associate Medical Director, Utilization Management. Work Location: This is a remote position, open to candidates who reside in the ...
How you make a difference The Medical Director of Utilization Management leads and oversees utilization review, case management, quality improvement, and related policy and practice initiatives ...
How you make a difference The Medical Director of Utilization Management leads and oversees utilization review, case management, quality improvement, and related policy and practice initiatives ...
The Director is responsible for the coordination and management of a full-service Utilization Management program to service the TDCJ, TJJD and other contracted inmate populations. The mission of ...
The Director is responsible for the coordination and management of a full-service Utilization Management program to service the TDCJ, TJJD and other contracted inmate populations. The mission of ...
Director Utilization Review directs the department's activities and resources to ensure alignment ... Participates as an active management member of the Mount Carmel Health Plan representing the ...
Director Utilization Review directs the department's activities and resources to ensure alignment ... Participates as an active management member of the Mount Carmel Health Plan representing the ...
The Director is responsible for the coordination and management of a full-service Utilization Management program to service the TDCJ, TJJD and other contracted inmate populations. The mission of ...
The Director is responsible for the coordination and management of a full-service Utilization Management program to service the TDCJ, TJJD and other contracted inmate populations. The mission of ...
Director Utilization Review directs the department's activities and resources to ensure alignment ... Participates as an active management member of the Mount Carmel Health Plan representing the ...
Director Utilization Review directs the department's activities and resources to ensure alignment ... Participates as an active management member of the Mount Carmel Health Plan representing the ...
The Director is responsible for the coordination and management of a full-service Utilization Management program to service the TDCJ, TJJD and other contracted inmate populations. The mission of ...
The Director is responsible for the coordination and management of a full-service Utilization Management program to service the TDCJ, TJJD and other contracted inmate populations. The mission of ...
DIR - UTILIZATION REVIEW / MGMT
Springfield, IL · On-site
$37.55 - $56.33/hr
Responsibilities We are hiring a Director of Case Management (Utilization Management) at Lincoln Prairie Behavioral Health Center and offering a $5,000 sign-on bonus ! Lincoln Prairie Behavioral ...
DIR - UTILIZATION REVIEW / MGMT
Springfield, IL · On-site
$37.55 - $56.33/hr
Responsibilities We are hiring a Director of Case Management (Utilization Management) at Lincoln Prairie Behavioral Health Center and offering a $5,000 sign-on bonus ! Lincoln Prairie Behavioral ...
Responsibilities The Utilization Review Director is responsible for directing and overseeing the Utilization Management Department. This includes the implementation of case management scenarios ...
Responsibilities The Utilization Review Director is responsible for directing and overseeing the Utilization Management Department. This includes the implementation of case management scenarios ...
The Utilization Management, Medical Director is a key physician responsible for advancing clinical excellence, quality outcomes, utilization management, and provider engagement across the network.
New
The Utilization Management, Medical Director is a key physician responsible for advancing clinical excellence, quality outcomes, utilization management, and provider engagement across the network.
New
PR · On-site
The Utilization Review (UR) Director is responsible for overseeing the utilization management ... Manage and supervise the UR team, setting standards for reviewing mental health services to ensure ...
Function under and provide oversight consistent with Medical Director responsibilities for utilization management activities. * A high degree of personal accountability and trustworthiness, a ...
Function under and provide oversight consistent with Medical Director responsibilities for utilization management activities. * A high degree of personal accountability and trustworthiness, a ...
Director Utilization Management information
See salary details
$18K - $24K
1% of jobs
$24K - $30K
3% of jobs
$30K - $36K
11% of jobs
$39.9K is the 25th percentile. Wages below this are outliers.
$36K - $42K
16% of jobs
$42K - $48K
15% of jobs
The median wage is $49.8K / yr.
$48K - $54K
16% of jobs
$59K is the 75th percentile. Wages above this are outliers.
$54K - $60K
17% of jobs
$60K - $66K
9% of jobs
$66K - $72K
7% of jobs
$72K - $78K
3% of jobs
$78K - $84K
2% of jobs
$18K
$52.3K
$84K
How much do director utilization management jobs pay per year?
As of Sep 13, 2026, the average yearly pay for director utilization management 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 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 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 does a director of utilization management do?
A director of utilization management oversees the review and approval of healthcare services to ensure they are medically necessary and cost-effective. They develop policies, manage teams of reviewers, and collaborate with healthcare providers and insurance companies to optimize patient care and resource utilization.
More about Director Utilization Management jobs
What cities are hiring for Director Utilization Management jobs?
Cities with the most Director Utilization Management job openings:
What are the most commonly searched types of Utilization Management jobs?
The most popular types of Utilization Management jobs are:
What states have the most Director Utilization Management jobs?
States with the most job openings for Director Utilization Management jobs include:
What are popular job titles related to Director Utilization Management jobs?
For Director Utilization Management jobs, the most frequently searched job titles are:
Medical Director, Utilization Management- CFHP
San Antonio, TX
University Health
Full-time
Posted 23 days ago
University Health System (San Antonio) rating
8.0
Based on 64 frontline employees who took The Breakroom Quiz
Job description
POSITION SUMMARY/RESPONSIBILITIES
This position provides clinical leadership and oversight of the population health management program including utilization management, case management, preventive health/disease management, and quality management while supporting the multidisciplinary member-centric approach to care management. Actively participates with staff across the organization – this is essential to facilitate integrated service delivery, planning, quality assurance, and risk management and to address the needs of members and their families to protect and promote the healthcare of members.
EDUCATION/EXPERIENCEA medical degree as Doctor of Medicine (MD) or Osteopathy (DO) and an active and unrestricted Texas Medical License, free of sanctions from Medicaid or Medicare is required. Minimum of five year of direct clinical patient care experience post-residency is required. Minimum two years' experience in a medical leadership role is preferred. Previous experience in a leadership position in managed care is preferred, with knowledge and understanding of utilization review and quality management procedures.
LICENSURE/CERTIFICATIONCurrent unrestricted license as a Doctor of Medicine or Osteopathy for Texas is required. Board certification is required.
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