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Entry Level Anthem Utilization Review Jobs (NOW HIRING)

AMFM Healthcare

Adolescent Primary Therapist

Bonsall, CA · On-site

$72K - $96K/yr

Collaborate with the utilization review team to provide pre-certification and concurrent reviews ... Medical, Dental, and Vision plans through Anthem or Kaiser. * FSA/HSA Accounts. * Life/AD&D ...

Apply Early

AMFM Healthcare

Adolescent Primary Therapist

Bonsall, CA · On-site

$72K - $96K/yr

Collaborate with the utilization review team to provide pre-certification and concurrent reviews ... Medical, Dental, and Vision plans through Anthem or Kaiser. * FSA/HSA Accounts. * Life/AD&D ...

Apply Early

Arizona State Hospital

Job Page

Phoenix, AZ · On-site

$71K/yr

With career paths for seasoned professionals in a variety of fields, entry-level positions, and ... Experience in Prior Authorization, Utilization Management, claims review, auditing, or managed care ...

Froedtert Health

Pharmacist

Pleasant Prairie, WI · On-site

$51.50/hr

MINIMUM EXPERIENCE REQUIRED * Entry Level * LICENSES / CERTIFICATIONS REQUIRED * Wisconsin ... and drug utilization review. * Demonstrates the ability to access, enter and adjust patient ...

Froedtert South, Inc.

Pharmacist

Pleasant Prairie, WI · On-site

$51.50/hr

MINIMUM EXPERIENCE REQUIRED * Entry Level * LICENSES / CERTIFICATIONS REQUIRED * Wisconsin ... and drug utilization review. * Demonstrates the ability to access, enter and adjust patient ...

Arizona State Hospital

Job Page

Phoenix, AZ · On-site

$71K/yr

With career paths for seasoned professionals in a variety of fields, entry-level positions, and ... Preferred: • Experience in Prior Authorization, Utilization Management, claims review, auditing ...

mycenters

UM Clinical Reviewer

Pompano Beach, FL · On-site

The Utilization Management Clinical Reviewer works within a multidisciplinary team to help identify ... Active RN license, entry level RN welcome * Excellent written and verbal communication skills

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Entry Level Anthem Utilization Review information

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How much do entry level anthem utilization review jobs pay per hour?

As of Jul 2, 2026, the average hourly pay for entry level anthem utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

How to become a utilization reviewer?

To become an entry-level utilization reviewer, candidates typically need a bachelor's degree in healthcare, nursing, or a related field. Relevant skills include knowledge of medical terminology, insurance policies, and utilization review processes; obtaining certifications such as the Certified Professional in Healthcare Quality (CPHQ) can enhance prospects. Prior experience in healthcare or insurance is often preferred but not always required for entry-level roles.

What is the Anthem hiring process like?

The Anthem hiring process for an Entry Level Utilization Review role typically involves submitting an online application, followed by a phone screening interview. Candidates may then participate in one or more in-person or virtual interviews, and sometimes complete skills assessments or background checks before receiving a job offer.

What jobs pay 4000 a week without a degree?

Entry-level Anthem Utilization Review roles typically do not pay $4,000 per week; such high earnings are uncommon without advanced experience or certifications. High-paying jobs that may reach this level often require specialized skills, certifications, or experience in fields like sales, real estate, or certain trades, but generally, earning this much weekly without a degree is rare. Most roles paying this amount involve significant responsibility, expertise, or commission-based income.

What is Anthem utilization management?

Anthem utilization management involves reviewing and approving healthcare services to ensure they are medically necessary, appropriate, and cost-effective. As an entry-level utilization review professional, you may evaluate medical records, coordinate with healthcare providers, and use guidelines or tools to make determinations within a regulated environment.

What is the difference between Entry Level Anthem Utilization Review vs Entry Level Medical Claims Processor?

AspectEntry Level Anthem Utilization ReviewEntry Level Medical Claims Processor
CertificationsTypically requires knowledge of healthcare policies, possibly some certifications in utilization reviewRequires understanding of claims processing, often no specific certifications needed
Work EnvironmentHealthcare insurance companies, utilization review departmentsInsurance companies, healthcare providers, or claims processing centers
Job FocusAssessing medical necessity and approving or denying servicesProcessing and coding insurance claims for payments
Common Search IntentUnderstanding utilization review roles, entry-level healthcare jobsEntry-level claims processing jobs, insurance billing roles

Entry Level Anthem Utilization Review focuses on evaluating medical necessity for insurance approvals, while Entry Level Medical Claims Processor handles processing insurance claims. Both roles are entry-level positions within healthcare insurance, but they differ in responsibilities and focus areas.

More about Entry Level Anthem Utilization Review jobs
What cities are hiring for Entry Level Anthem Utilization Review jobs? Cities with the most Entry Level Anthem Utilization Review job openings:
What are the most commonly searched types of Anthem Utilization Review jobs? The most popular types of Anthem Utilization Review jobs are:
What job categories do people searching Entry Level Anthem Utilization Review jobs look for? The top searched job categories for Entry Level Anthem Utilization Review jobs are:
Entry Level Anthem Utilization Review jobs near you
Investigations Analyst (Entry Level)

Investigations Analyst (Entry Level)

Omaha National

Omaha, NE • On-site

Full-time

Retirement, PTO

Posted 16 days ago

Job description

Investigations Analyst (Entry Level)

Job Description

Omaha National is seeking an Investigations Analyst to join our growing team. The right candidate is insightful and internet savvy, with the ability to research and locate information not immediately obvious to the general public. Prior workers' compensation experience is not required; we will provide the right candidate the training needed to engage in a rewarding career.

Utilizing popular search engines, social media, phone calls, and other investigative means, the Investigations Analyst gathers and delivers facts in a concise and objective manner to identify and prevent potentially fraudulent behavior. We are looking for an inquisitive, resourceful, persuasive, and detail-oriented individual who is proficient in utilizing internet-based and other investigative resources to locate a wide variety of information. This position requires strong negotiation and rapport-building skills, a high aptitude to learn complex medical and legal principles, and the ability to thrive in a challenging and fast paced role.
This is one of the most important jobs in our company: it has a significant impact on our financial success as well as on the lives of many individuals.
RESPONSIBILITIES:
  • Use social media and other internet resources, as well as specific websites and applications, to uncover activities of injured workers that are inconsistent with their reported disability status.
  • Partner with key internal employees in areas such as Claims Legal, Medical Utilization Review, Medical Bill Review, and Medical Networks to ensure ideal outcomes.
  • Determine coverage and compensability for reported claims.
  • Set and maintain appropriate reserves.
  • Maintain compliance with regulatory deadlines, benefit calculations, state reporting, and benefit notices.
  • Achieve favorable settlements through timely identification of settlement opportunities, accurate settlement valuations, and effective negotiation practices.
  • Direct vendors such as field investigators, field nurses, and defense attorneys to positively impact outcomes.
REQUIREMENTS:
  • A keen, logical mind and a strong aptitude for analytical thinking
  • Rock-solid honesty, openness, and ethical values
  • Strong analytical skills and attention to detail.
  • The ability to verify information and identify issues and inconsistencies; a strong BS detector is a must.
  • Ability to comprehend, interpret, and apply complex legal and medical documents.
  • Strong spoken and written communication skills with the ability to effectively communicate with a broad audience of varying backgrounds, frequently conveying complicated information in a way easily understood by a layperson, with a natural strength for both investigative and persuasive communication.
  • Prior workers' compensation experience is not necessary; we will provide the training.
  • Bachelor’s degree a plus but not required.
BENEFITS:
Omaha National provides a stable, positive work environment, competitive pay, excellent benefits, such as paid parental bonding leave, tuition reimbursement, 401K, and paid vacation and sick leave.

Apply