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Entry Level Anthem Utilization Review Jobs (NOW HIRING)

$71K/yr

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

Support utilization review and clinical reporting requirements * Contribute to program development ... Career growth for entry-level through fully licensed clinicians * Supportive environment aligned ...

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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:
Primary Therapist - Outpatient Program - Evenings

Primary Therapist - Outpatient Program - Evenings

AMFM Healthcare

San Juan Capistrano, CA โ€ข On-site

$80K - $105K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago


Job description


Join Our Team as a Primary Therapist at Mission Connection!

Are you passionate about making a meaningful impact in the lives of individuals seeking mental health support? Mission Connectionโ€™s Intensive Outpatient Program is looking for a dedicated Primary Therapist to join our compassionate and innovative team in Green Lake, Seattle, WA.

RECENT GRADUATES ARE ENCOURAGED TO APPLY!


Why Join Mission Connection?

At Mission Connection, we prioritize evidence-based, compassionate care to support those with primary mental health diagnoses such as anxiety, depression, and mood disorders. We offer a hybrid model of in-person and telehealth services, ensuring accessibility and flexibility for both our clients and our clinical team.

Position Details
  • Location: In-person in Green Lake.
  • Schedule: Monday - Friday, 12:00pm-8:30pm
  • Compensation:
    • Primary Therapist I - $80,168.14 - $85,000.00
    • Primary Therapist II - $85,000.00 - $105,000
What We Offer

We believe in taking care of our team, just as we care for our clients. Full-time employees receive:

  • Comprehensive Benefits Package: Medical, dental, and vision plans through Anthem or Kaiser
  • Financial Well-being: 401k plan with employer match, FSA/HSA accounts
  • Peace of Mind: Life/AD&D insurance (100% employer-paid)
  • Work-Life Balance: PTO, self-care days, and floating holidays
  • Professional Development: Educational assistance reimbursement program
  • Wellness Perks: Employee assistance program and health & wellness membership

About Us

AMFM Healthcare is a leading provider of evidence-based mental health treatment with programs spanning California, Washington, Virginia, and Minnesota. We are committed to delivering compassionate, individualized care through a network of specialized programs that support people across all stages of life and levels of need.

Our mission is to provide high-quality mental health treatment in settings that foster healing, connection, and long-term wellness. Every program under the AMFM umbrella is grounded in clinical excellence, integrity, and a deep respect for the personal stories of those we serve.

Mission Connection extends AMFM Healthcare's compassion-driven, evidence-based clinical program. Our innovative hybrid model seamlessly blends in-person and telehealth services, ensuring you can access the care you need, wherever you are. We provide mental health support to adults grappling with primary mental health diagnoses such as anxiety, depression, and mood disorders. Mission Connection empowers these individuals to connect with their clinical team when, where, and how itโ€™s most convenient for them.



Qualifications:

  1. Minimum Education Requirement: Masters degree or higher in a relevant course of study at an accredited university.

  2. Acceptable Credentials (Minimum) - Must be registered as a pre-licensed or independently licensed Therapist, Counselor, Social Worker in Washington State.

  3. Hands-on experience in Groups (process, psycho educational, and topic), Family Therapy, Individual Therapy (wide range of modalities accepted), and working with clients with addiction issues.

  4. To perform this job successfully, an individual must be able to perform each essential job function assigned satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  5. Successful completion of Criminal Background Checks through DSS LiveScan DOJ Fingerprint, in addition to passing the ADP Selective Screening Services background check.

  6. Physical Requirements: Ability to lift 20 lbs.


Responsibilities and Job Duties:

  1. Conduct clinical evaluation, biopsychosocial assessment, client diagnosis, and interpretive summary. Prepare person-centered treatment plans, case management, consultation, education, and referral as needed.

  2. Provide therapeutic interventions including crisis counseling to individuals, groups and families as needed.

  3. Facilitate individual psychotherapy sessions and group therapy.

  4. Provide services in accordance to organizationโ€™s policies and procedures and established Mental Health and Substance Abuse Standards as well as within the scope of practice of the therapist.

  5. Evaluate the individual and family systems as well as assess clients functioning within work, family, and routines of daily living and identify areas needing continued support, resources, and treatment in order to assist clients.

  6. Maintain Electronic Health Records to reflect the course of treatment and provide required documentation.

  7. Prepare pre-certification/authorization information to insurance utilization review team and subsequent concurrent review (continued stay) clinical reports per medical necessity criteria.

  8. Provide emergency crisis services during work hours and after hours as assigned.

  9. Attend staff meetings, supervisory conferences, training, and other activities, which ensure effective and efficient functioning of clinical operations.

  10. Adhere to organizational standards and policies and procedures, code of ethics, legal aspects of clinical practice, professional standards, duty to warn, abuse and neglect reporting policies and procedures and exercise professionalism at all times.



AMFM Healthcare is committed to providing equal employment opportunities to all employees and applicants without regard to race, ethnicity, religion, color, sex (including childbirth, breast feeding and related medical conditions), gender, gender identity or expression, sexual orientation, national origin, ancestry, citizenship status, uniform service member and veteran status, marital status, pregnancy, age, protected medical condition, genetic information, disability, or any other protected status in accordance with all applicable federal, state and local laws.