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Insurance Utilization Review Jobs in Indiana (NOW HIRING)

ScionHealth

Case Manager II

Indianapolis, IN · On-site

... utilization review and management, and discharge planning. Essential Function Care Coordination ... Knowledge of Medicare benefits and insurance processes and contracts. * Knowledge of accreditation ...

ScionHealth

Case Manager II PRN

Indianapolis, IN · On-site

... utilization of resources, service delivery and compliance with external review agencies. Provides ... Knowledge of Medicare benefits and insurance processes and contracts. * Knowledge of accreditation ...

UHS

UNIT CLERK- Behavioral Health

Franklin, IN · On-site

Utilization Review: initiates pre-certification calls for private insurance and managed Medicare and Medicaid plans. Also provides concurrent reviews throughout the patient's stay. Tracks utilization ...

Ascension Recovery Services

Care Coordinator

Mishawaka, IN · On-site

$17.75 - $23.75/hr

Collaborate closely with Utilization Review to support authorizations and continued stay needs ... Employer-Paid Life Insurance, with optional supplemental coverage * 401(k) Retirement Plan

Mulhaupts

Scheduling Coordinator

Lafayette, IN · On-site

$17 - $19/hr

... utilization. * Review work orders daily; ensure all necessary details are captured before ... Health, dental, vision insurance. * PTO / Paid holidays. * 401(k) / Retirement benefits.

Mulhaupts

Scheduling Coordinator

Lafayette, IN

$17 - $19/hr

... utilization. * Review work orders daily; ensure all necessary details are captured before ... Health, dental, vision insurance. * PTO / Paid holidays. * 401(k) / Retirement benefits.

Mulhaupt's

Scheduling Coordinator

Lafayette, IN

$17 - $21.75/hr

... utilization. * Review work orders daily; ensure all necessary details are captured before ... Health, dental, vision insurance. * PTO / Paid holidays. * 401(k) / Retirement benefits.

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All JobsInsurance Utilization Review JobsInsurance Utilization Review Jobs in Indiana

Insurance Utilization Review information

See Indiana salary details

$20

$40

$65

How much do insurance utilization review jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for insurance utilization review in Indiana is $40.23, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.20 per hour, depending on experience, location, and employer.

What are the most common challenges faced by Insurance Utilization Review professionals?

One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.

What are the key skills and qualifications needed to thrive in the Insurance Utilization Review position, and why are they important?

To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.

What is an Insurance Utilization Review job?

An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.

What are the most commonly searched types of Insurance Utilization Review jobs in Indiana? The most popular types of Insurance Utilization Review jobs in Indiana are:
What are popular job titles related to Insurance Utilization Review jobs in Indiana? For Insurance Utilization Review jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Insurance Utilization Review jobs in Indiana look for? The top searched job categories for Insurance Utilization Review jobs in Indiana are:
What cities in Indiana are hiring for Insurance Utilization Review jobs? Cities in Indiana with the most Insurance Utilization Review job openings:
Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Indiana as of May 2026, with employment types broken down into 82% Full Time, and 18% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $83,687 per year, or $40.2 per hour.
Pediatrician

Pediatrician

Jane Pauley Community Health Center, Inc.

Anderson, IN • On-site

$147K - $190K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago

Jane Pauley Community Health Center rating

7.5

Company rating: 7.5 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Empowering communities through accessible, inclusive, and compassionate care, this is the work we do every day.
At Jane Pauley Community Health Center, every role is connected to something bigger. As a Federally Qualified Health Center (FQHC), we deliver integrated, whole-person care to individuals and families across Indiana, regardless of income or insurance status.
Our teams work at the intersection of clinical excellence and community impact, supporting underserved populations while building a culture rooted in collaboration, respect, and growth. Here, you are not just joining a workplace, you are becoming part of a mission that truly matters.
Pediatrician
Summary
The Pediatrician provides comprehensive, patient-centered pediatric care while supporting the clinical, operational, and quality goals of Jane Pauley Community Health Center (JPCHC). This role delivers direct clinical services, supervises care provided by clinical team members, and partners with practice leadership to ensure high-quality, compliant, and fiscally responsible care.
The Pediatrician actively participates in quality improvement initiatives, care coordination, and organizational programs that advance JPCHC's mission to provide accessible, integrated healthcare to the communities we serve.
Job Responsibilities (include but are not limited to):
Clinical Responsibilities
  • Provide direct pediatric services in accordance with JPCHC clinical standards, policies, and scope of practice.
  • Maintain full-time, on-site pediatric coverage as assigned.
  • Provide medical direction and supervision to clinical staff and other individuals delivering patient care under the Pediatrician's oversight.
  • Participate in equitable call coverage with other full-time JPCHC Pediatricians.
    • Call coverage will be assigned based on departmental need and will not exceed fifteen (15) days per month for more than two (2) consecutive months unless otherwise agreed upon.
    • Reasonable planning will occur in advance of scheduled leaves of absence.
  • Participate in patient satisfaction initiatives and surveys as requested.
  • Participate in managed care and third-party payer programs designated by JPCHC, including Medicare, Medicaid, and value-based or at-risk programs.
  • Utilize JPCHC inpatient and outpatient facilities and refer patients within the JPCHC network when appropriate, except when:
    • The patient expresses a preference for another provider;
    • Insurance requirements dictate referral outside the network; or
    • Referral is not in the patient's best interest based on professional medical judgment.
  • Perform additional pediatric duties as reasonably requested to support patient care and organizational needs.
Administrative & Leadership Responsibilities
  • Ensure compliance with all applicable licensing, regulatory, and accrediting body requirements at the practice site.
  • Assist with third-party billing matters, including Medicare, Medicaid, and commercial payer requirements, as needed.
  • Assume responsibility for supervising the clinical and professional care provided by non-physician staff working under the Pediatrician's direction.
  • Provide consultation and input on staffing, workflow, and operational decisions in collaboration with practice leadership (final decisions rest with JPCHC leadership).
  • Assist with recruitment, onboarding, and orientation of new physicians at the practice site.
  • Participate in quality assessment, utilization review, and quality improvement initiatives, including Medical Staff meetings and committees.
  • Support development and implementation of quality assurance, utilization review, and clinical pathway programs, integrating findings into clinical practice.
  • Contribute to fiscally responsible operations through participation in utilization review and quality assurance programs.
  • Support collaborative, team-based care models that improve patient outcomes, care coordination, and cost effectiveness.
  • Perform additional administrative duties as reasonably requested to support organizational goals.
Required Qualifications
  • MD or DO required
  • Board Certified or Board Eligible in Pediatrics
    • American Board of Pediatrics (ABP)
  • Active Indiana Medical License (or ability to obtain prior to start date)
  • Active DEA and Indiana Controlled Substance Registration (CSR) (or eligibility to obtain)
  • Commitment to serving underserved and diverse populations
  • Strong communication, leadership, and team collaboration skills
  • Experience in an FQHC, community health center, or safety-net setting preferred

Why Join Us
You'll join a mission-driven organization committed to equitable access, integrated care, and continuous improvement. This role offers the opportunity to shape clinical excellence across multiple sites while supporting providers and teams serving diverse and underserved communities.
Why You'll Love Working Here
  • Purpose-driven work that directly impacts access to care across our communities
  • Robust benefits package (medical, dental, vision) designed to support you and your family
  • Generous PTO because we believe caring for others starts with caring for yourself
  • 401(k) with employer contribution to help you plan for what's ahead
  • Life and disability coverage for peace of mind

Here, you are not just filling a role-you are helping shape healthier communities and advancing equitable care every day!

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