ZipRecruiter

Log In

1

Insurance Utilization Review Jobs in Boston, MA (NOW HIRING)

Acadia Healthcare

RN Admissions PT

Malden, MA · On-site

$42.95 - $51.28/hr

... utilization review processes to assure continuity for the most appropriate level of care for ... Perform insurance benefit verifications and secure initial pre-authorization for treatment and ...

Injured Workers Pharmacy

Staff Pharmacist

Andover, MA · On-site

$60 - $65/hr

Perform prospective Drug Utilization Review "DUR" in accordance with clinical and professional ... insurance communities to help injured workers return to a productive life. At IWP we believe in our ...

Injured Workers Pharmacy, LLC

Staff Pharmacist

Andover, MA · On-site

$60 - $65/hr

Perform prospective Drug Utilization Review "DUR" in accordance with clinical and professional ... insurance communities to help injured workers return to a productive life. At IWP we believe in our ...

IWP

Staff Pharmacist

Andover, MA · On-site

$60 - $65/hr

Perform prospective Drug Utilization Review "DUR" in accordance with clinical and professional ... insurance communities to help injured workers return to a productive life. At IWP we believe in our ...

IWP

Staff Pharmacist

Andover, MA · On-site

$60 - $65/hr

Perform prospective Drug Utilization Review "DUR" in accordance with clinical and professional ... insurance communities to help injured workers return to a productive life. At IWP we believe in our ...

Pyramid Healthcare

Intake Coordinator

Concord, MA

$22/hr

Manage insurance-related processes, including precertifications and utilization review (UR) notes * Assist SCA clients with the Medical Assistance application process, including communication with ...

previous page

Showing results 41-60

All JobsInsurance Utilization Review JobsInsurance Utilization Review Jobs in Boston, MA

Insurance Utilization Review information

See Boston, MA salary details

$23

$45

$74

How much do insurance utilization review jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for insurance utilization review in Boston, MA is $45.93, according to ZipRecruiter salary data. Most workers in this role earn between $36.30 and $52.74 per hour, depending on experience, location, and employer.

What is an insurance utilization review?

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 key skills and qualifications needed to thrive in insurance utilization review?

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 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.

How do I get into an insurance utilization review?

To become an insurance utilization review specialist, candidates typically need a background in healthcare, nursing, or a related field, along with knowledge of insurance policies and medical terminology. Certification such as the Certified Professional in Healthcare Quality (CPHQ) or similar credentials can enhance job prospects. Relevant skills include attention to detail, analytical thinking, and familiarity with medical records and insurance software systems.

Is insurance utilization review a stressful job?

Insurance utilization review can be stressful due to the need for accuracy, attention to detail, and meeting strict deadlines. Reviewers often handle complex cases and must balance policy guidelines with patient needs, which can contribute to job pressure. However, the level of stress varies depending on workload, work environment, and individual coping skills.

What are popular job titles related to Insurance Utilization Review jobs in Boston, MA?

For Insurance Utilization Review jobs in Boston, MA, the most frequently searched job titles are:

What job categories do people searching Insurance Utilization Review jobs in Boston, MA look for?

The top searched job categories for Insurance Utilization Review jobs in Boston, MA are:

Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Boston, MA as of August 2026, with employment types broken down into 83% Full Time, 11% Part Time, and 6% Contract. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $95,540 per year, or $45.9 per hour.

Part Time Psychiatry Opportunity - Dorchester, MA

Olesky Associates

Boston, MA • On-site

$115 - $125/hr

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 26 days ago

Job description

Company Description

Olesky Associates, Inc. has been in the placement / recruiting industry for three decades.

We offer an extensive array of services, ranging from physician placement to practice and hospital brokering.

Our Search Consultants located in our home office in Massachusetts utilize a state-of-the-art computer network and database that allows instant access to all of the information necessary for mutually beneficial placements throughout the country.

This technology, combined with our personal attention and expert screening of each candidate, has made our agency extremely successful in the placement of all specialties, including:

  • Family Practitioners
  • Internists, Pediatricians
  • OB/Gyns
  • Emergency Medicine
  • Psychiatrist
  • Nurse Practitioners
  • Hospitalist
  • Dermatologist
  • Oncology / Radiology
  • All medical specialties
  • All surgical specialties
  • LCSW / LICSW/ LMHC / BCBA
Job Description

Part Time Psychiatry Opportunity - Dorchester, MA

Well Renowned Community Care Group is seeking a part time psychiatrist at their Dorchester Location.

The Psychiatrist coordinates psychiatric services with the Behavioral Health Director as well as provides direct services to patients including those in our Suboxone Program. Duties include but are not limited to: evaluation, diagnosis and treatment of psychiatric conditions; issuing prescriptions and maintenance of all clients of psychotropic medication; provides consultation to primary care, assumes leadership role in case conferences and in-service training of staff; actively participate in peer review and Utilization Review.

This position is 20 hours per week and offers a full benefits package including Health, Dental, Life, & Disability insurance, 403b Savings Plan, Vacation, Sick & Holiday time & Professional Development Stipends and Malpractice Insurance.

Compensation $115 - $125 per hour

Contact Jerome at Olesky Associates for more information

Qualifications

MD / DO

Additional Information


Apply