ZipRecruiter

Log In

1

Insurance Utilization Review Jobs in Green Bay, WI

EPS

Project Manager

Green Bay, WI

Medical, Dental, and Vision Insurance * 401(k) Savings Plan with Company Match * Health Savings ... Monitor project performance through regular reviews of progress, productivity, and deliverables ...

EPS

Project Manager

Green Bay, WI · On-site

Medical, Dental, and Vision Insurance * 401(k) Savings Plan with Company Match * Health Savings ... Monitor project performance through regular reviews of progress, productivity, and deliverables ...

Prncares

Finance Director

Appleton, WI · On-site

$85 - $120/hr

... insurance companies. . * Protects the assets of the organization through effective internal ... Review of financial statements prepared by outside 3rd party includes doing an analysis of ...

Network Health

COB & Recovery Analyst

Menasha, WI · On-site +1

... utilization management policies, etc. * Acts as a liaison between Payment Integrity and other ... Reviews and follows up on open work items to ensure resolution is within established timeframes

Kencogroup

Service Manager

Green Bay, WI · On-site

Functions * Consistently attain technician utilization at or above 85%. * Consistently attain a ... Review and evaluate technician daily KFS productivity sheets. * Must interact with customers and ...

Kenco

Service Manager

Green Bay, WI · On-site

Functions * Consistently attain technician utilization at or above 85%. * Consistently attain a ... Review and evaluate technician daily KFS productivity sheets. * Must interact with customers and ...

previous pagenext page

Showing results 21-40

All JobsInsurance Utilization Review JobsInsurance Utilization Review Jobs in Green Bay, WI

Insurance Utilization Review information

See Green Bay, WI salary details

$20

$41

$67

How much do insurance utilization review jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for insurance utilization review in Green Bay, WI is $41.13, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 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 Green Bay, WI?

For Insurance Utilization Review jobs in Green Bay, WI, the most frequently searched job titles are:

What job categories do people searching Insurance Utilization Review jobs in Green Bay, WI look for?

The top searched job categories for Insurance Utilization Review jobs in Green Bay, WI are:

What cities near Green Bay, WI are hiring for Insurance Utilization Review jobs?

Cities near Green Bay, WI with the most Insurance Utilization Review job openings:

Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Green Bay, WI as of August 2026, with employment types broken down into 75% Full Time, 17% Part Time, and 8% Nights. Highlights an 100% In-person job distribution, with an average salary of $85,544 per year, or $41.1 per hour.

Operations Leader - Buildings Service Line

MSA Professional Services, Inc.

Appleton, WI • On-site

$123K - $204K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

MSA Professional Services rating

9.9

Company rating: 9.9 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

1st of 452 rated engineering

Job description

Overview
Operations Leader - Buildings Service Line
MSA has an opportunity for an Operations Leader within our Building Service Line, a key leadership role focused on translating service line strategy into coordinated execution across teams, resources, project delivery, and performance. The position may be based in any of MSA's office locations.
The Building Service Line is primarily comprised of Mechanical, Plumbing, and Electrical systems design projects, vertical structural analysis, and architecture personnel and projects. The Operations Leader will work closely with the Service Line Leader and Team Leaders to drive strong project delivery, align resources with business needs, and support consistent performance and growth across the entire service line.
Just as importantly, this role is about leading leaders. The Operations Leader will mentor, support, and develop Team Leaders, helping them build high-performing teams and successfully navigate operational priorities. In partnership with the Service Line Leader, this position will also help strengthen relationships across MSA and with clients, agencies, and industry partners.
Responsibilities
What You Will Do:
Client Experience, Growth & Market Presence
  • Supports growth and client experience through disciplined pursuit decisions, strategic resource engagement, and effective Client Liaison development.
    • Maintains visibility into key client relationships, major commitments, and pre-project positioning; applies informed judgment to pursuit decisions based on strategy, capacity, and likelihood of success.
    • Connects internal expertise and external partners to pursuits and project commitments to strengthen client outcomes and mitigate risk.

Operational Performance & Profitability
  • Owns operational performance across the assigned area and is accountable to the Service Line Leader for results.
    • Establishes and monitors KPIs, including revenue, profitability, utilization, backlog, and project delivery performance.
    • Reviews performance across Team Leaders, Project Managers, and sub-service lines and drives corrective action through Team Leaders as needed.
    • Supports development of service line business strategies, annual plans, and financial goals.

People Leadership, Culture & Development
  • Builds leadership capability and reinforces MSA's culture and leadership expectations across the assigned area.
    • Coaches Team Leaders to strengthen accountability, engagement, team performance, and Project Manager success.
    • Cascades direction effectively and creates development opportunities for current and future leaders.

Operational Excellence, Quality, Systems & Risk
  • Advances consistent operational practices in alignment with service line and firm-wide standards.
    • Drives consistency in project delivery and quality through project reviews, operational discipline, and compliance spot-checks.
    • Identifies and addresses operational, project, and people risks and improvement needs, escalating to the Service Line Leader as appropriate.

Workforce Planning, Talent Pipeline & Resource Coordination
  • Leads workforce planning and resource coordination to support project delivery, growth, and long-term capability.
    • Coordinates staffing and workload across teams and sub-service lines to balance utilization, engage appropriate expertise, and support employee development.
    • Identifies talent needs, establishes hiring priorities, structures supervisory responsibilities, and develops the pipeline of future Project Managers and Team Leaders.

Qualifications
What you bring
Skills, Knowledge, Education & Experience
  • Bachelor's degree in engineering or a related field required.
  • Professional Engineer (PE) license required.
  • 10+ years of experience in consulting engineering, with experience in building systems design or a related practice area.
  • Demonstrated experience leading and developing teams and/or experienced leaders.
  • Strong understanding of project delivery, resource planning, financial performance, and operational management within a consulting environment.
  • Demonstrated experience using financial and operational metrics to evaluate performance, identify trends, and drive business decisions.
  • Ability to balance strategic priorities with day-to-day operational needs across multiple teams, disciplines, or locations.
  • Strong communication, collaboration, and decision-making skills with the ability to influence across an organization.
  • Valid driver's license required.
  • Ability to travel to MSA offices, client meetings, trade shows, and industry conferences approximately 20-50% of the time, including occasional overnight travel.

Pay & Benefits*
  • Compensation Range: $123,756-$204,198 (commensurate with experience)
  • ESOP: Receive MSA stock shares annually, at no cost to the employee
  • Medical, dental & vision insurance for you, spouse, domestic partner, and eligible dependents
  • 17+ days PTO (potentially higher pending experience) + 8 paid holidays
  • Paid parental leave regardless of birth parent
  • 401(k) plan with company matching
  • Short-term incentive program for annual bonus opportunities
  • Company-paid life & disability insurance

*Full eligibility requirements for listed benefits will be discussed during the hiring process
MSA is an equal opportunity/affirmative action employer that is committed to diversity and inclusion in the workplace. At MSA, we value a diverse, inclusive workforce, and we provide equal employment opportunity for all applicants and employees. All qualified applicants for employment will be considered without regard to an individual's race, color, sex, gender identity, gender expression, religion, age, national origin or ancestry, citizenship, physical or mental disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military or veteran status, or any other basis protected by federal, state or local laws.
If you are unable to submit your application because of incompatible assistive technology or a disability, please contact us at hr@msa-ps.com
Equal Employment Opportunity/Affirmative Action Employer

What MSA Professional Services employees say

Pay

Workplace

Get the full story on Breakroom

Apply