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Insurance Utilization Review Jobs in Springfield, IL

United Community Bank

Personal Banker

Springfield, IL · On-site

$17 - $19/hr

Analyze customer utilization of products and services to identify potential product sales ... Trust, Mortgage, Insurance, and Investment Services) * Create and maintain records of calling ...

United Community Bank

Personal Banker

Springfield, IL

$19 - $23.25/hr

Analyze customer utilization of products and services to identify potential product sales ... Trust, Mortgage, Insurance, and Investment Services) * Create and maintain records of calling ...

Symbria

Travel Physical Therapist

Springfield, IL · On-site

$1K - $2K/wk

... insurance, PTO, continuing education, to name a few. Continue to scroll to see our full benefits ... Responsibilities * Review and evaluate physician's referral and patient's medical record to ...

Symbria

Travel Physical Therapist

Springfield, IL

$1K - $2K/wk

... insurance, PTO, continuing education, to name a few. Continue to scroll to see our full benefits ... Responsibilities * Review and evaluate physician's referral and patient's medical record to ...

Journeys

Store Manager

Springfield, IL

Conduct monthly performance reviews * Recognize talented staff and develop them for growth within ... Benefits offered may include medical, vision, and dental insurance, a vacation package, and ...

Genesco

Store Manager

Springfield, IL · On-site

Conduct monthly performance reviews * Recognize talented staff and develop them for growth within ... Benefits offered may include medical, vision, and dental insurance, a vacation package, and ...

Journeys

Store Manager

Springfield, IL · On-site

Conduct monthly performance reviews * Recognize talented staff and develop them for growth within ... Benefits offered may include medical, vision, and dental insurance, a vacation package, and ...

Journeys

Store Manager

Springfield, IL · On-site

Conduct monthly performance reviews * Recognize talented staff and develop them for growth within ... Benefits offered may include medical, vision, and dental insurance, a vacation package, and ...

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How much do insurance utilization review jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for insurance utilization review in Springfield, IL is $41.91, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 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 popular job titles related to Insurance Utilization Review jobs in Springfield, IL? For Insurance Utilization Review jobs in Springfield, IL, the most frequently searched job titles are:
What job categories do people searching Insurance Utilization Review jobs in Springfield, IL look for? The top searched job categories for Insurance Utilization Review jobs in Springfield, IL are:
What cities near Springfield, IL are hiring for Insurance Utilization Review jobs? Cities near Springfield, IL with the most Insurance Utilization Review job openings:
Insurance Utilization Review jobs near you

Senior Project Manager-Commercial Construction Projects

ENFRA LLC

Springfield, IL • On-site

$116K - $156K/yr

Full-time

Posted 15 days ago

Job description

About Us
At ENFRA, we blend a rich history with a forward-looking vision. With over 100 years of experience, we are a pillar of stability in the energy infrastructure industry and a leader in innovative energy solutions. Our commitment to leveraging emerging technologies ensures that we remain at the forefront of the Energy-as-a-Service sector.
We believe in growth-not just for our business, but for our people. Our team members have the opportunity to advance their careers in a supportive environment that values continuous learning and development. We embrace innovation and encourage creative problem solving to tackle the energy infrastructure and energy challenges of tomorrow.
Inclusion is at the heart of our culture. We strive to create a workplace where every voice is heard and valued, fostering a collaborative environment where diverse perspectives drive our success.
Join us to be part of a legacy of excellence and a future of groundbreaking advancements. At ENFRA, stability, innovation, and growth are more than just values-they are the pillars of our continued success.
Overview
The Senior Project Manager, Project Delivery (SPM) will oversee all aspects of the implementation of the Contract for a Delivery Project, or a portion of a IS Delivery Project. They are responsible for managing the financial aspects of the Project, Subcontractors / Vendors, Client relationships and delivering a safe, quality outcome the meets or exceeds Company commitments.
Responsibilities
  • Maintain a safe and secure work environment through active participation in site planning, Safety Plan review, JHA approvals, on-site tool box talks and conducting site walks with the Lead Construction Manager.
  • Is the key resource for the Project Executive and Vice President for all project scope to ensure code and project requirements are met.
  • Manages the Project Budget and understands and can execute the management of the Contract delivery type - Guaranteed Maximum Price (GMP), Lump Sum, or Concession Agreement.
  • Manages and understands the requirements of the Contract, including bonds, insurance, notifications, schedules, reporting, costs and energy savings requirements.
  • Oversees the set-up of the Project Job Management System (Procore) for all Change Management and Document Control procedures following Company SOPs.
  • Negotiate and prepare vendor purchase orders and subcontracts in a timely manner to support the project schedule milestones.
  • Lead in the Hand-off meeting from Development that establishes project goals, parameters and client expectations.
  • Oversee the Project Team in establishment of the site utilization plan with a focus on cleanliness, access control and overall safety of our employees, client personal and public. Understands the importance of this document as a Safety and Contract Document.
  • Oversees the establishment of the Baseline Schedule for the project with a focus on all Energy Savings requirements and milestones. Understands the importance of this document as a Contract Document.
  • Ensures accurate, timely and pertinent monthly project reports and cost reviews with project leadership utilizing current information from the Job Management and Accounting Platforms.
  • Ensures the implementation of the Project Specific Quality Assurance Plan, including proper documentation to the client and all Subcontractors / Vendors.
  • Ensures the Change Management process on the project from RFI Affect Letters, Drawing Revisions, and Client Directives from issuance to resolution is maintained and executed with accuracy and timeliness.
  • Ensures Agendas and Meeting Minutes from all regular project meetings with the team, Vendors and Subcontractors, and Client are created and distributed.
  • Communicates and manages mitigations plans for all Risk Log items with project leadership.
  • Works seamlessly with the leadership of all divisions.
  • Build and maintain strong customer relations with subcontractors, vendors and Client, ensuring a predictable outcome in alignment with the Client and the Companies energy goals.
  • Participates in industry organizations and looks for opportunities to be involved with the community to promote the company and its goals.
  • Manages and develops all Project Managers.

Qualifications
Required Education, Experience, and Qualifications
  • 4 Year Degree in Construction Management, applicable Engineering OR applicable field experience
  • 8+ years of experience.
  • Effective presentation, verbal and written communication skills.
  • Demonstrates leadership skills and has the willingness to address challenges, resolve issues, and motivate others while maintaining relationships.
  • Influences outcomes by being resourceful and maintaining focus on safety, financial performance and client expectations.
  • Ability to multitask and willing to perform additional duties as necessary.
Travel Requirements
  • 40-60% of time will be spent traveling to job site(s)/office location.
Physical Activities
  • Climbing stairs.
  • Remaining in a stationary position, often standing or sitting for prolonged periods
  • Repeating motions that may include the wrists, hands and/or fingers
Environmental Conditions
  • Quiet environment
Physical Demands
  • Light work that includes adjusting and/or moving objects up to 20 pounds

Pay Range
USD $116,860.00 - USD $156,050.00 /Yr.
ENFRA is proud to be an Equal Opportunity Employer of Minorities, Women, Protected Veterans, and Individuals with Disabilities, and participates in the e-Verify program. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, age, sexual orientation, gender identity, national origin, veteran status, disability, or any other classification protected by law.

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