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Kaiser Utilization Management Jobs in Oregon (NOW HIRING)

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Kaiser Utilization Management information

See Oregon salary details

$41.2K

$94.6K

$172.3K

How much do kaiser utilization management jobs pay per year?

As of Jul 26, 2026, the average yearly pay for kaiser utilization management in Oregon is $94,609.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,200.00 and $110,500.00 per year, depending on experience, location, and employer.

What is the difference between Kaiser Utilization Management vs Kaiser Case Manager?

AspectKaiser Utilization ManagementKaiser Case Manager
Primary RoleReview and authorize healthcare services based on medical necessityCoordinate and manage patient care plans and services
CertificationsTypically requires medical or nursing credentials, possibly certifications in utilization reviewOften requires nursing or social work credentials, with case management certifications
Work EnvironmentUtilization review departments within health plans or hospitalsDirect patient interaction, care coordination teams, healthcare facilities
Industry UsageCommonly employed by health insurance providers like KaiserEmployed in healthcare settings, insurance companies, or integrated health systems

While both roles are integral to healthcare management at Kaiser, Utilization Management focuses on reviewing services for appropriateness, whereas Case Managers actively coordinate patient care and services. Understanding these differences helps clarify career paths and job expectations within Kaiser’s healthcare system.

What is Kaiser Utilization Management?

Kaiser Utilization Management refers to the process within Kaiser Permanente that evaluates the necessity, appropriateness, and efficiency of healthcare services provided to members. Utilization management professionals review medical cases to ensure that treatments and procedures are medically necessary and align with established guidelines. Their goal is to optimize healthcare outcomes while controlling costs and preventing unnecessary services, ensuring members receive the right care at the right time.

How does a Kaiser Utilization Management professional typically collaborate with healthcare providers to ensure appropriate patient care?

Kaiser Utilization Management professionals work closely with physicians, nurses, and other healthcare team members to review patient cases and ensure that treatments and services are medically necessary and align with organizational guidelines. This collaboration often involves case discussions, care planning meetings, and providing recommendations for alternative care options when appropriate. Open communication and a collaborative approach help ensure patients receive high-quality care while also managing resources efficiently. Professionals in this role regularly interact with both clinical and administrative staff to resolve issues and support optimal patient outcomes.

What are the key skills and qualifications needed to thrive as a Kaiser Utilization Management professional, and why are they important?

To thrive in Kaiser Utilization Management, you need a solid background in clinical healthcare (often as an RN or other licensed clinician), understanding of medical necessity criteria, and experience with healthcare regulations. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of guidelines such as Milliman or InterQual are typically required. Excellent communication, critical thinking, and organizational skills set standout professionals apart in this role. These competencies ensure effective resource management, regulatory compliance, and quality patient care within the healthcare system.
What are popular job titles related to Kaiser Utilization Management jobs in Oregon? For Kaiser Utilization Management jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Kaiser Utilization Management jobs in Oregon look for? The top searched job categories for Kaiser Utilization Management jobs in Oregon are:
Kaiser Utilization Management jobs near you
Infographic showing various Kaiser Utilization Management job openings in Oregon as of July 2026, with employment types broken down into 1% Locum Tenens, 79% Full Time, 14% Part Time, 1% Temporary, 1% Contract, and 4% Summer. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $94,609 per year, or $45.5 per hour.

Provider Contract Manager I (Hybrid)

Northwest Permanente

Portland, OR • Hybrid

$94K - $126K/yr

Full-time

Medical, Retirement, PTO

Posted 23 days ago

Job description

The Provider Contract Manager I supports the provider contracting function by negotiating Single Case Agreements, managing a portfolio of contracts, and supports more senior Provider Contract Managers or department leadership in the negotiation of complex contracts. The management of the contracts involves reporting and communications to apprise key stakeholders on the status of various contract initiatives.
Major Responsibilities: 

  • Develops Single Case Agreements.
  • Communicates details surrounding Single Case Agreements to appropriate stakeholders and into downstream systems to ensure accurate and timely administration.
  • Develops and maintains relationships and workflows with internal and external stakeholders that result in Single Case Agreements that meet care delivery needs within financial guardrails, budgets, and timelines.
  • Tracks Single Case Agreements developed over time.  Monitors and reports trends such as the identification of high utilization providers who should be transitioned to full contracts.
  • Applies process improvement principles to continuously improve Single Case Agreement processes, document standard work, and inform stakeholders of any proposed modifications necessary to streamline processes.
  • Manages a portfolio of contracts that are predictable and have a low level of complexity.
  • In partnership with contracting team members, develops and delivers progress and status reports, executive summaries, dashboards for large contracting initiative project deliverables, and overall status reports of key contracting initiatives intended to inform stakeholders and senior leaders on progress toward achieving contracting initiative deliverables and timelines.
  • Identifies and resolves critical business barriers to agreed-upon contractual obligations and negotiated deliverables while providing succinct reporting to leadership. 

Minimum Qualifications: 

  • Bachelor’s degree in business, finance, healthcare administration or related field, or equivalent education and experience.
  • Minimum three (3) years of experience in managed care provider contracting, provider relations, or comparable role, including project or portfolio management.
  • Minimum one (1) year experience in project coordination or project management.
  • Demonstrated ability to synthesize complex content to concise, impactful dashboards and reporting. Ability to influence various high-level stakeholders through clear, concise and powerful communication.
  • Excellent interpersonal and customer service skills. Ability to develop and maintain positive working relationships with both internal and external stakeholders. Ability to work cooperatively, sensitively, and tactfully while maintaining professionalism.
  • Possess strong financial acumen including basic knowledge of hospital, physician, skilled nursing and ancillary provider reimbursement models for commercial and government payers.

About Northwest Permanente:
We are the Permanente in Kaiser Permanente. Northwest Permanente is a self-governed, multi-specialty group of 1,500 physicians, clinicians, and administrative professionals caring for 630,000 members in Oregon and Southwest Washington. Together with Kaiser Foundation Health Plans and Kaiser Foundation Hospitals, we form Kaiser Permanente of the Northwest, an integrated health care program.  Kaiser Permanente is one of the nation's preeminent health care systems, a benchmark for comprehensive, integrated, value-based, and high-quality care.
Our Northwest Permanente administrative professionals enjoy a wide range of company sponsored benefits:

  • 15% employer contribution to retirement programs, including pension
  • 90% employer-paid health plan
  • Tuition Reimbursement
  • Child Care Benefits
  • Flexible Work Schedules
  • Paid Parental Leave
  • Self-Care Days + Paid Time Off

Equal Opportunity Employer
Northwest Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.


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