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Manager Of Utilization Management Jobs in Rio Rancho, NM

Appeals Pharmacist (Remote)

Albuquerque, NM · On-site +1

$55.50 - $67.50/hr

Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree. * Licensure: Active and unrestricted pharmacist license in the U.S. * Experience: Prior managed care or utilization management experience ...

Appeals Pharmacist (Remote)

Albuquerque, NM · On-site +1

$55.50 - $67.50/hr

Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree. * Licensure: Active and unrestricted pharmacist license in the U.S. * Experience: Prior managed care or utilization management experience ...

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Showing results 1-20

Manager Of Utilization Management information

See Rio Rancho, NM salary details

$36.7K

$85.6K

$157.6K

How much do manager of utilization management jobs pay per year?

As of Jul 8, 2026, the average yearly pay for manager of utilization management in Rio Rancho, NM is $85,606.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,000.00 and $103,000.00 per year, depending on experience, location, and employer.

What is the difference between Manager Of Utilization Management vs Utilization Review Nurse?

AspectManager Of Utilization ManagementUtilization Review Nurse
CredentialsRN, sometimes with management certificationsRN, with clinical experience
Work EnvironmentAdministrative, overseeing teams and policiesClinical, performing reviews and assessments
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare providers
Primary FocusManaging utilization review processes and team supervisionConducting individual patient reviews and assessments

The main difference is that the Manager Of Utilization Management oversees the entire utilization review process and team management, while the Utilization Review Nurse focuses on performing clinical reviews of patient cases. Both roles require RN credentials and work within healthcare or insurance settings, but their responsibilities and focus areas differ significantly.

What does a utilization manager do?

A utilization manager oversees the review and authorization of healthcare services to ensure they are medically necessary and appropriate. They analyze patient records, coordinate with healthcare providers, and use utilization review tools to manage costs and quality of care within healthcare organizations.

What degree do you need for utilization management?

A manager of utilization management typically needs at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Many employers prefer candidates with a master's degree or relevant certifications such as the Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM). Strong knowledge of healthcare policies, insurance processes, and data analysis skills are also important for the role.

What is the highest paying manager position?

The highest paying manager positions often include executive roles such as Chief Operating Officer (COO), Chief Executive Officer (CEO), or Vice President, which typically offer salaries significantly higher than other management roles. In healthcare, senior management roles like Director of Utilization Management or Medical Director can also command high compensation, especially with relevant certifications and extensive experience.

What is the highest paying job in healthcare management?

In healthcare management, the highest paying roles are often executive positions such as Chief Executive Officer (CEO) or Chief Operating Officer (COO), with salaries exceeding $150,000 annually. Other high-paying roles include hospital administrators and healthcare system directors, especially those overseeing large organizations or specialized departments, often requiring advanced degrees and extensive experience.
What cities near Rio Rancho, NM are hiring for Manager Of Utilization Management jobs? Cities near Rio Rancho, NM with the most Manager Of Utilization Management job openings:

Practice Manager of Operations

Bear Canyon Family Dentistry

Albuquerque, NM • On-site

Full-time

Medical, Retirement, PTO

Posted 29 days ago


Job description

Practice Manager of Operations

Bear Canyon Family Dentistry in Albuquerque is looking for a Practice Manager of Operations to join our team.

Why Heartland Dental?

Heartland Dental believes that to provide exceptional lifetime care for our patients, we must hire and grow leaders who will support the business needs of each supported dental office and foster a strong team building culture.  As a Practice Manager of Operations, you’ll work in an environment that encourages learning, team cohesion, and puts patients first. 

As a Practice Manager of Operations, you’ll be a valued business partner to the Doctor.   This hard-working and motivated leader will help guide and support our team as they provide the best patient care to the community.  At Heartland Dental, our goal is to hire and grow leaders who will support the business needs of each supported dental office and foster a strong culture of camaraderie and support.   This is where patients come first, and continuous learning is encouraged! 

More about the role

  • Strive towards mastery of role by prioritizing and completing all PMO Training needed to develop technical, commitment and leadership skills
  • Develop and pursue annual top 10 business goals and 16 personal development goals (5 technical, 5 commitment, 6 personality)
  • Ensure goals and priorities of Doctors and teams are achieved through servant leadership
  • Bell Leadership Training every 18-24 months
  • Support the Doctor Led, Hygiene Driven, Operations focus philosophy through synergy meetings monthly, team meetings weekly, and strong morning huddles
  • Focus and prioritize efforts of team to support Doctor achieving their Top 10 Professional goals
  • Create alignment with doctor through daily one on ones, morning huddles and weekly touch points discussing communication, connection and support needed
  • Commit to serving as a business partner for the Doctor collaborating and developing quarterly and annual financial goals
  • Help Doctor prioritize, plan and block schedule for CE through Doctor Education and Leadership programs
  • Understand the benefits and metrics of DMP and help Doctor to monitor progress
  • Identify and support future team growth by selecting candidates (BA, DA, Hygienists) that are an 80% match for both the position and the practice
  • Partner with Doctors to identify skills needed for open positions and proper selection team within the practice
  • Successfully onboard new team members through partnerships with recruiting and support office
  • Support team members to prioritize and plan their training through Core Essentials and beyond for growth in their roles

What You’ll Gain 

  • Competitive benefits including health insurance and retirement savings plans, six paid holidays, and PTO (paid time off)
  • Continuing education to provide you the opportunity to develop your full potential and be a true business partner to our supported Doctors
  • Access to an expansive network of mentors and networking opportunities
  • Top quality technology to assist in your daily responsibilities to allow for more efficiencies to deliver exceptional patient care

About Bear Canyon Family Dentistry

Bear Canyon Family Dentistry, like each Heartland Dental supported office, is unique to the community and the patients they serve. 

  • Join a 10 person team that thrives on collaboration, communication and community

 Minimum Qualifications 

  • Associate’s or Bachelor's degree or 3 - 5 years’ leadership experience (in a professional office, hospitality, retail, banking, medical, etc.)
  • Experience working in a fast-paced and customer-centric environment
  • Ability to analyze processes and information, identify problems and trends, and develop effective solutions and strategies
  • Excellent communication, leadership, coaching, and conflict resolution skills
  • Trustworthy; maintain patient confidentially and team ethics

Preferred Experience  

  • 1+ years of experience in a dental or medical setting 
  • 1+ years of experience with insurance billing and accounts receivable 
  • Dentrix or other dental software experience 

Physical Requirements:

  • Ability to perform essential duties satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of the position
  • Prolonged periods sitting at a desk and working on a computer
  • Must be able to lift up to 15 pounds at times
  • Availability to attend virtual training sessions (or in-person once conditions allow) periodically throughout the year (some travel will eventually be involved)
  • As part of our commitment to maintaining a safe and healthy environment for both team members and patients, a tuberculosis (TB) test is required for all new hires in dental office positions. This is a standard requirement for dental office roles and must be completed prior to starting employment. The test will be arranged during the pre-employment process, and any necessary guidance or paperwork will be provided. Not applicable in the state of FL & TN. 

Who is Heartland Dental?

As the largest and one of the fastest growing Dental Support Organizations, Heartland Dental provides exceptional service to its more than 3,000 supported doctors in 39 states and over 1,900 supported offices. Each Heartland Dental supported office is unique to the community and the patients they serve.  Supported Doctors are the leaders of their practice and set forth their own clinical care philosophies. With the largest network of doctors, we are founded by a doctor for doctors with a mission to support dentists and their teams as they deliver the highest quality dental care and experiences to the communities they serve while providing exceptional careers and creating value for our stakeholders.

 

At Heartland Dental, we’re committed to living our core values which promote diversity and inclusion.  We provide all employees and applicants for employment the protections of federal, state, and local laws affording equal opportunity in employment.