Physician Advisor
Hobart, IN · On-site
The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
Physician Advisor
Hobart, IN · On-site
The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
Implementation and Project Management * Develop effective plans for large scale customer deployments and utilization with identified milestones and goals * Understand and uncover customer needs ...
Implementation and Project Management * Develop effective plans for large scale customer deployments and utilization with identified milestones and goals * Understand and uncover customer needs ...
Implementation and Project Management * Develop effective plans for large scale customer deployments and utilization with identified milestones and goals * Understand and uncover customer needs ...
Implementation and Project Management * Develop effective plans for large scale customer deployments and utilization with identified milestones and goals * Understand and uncover customer needs ...
Implementation and Project Management * Develop effective plans for large scale customer deployments and utilization with identified milestones and goals * Understand and uncover customer needs ...
Implementation and Project Management * Develop effective plans for large scale customer deployments and utilization with identified milestones and goals * Understand and uncover customer needs ...
Implementation and Project Management * Develop effective plans for large scale customer deployments and utilization with identified milestones and goals * Understand and uncover customer needs ...
Implementation and Project Management * Develop effective plans for large scale customer deployments and utilization with identified milestones and goals * Understand and uncover customer needs ...
Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review ...
Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review ...
Physician Advisor
Munster, IN · On-site
The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
Physician Advisor
Munster, IN · On-site
The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
Appeals Pharmacist (Remote)
Indianapolis, IN · On-site +1
$54.75 - $66.75/hr
Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:
Appeals Pharmacist (Remote)
Indianapolis, IN · On-site +1
$54.75 - $66.75/hr
Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:
Remote Prior Authorization Pharmacist
West Lafayette, IN · Remote
$52.25 - $62.75/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Remote Prior Authorization Pharmacist
West Lafayette, IN · Remote
$52.25 - $62.75/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Remote Prior Authorization Pharmacist
Indianapolis, IN · Remote
$55.75 - $67/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Remote Prior Authorization Pharmacist
Indianapolis, IN · Remote
$55.75 - $67/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
RN - Case Manager
$1K - $1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Evansville, Indiana Start Date: February 15, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1686 ...
RN - Case Manager
$1K - $1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Evansville, Indiana Start Date: February 15, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1686 ...
RN - Case Manager
$1K - $1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Indianapolis, Indiana Start Date: June 14, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care ...
RN - Case Manager
$1K - $1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Indianapolis, Indiana Start Date: June 14, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care ...
Provider Advisor
Hobart, IN · On-site
$52.89 - $78.85/hr
The Provider Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
Provider Advisor
Hobart, IN · On-site
$52.89 - $78.85/hr
The Provider Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
The Provider Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
The Provider Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
The Utilization Reviewer contributes to assessment and planning by performing a thorough review of ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
The Utilization Reviewer contributes to assessment and planning by performing a thorough review of ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
The Utilization Reviewer contributes to assessment and planning by performing a thorough review of ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
The Utilization Reviewer contributes to assessment and planning by performing a thorough review of ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
The Utilization Reviewer contributes to assessment and planning by performing a thorough review of ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
The Utilization Reviewer contributes to assessment and planning by performing a thorough review of ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
The Utilization Reviewer contributes to assessment and planning by performing a thorough review of ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
Quick apply
The Utilization Reviewer contributes to assessment and planning by performing a thorough review of ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
Utilization management experience in Cardiovascular or Radiology. * Highly organized and analytical with strong attention to detail. * Ability to manage multiple priorities while maintaining ...
Utilization management experience in Cardiovascular or Radiology. * Highly organized and analytical with strong attention to detail. * Ability to manage multiple priorities while maintaining ...
Utilization management experience in Cardiovascular or Radiology. * Highly organized and analytical with strong attention to detail. * Ability to manage multiple priorities while maintaining ...
Utilization management experience in Cardiovascular or Radiology. * Highly organized and analytical with strong attention to detail. * Ability to manage multiple priorities while maintaining ...
Manager Utilization Management information
See Indiana salary details
$37.1K - $48.2K
9% of jobs
$56.4K is the 25th percentile. Wages below this are outliers.
$48.2K - $59.3K
22% of jobs
$59.3K - $70.5K
11% of jobs
The median wage is $77.3K / yr.
$70.5K - $81.6K
14% of jobs
$81.6K - $92.7K
12% of jobs
$99.6K is the 75th percentile. Wages above this are outliers.
$92.7K - $103.8K
13% of jobs
$103.8K - $114.9K
13% of jobs
$114.9K - $126K
5% of jobs
$126K - $137.2K
2% of jobs
$137.2K - $148.3K
0% of jobs
$148.3K - $159.4K
0% of jobs
$37.1K
$86.6K
$159.4K
How much do manager utilization management jobs pay per year?
As of Jun 9, 2026, the average yearly pay for manager utilization management in Indiana is $86,603.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,600.00 and $104,200.00 per year, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as a Manager Utilization Management, and why are they important?
To thrive as a Manager Utilization Management, you need a thorough understanding of healthcare regulations, utilization review processes, and case management, often supported by a clinical degree (such as RN) and relevant experience. Familiarity with utilization management software, claims processing systems, and potentially certifications like CCM (Certified Case Manager) or ACM (Accredited Case Manager) is important. Strong leadership, analytical thinking, and effective communication help you guide teams and collaborate with providers and payers. These skills ensure efficient resource use, compliance, and quality patient care within managed care organizations.
What is the difference between Manager Utilization Management vs Utilization Review Nurse?
| Aspect | Manager Utilization Management | Utilization Review Nurse |
|---|---|---|
| Credentials | RN, often with management or utilization review certifications | RN, with certifications in utilization review or case management |
| Work Environment | Supervises teams, manages policies, oversees utilization review processes | Performs patient chart reviews, assesses medical necessity, collaborates with providers |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, insurance companies, healthcare organizations |
| Search & Comparison Intent | Yes | Yes |
While both roles focus on utilization review, the Manager Utilization Management oversees teams and policies, ensuring efficient resource use, whereas the Utilization Review Nurse conducts patient-specific reviews to determine medical necessity. The manager role involves leadership and strategic planning, while the nurse role is more clinical and review-focused.
What are some common challenges faced by a Manager in Utilization Management, and how can they effectively address them?
Managers in Utilization Management often encounter challenges such as balancing quality patient care with cost containment, navigating evolving healthcare regulations, and managing diverse teams. To effectively address these issues, successful managers develop strong communication skills, stay updated on industry standards, and foster collaboration between clinical and administrative staff. Implementing robust training programs and utilizing data-driven decision-making can also help ensure compliance and improve overall team performance.
What does a Manager of Utilization Management do?
A Manager of Utilization Management oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead a team that reviews medical claims and care plans to ensure compliance with clinical guidelines and regulatory requirements. Their role often involves collaborating with physicians, nurses, insurance companies, and other stakeholders to optimize patient outcomes while managing healthcare costs. Additionally, they are responsible for implementing policies, training staff, and ensuring that utilization management activities align with organizational goals.
What are the most commonly searched types of Utilization Management jobs in Indiana? The most popular types of Utilization Management jobs in Indiana are:
What are popular job titles related to Manager Utilization Management jobs in Indiana? For Manager Utilization Management jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Indiana look for? The top searched job categories for Manager Utilization Management jobs in Indiana are:
What cities in Indiana are hiring for Manager Utilization Management jobs? Cities in Indiana with the most Manager Utilization Management job openings:
Full-time
Posted 7 days ago
Powers Health rating
6.5
Based on 65 frontline employees who took The Breakroom Quiz
592nd of 870 rated healthcare providers
Job description
Position Title: Physician Advisor
Location: St. Mary Medical Center - Hobart, IN 46342
Position Summary:
The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical reviews, consulting with Physicians on patient status and resource use, collaborating with care management and health information management (HIM) to improve documentation and coding, and acting as a liaison with third-party payers for appeals and authorizations. The goal is to ensure accurate reimbursement, efficient use of hospital services, adherence to regulations, and ultimately, better patient care and outcomes.
Education & Experience Requirements:
Location: St. Mary Medical Center - Hobart, IN 46342
Position Summary:
The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical reviews, consulting with Physicians on patient status and resource use, collaborating with care management and health information management (HIM) to improve documentation and coding, and acting as a liaison with third-party payers for appeals and authorizations. The goal is to ensure accurate reimbursement, efficient use of hospital services, adherence to regulations, and ultimately, better patient care and outcomes.
Education & Experience Requirements:
- Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO). Graduate of an accredited residency program and is board eligible in American Board of Medical Specialties or equivalent board.
- Current and unlimited license to practice medicine in the State of Indiana.
- Maintain all necessary and customary narcotics and controlled substance numbers and licenses.
- Maintain active CPR certification.
- Minimum of 5 years of medical clinical practice or previous role as Physician Advisor.
- Knowledge of and ability to apply professional medical principles, procedures, and techniques.
- Excellent verbal and written communication skills to communicate effectively with other physicians, staff, patients, payors, etc.
- Effective ability to communicate recommendations or suggestions in a balanced way to the Physicians and staff.
- Experience in hospital process; i.e., utilization management, case management, clinical care protocols, and coding and billing with strong knowledge of regulatory requirements such as CMS and Joint Commission and payor guideline.
- Maintain concise, timely, and accurate confidential records of patients.
- Ability to analyze complex clinical and administrative data and provide actionable recommendations.
- Good time management skills. Strong decision making and practice skills.
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