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Manager Utilization Management Jobs in Kansas (NOW HIRING)

AIG

Underwriting Quality Manager

Lenexa, KS · On-site

$104K - $114K/yr

Review underwriting quality, pricing compliance, portfolio management utilization, management controls and provide senior management with commentary on the overall underwriting, go-forward critical ...

US Tech Solutions

Registered Nurse

Wichita, KS · On-site

MUST HAVE UM experience, inpatient utilization management review. * MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. * MUST HAVE 6 months of Prior Authorization.

Ascension

Case Management Assistant

Wichita, KS · On-site

$19.65/hr

Facilitate the documentation process with payers, meticulously recording interactions and keeping the Utilization Management Nurses looped in so they can own the full documentation and patient ...

Ascension

Case Management Assistant

Wichita, KS · On-site

Facilitate the documentation process with payers, meticulously recording interactions and keeping the Utilization Management Nurses looped in so they can own the full documentation and patient ...

Finite State

$99K - $100K/yr

... management, capacity planning, skills development, and utilization optimization across a multi-disciplinary team of product security engineers and analysts * Customer-facing managed services delivery ...

NMC Health

Social Worker

Newton, KS

Knowledge of care management, resource utilization, and utilization management required * Strong critical thinking, communication, and organizational skills * Ability to manage multiple priorities in ...

UnitiMed

RN Case Manager

Overland Park, KS · On-site

Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...

UnitiMed

RN Case Manager

Wichita, KS · On-site

Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...

NOV, Inc.

Regional Sales Manager, C&I

Wichita, KS · On-site

Drive disciplined sales execution, including activity tracking, pipeline management, and CRM utilization to deliver regular reporting on sales performance, opportunities, and market conditions.

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All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in Kansas

Manager Utilization Management information

See Kansas salary details

$34.8K

$81.2K

$149.4K

How much do manager utilization management jobs pay per year?

As of Aug 4, 2026, the average yearly pay for manager utilization management in Kansas is $81,168.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,100.00 and $97,700.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a manager utilization management?

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?

AspectManager Utilization ManagementUtilization Review Nurse
CredentialsRN, often with management or utilization review certificationsRN, with certifications in utilization review or case management
Work EnvironmentSupervises teams, manages policies, oversees utilization review processesPerforms patient chart reviews, assesses medical necessity, collaborates with providers
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare organizations
Search & Comparison IntentYesYes

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 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 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 Kansas? The most popular types of Utilization Management jobs in Kansas are:
What are popular job titles related to Manager Utilization Management jobs in Kansas? For Manager Utilization Management jobs in Kansas, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Kansas look for? The top searched job categories for Manager Utilization Management jobs in Kansas are:
What cities in Kansas are hiring for Manager Utilization Management jobs? Cities in Kansas with the most Manager Utilization Management job openings:
Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Kansas as of July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 1% Temporary, and 3% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $81,168 per year, or $39 per hour.

Manager Utilization Management

Blue Cross and Blue Shield of Kansas

Topeka, KS • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 14 days ago

Job description

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.
Why Join Us?
  • Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
  • Family Comes First: Total rewards package that promotes the idea of family first for all employees. Paid vacation and sick leave with paid maternity and paternity available immediately upon hire
  • Professional Growth Opportunities: Advance your career with ongoing training and development programs.
  • Dynamic Work Environment: Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility.
  • Trust and Stability: Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community.
  • Inclusive Work Environment: We pride ourselves on fostering a workplace where everyone is valued and respected.

Benefits & Perks
  • Base compensation is only one component of your competitive Total Rewards package
  • Incentive pay program (EPIP)
  • Health/Vision/Dental insurance
  • 6 weeks paid parental leave for new mothers and fathers
  • Fertility/Adoption assistance
  • 2 weeks paid caregiver leave
  • 401(k) plan matching up to 5%
  • Tuition reimbursement
  • Health & fitness benefits, discounts and resources

Job Summary
The Manager of Utilization Management leads medical necessity review functions, including precertifications, concurrent reviews, alternative care setting authorizations, and pre-service requests. This role ensures evidence-based, complaint care across all lines of business while partnering with internal teams, providers, and vendors to optimize outcomes, drive quality improvement, and maintain regulatory accreditation standards.
"This position is eligible to work hybrid or onsite in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."
What you'll do
  • Lead Utilization Management operations for pre-service requests, predeterminations, and concurrent reviews, ensuring adherence to all regulatory and accreditation requirements.
  • Maintain current knowledge on industry trends, clinical research, standards of care, and evidence-based guidelines to guide appropriate care and comprehensive Utilization Management practices.
  • Support and advance quality management initiatives that measure, monitor, and improve quality-based activities and outcomes, including programs such as HEDIS, QRS, QIS, and Stars.
  • Drive accountability and performance excellence across teams through objective performance management and regular Inter-Rater Reliability testing to ensure consistent Utilization Management decision-making.
  • Serve as a Subject Matter Expert for URAC Health Utilization Management Accreditation, FEP UM activities, Mental Health Parity, as well as ensuring all jobs functions are performed within the scope of the Kansas Nurse Practice Act.
  • Manage departmental budgets responsibly, ensuring proactive and intentional financial stewardship across all teams.
  • Act as the primary liaison for Blue Card care management activities, collaborating with provider relations, sales, and other internal partners to resolve provider issues and support special business arrangements.
  • Oversee vendor relationships through effective delegated oversight, ensuring UM activities meet accreditation standards and comply with state and federal regulations, including CMS and Medicare Advantage requirements.
  • Use data insights to guide operational improvements, accelerate divisional goals, and foster a positive, high-performance culture that inspires exceptional work.
  • Lead and develop UM staff, fostering a culture of accountability and continuous improvement. Assign work, evaluate performance, and support workflow optimization.

What you need
Knowledge/Skills/Abilities
  • Awareness and understanding of medical necessity, utilization patterns, standards of practice, and health care environment as they relate to all programs and staffing.
  • Demonstrated ability to communicate effectively across multiple channels while maintaining professionalism and confidentiality.
  • Effective time management, independent decision-making, and prioritization skills with flexibility to respond to changing priorities. Ability to obtain and analyze utilization, system, and workflow data.
  • Coordinates with procurement for vendor contracts.
  • Prepare and present information about medical necessity reviews to internal and external customers.
  • Interpersonal skills to effectively and professionally handle sensitive medical necessity, utilization, and cost issues with members, providers, group representatives, and other internal and external customers.
  • Familiarity with enterprise project management methodologies and collaborative planning practices (Agile, Scrum).

Education and Experience
  • Bachelor of Science in Nursing (BSN) or a bachelor's degree in a health related or business field required.
  • Registered Nurse with a minimum of five years of clinical experience required.
  • Minimum 5 years of Utilization Management experience, preferably in a leadership or managed care setting required.
  • Must have a current, active, and unrestricted Kansas RN License.

Physical Requirements
  • 95% of daily activity requires use of PC
  • Capable of complying with all Kansas laws and regulations regarding the operation and use of motor vehicles. Must have a valid driver's license. Able to travel, including overnight.

Compensation
$116,000 - $145,000 annually
Exempt Grade 18
  • Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.

Our Commitment to Connection and Belonging
At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law.
Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.

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