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Manager Utilization Management Jobs in Minnesota

UnitedHealth Group

Senior Tech Product Manager

Eden Prairie, MN · On-site

$129K - $170K/yr

  • Retirement

Drive product vision and strategy roadmap for utilization management for Oncology * Engage appropriate enterprise-wide stakeholders to enable awareness and alignment * Responsible for management of ...

UnitedHealth Group

Senior Tech Product Manager

Eden Prairie, MN · Remote

$129K - $170K/yr

  • Retirement

Drive product vision and strategy roadmap for utilization management for Oncology * Engage appropriate enterprise-wide stakeholders to enable awareness and alignment * Responsible for management of ...

GQR Global Markets

RN Case Manager

Minneapolis, MN · On-site

$2.9K - $3.0K/wk

  • Medical

  • Dental

  • Vision

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Minneapolis, Minnesota Start Date: August 10, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

New

North Memorial Health

RN Case Manager

Robbinsdale, MN · On-site

$37.49 - $56.23/hr

  • Medical

  • Retirement

  • PTO

Experience • Three to five years previous acute care nursing experience preferred. • Hospital case management and utilization management experience preferred • Knowledge of current case ...

North Memorial Health

RN Case Manager

Robbinsdale, MN · On-site

  • Medical

  • Retirement

  • PTO

Experience • Three to five years previous acute care nursing experience preferred. • Hospital case management and utilization management experience preferred • Knowledge of current case ...

North Memorial Health Care

RN Case Manager

Minneapolis, MN · On-site

  • Medical

  • Retirement

  • PTO

Experience • Three to five years previous acute care nursing experience preferred. • Hospital case management and utilization management experience preferred • Knowledge of current case ...

Blaze Health

RN Case Manager

Robbinsdale, MN · On-site

  • Medical

  • Retirement

  • PTO

Hospital case management and utilization management experience preferred Knowledge of current case management principles, utilization management, length of stay management and/or transition/discharge ...

North Memorial Health

RN Case Manager

Robbinsdale, MN · On-site

  • Medical

  • Retirement

  • PTO

Hospital case management and utilization management experience preferred Knowledge of current case management principles, utilization management, length of stay management and/or transition/discharge ...

Mercy

RN Care Manager - Part Time, Weekend Option

Anoka, MN · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Care Management or Utilization Management experience. Certification/Registration: Certification in Case Management. Other Skills & Knowledge: Strong verbal and written communication and facilitation ...

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Showing results 41-60

All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in Minnesota

Manager Utilization Management information

See Minnesota salary details

$38.2K

$89.1K

$164.1K

How much do manager utilization management jobs pay per year?

As of Aug 16, 2026, the average yearly pay for manager utilization management in Minnesota is $89,138.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,300.00 and $107,200.00 per year, depending on experience, location, and employer.

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

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 Minnesota?

The most popular types of Utilization Management jobs in Minnesota are:

What are popular job titles related to Manager Utilization Management jobs in Minnesota?

For Manager Utilization Management jobs in Minnesota, the most frequently searched job titles are:

What job categories do people searching Manager Utilization Management jobs in Minnesota look for?

The top searched job categories for Manager Utilization Management jobs in Minnesota are:

What cities in Minnesota are hiring for Manager Utilization Management jobs?

Cities in Minnesota with the most Manager Utilization Management job openings:

Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Minnesota as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $89,138 per year, or $42.9 per hour.

Consultant, Clinical Pharmacy Program

HealthPartners

Bloomington, MN • On-site

$90 - $130/hr

Other

Re-posted 6 days ago

HealthPartners rating

7.5

Company rating: 7.5 out of 10

Based on 134 frontline employees who took The Breakroom Quiz

235th of 887 rated healthcare providers

Job description

HealthPartners is hiring a Clinical Pharmacy Program Consultant. This position has responsibility for coordinating strategic approaches for effective and efficient quality and utilization management of medications. This position will work closely with the Clinical Pharmacy Program Managers and internal and external partners to implement pharmacy program management interventions resulting in measurable outcomes that improve affordability.

Accountabilities
  • Facilitate the development, management and evaluation of key medication management strategies in partnership with multiple stakeholders across the organization.
  • Identify new clinical programs through marketplace and data analyses. Manage the adoption, implementation and evaluation of these approaches.
  • Apply Lean and other Quality Improvement Project principles to existing and new utilization management initiatives to improve effectiveness and efficiencies.
  • Direct the development of clinical management strategies for drugs and drug classes. This includes conducting drug reviews and proposing coverage criteria for evaluation and adoption by the Pharmacy & Therapeutics Committee.
  • Partner with others to communicate the value of our clinical programs to external purchasers.
  • Establish and maintain positive relationships with key management staff, medical directors, and internal departments.
  • Facilitate the Quality Utilization Improvement program for specialty pharmacy.
  • Participate in the management of specialty pharmacy partner relationships.
  • Perform other duties as assigned.
Required Qualifications
  • Bachelor’s degree in pharmacy or Doctor of Pharmacy degree
  • Current Pharmacist License in the State of Minnesota
  • Completion of a Pharmacy Residency or 2 years in managed care pharmacy leadership
  • Able to assess and utilize business data to detect opportunities and issues; strong analytical thinking.
  • Excellent verbal and written communication skills
  • Excellent problem solving skills
  • Excellent organizational and project management skills
  • Demonstrated ability to maintain effective relationships with peers and customers
  • Demonstrated ability to work independently
  • Proficiency with Microsoft Office software
Preferred Qualifications
  • Specialty pharmacy and/or medical benefit management experience
  • Familiarity with HealthPartners clinical pharmacy programs and systems
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