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Manager Utilization Management Jobs in Washington

Addison Group

HSCPC RN Case Manager

Washington, DC · On-site

$80K - $115K/yr

This role will oversee daily operations within a highly collaborative, multidisciplinary clinical resource management team focused on patient throughput, utilization management, intake coordination ...

Elevance Health

HCMS Director

Hanover, MD · On-site

$115K - $172K/yr

Implements and manages health care management, utilization, cost, and quality objectives. * Ensures program compliance and identifies opportunities to improve the customer service and quality ...

Elevance Health

HCMS Director

Hanover, MD · On-site

$115K - $172K/yr

Implements and manages health care management, utilization, cost, and quality objectives. * Ensures program compliance and identifies opportunities to improve the customer service and quality ...

UHS

Utilization Review Coordinator

Washington, DC · On-site

$33.60 - $50.40/hr

Informs department director of changes in managed care companies. Maintains awareness of unique ... Six months psychiatric utilization review either for hospital or external review organization ...

UHS

Utilization Review Coordinator

Washington, DC

Informs department director of changes in managed care companies. Maintains awareness of unique ... Six months psychiatric utilization review either for hospital or external review organization ...

Evolent

Oncology - Radiation Physician

Arlington, VA · On-site

Field Medical Director, Radiation Oncology As a FMD, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non ...

Evolent

Oncology - Radiation Physician

Arlington, VA

Field Medical Director, Radiation Oncology As a FMD, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non ...

UHS

Utilization Review Coordinator

Washington, DC

Informs department director of changes in managed care companies. Maintains awareness of unique ... Six months psychiatric utilization review either for hospital or external review organization ...

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All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in Washington

Manager Utilization Management information

See Washington salary details

$44.2K

$103.1K

$189.7K

How much do manager utilization management jobs pay per year?

As of Jul 20, 2026, the average yearly pay for manager utilization management in Washington is $103,079.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,400.00 and $124,000.00 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?

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 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 Washington? The most popular types of Utilization Management jobs in Washington are:
What are popular job titles related to Manager Utilization Management jobs in Washington? For Manager Utilization Management jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Washington look for? The top searched job categories for Manager Utilization Management jobs in Washington are:
What cities in Washington are hiring for Manager Utilization Management jobs? Cities in Washington with the most Manager Utilization Management job openings:
Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Washington as of July 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $103,079 per year, or $49.6 per hour.
Director, Policy and Advocacy

Director, Policy and Advocacy

Cancer Support Community

Washington, DC • On-site

$120K - $132K/yr

Full-time

Posted 3 days ago

New

Job description

Director, Policy and Advocacy
Full-time (Washington DC Metro Area)
The Cancer Support Community (CSC), an international nonprofit organization headquartered in Washington, D.C., is seeking an ambitious and detail-oriented individual who is passionate about making a difference in the lives of people impacted by cancer for our Director, Policy and Advocacy position.
JOB SUMMARY: The Director, Policy and Advocacy will serve in a leadership position of the Cancer Policy Institute to develop and implement CSC's overall strategy related to regulatory and legislative priorities. The individual selected for this role will be a self-starter, experienced in public policy, and committed to fulfilling the mission of CSC. This role is based in Washington, DC, and the individual will report to the Vice President, Policy and Advocacy of the Cancer Policy Institute.
ESSENTIAL FUNCTIONS:
Program Management:
  • Work to develop and implement the policy and advocacy agenda of the Cancer Policy Institute
  • Serve as a public face of CSC and Cancer Policy Institute at coalition meetings, with policymakers and funders, and at other external convenings with national partners
  • Lead coordination and development of activities around CPI meetings and convenings (e.g. Network Partner quarterly meetings, Utilization Management roundtables)
  • Lead activities around Hill Days, meetings with Congressional staff, and other offerings
  • Lead and manage activities around grassroots communication and advocacy toolkits with Network Partners, patients, and caregivers (e.g. 340B, utilization management, patient engagement, CAR-T cell therapy)
  • Manage and oversee specific state-based strategies, as assigned (e.g. 340B, CAR-T cell therapy, Medicaid, telehealth, utilization management)
  • Effectively disseminate methodology and results of CSC projects and services with the goal of influencing state and national policy and practices
  • Steward and develop relationships with funders

Advocacy Expert:
  • Identify, track, and monitor emerging public policy issues in line with CSC's strategic plan
  • Conduct strategic policy analysis, research issues and draft reports (both informational and instructional) for internal and external distribution
  • Secure and grow relationships with funders, policymakers across multiple sectors, fellow advocates, and other stakeholders
  • Engage and coordinate with CSC's national partners to identify areas of common work and consensus, and to advocate collectively for positive change for people affected by cancer

People Leader:
  • Coach and mentor staff in the development of capabilities within the department, within CSC and within the support community.

Performs other duties as requested by management
SKILLS AND ABILITIES:
  • Ability to analyze policy, develop recommendations and create position statements
  • Ability to write clearly, persuasively and briefly according to intended audiences
  • Strong project management skills
  • Demonstrated knowledge of the policy and programmatic issues related to cancer and health policy
  • Demonstrated leadership, acute analytical skills, strong public speaking, confidence in communicating with a variety of public figures and partners, including strategic partnerships
  • Highly self-motivated and directed, with attention to detail
  • Support and identify opportunities for innovative partnerships with the public and private sectors, academia and government agencies to advance CSC projects and services
  • Flexible team player who thrives in environments requiring ability to effectively prioritize and juggle multiple concurrent projects
  • Demonstrated experience organizing and coordinating Hill Days and state-based advocacy efforts
  • Experience working with grassroots advocacy software
  • Proven experience working diplomatically and with discretion with diverse policy allies and coalitions
  • Ability to travel up to 25 percent of the time

TECHNICAL SKILLS:
  • Technical proficiency with Microsoft Office, Teams, and Zoom, and experience with any specific software or technology needed for the job

EDUCATION: Advanced degree preferred (MPH, MHA, MPP, JD)
EXPERIENCE: A minimum of 5 years of experience in public policy, public interest law or related field; 3-5 years of experience leading people; oncology experience preferred; experience representing patients, caregivers, and/or healthcare consumers preferred.
SALARY AND BENEFITS
Dependent on experience. In addition to a competitive base salary, we offer statutory benefits required by law.
WORK LOCATION
This position is located in Washington, D.C. You may work at CSC's office in Washington, DC on a full-time basis or on a hybrid (in-office/work-from-home) schedule in the Washington, DC area.
HOW TO APPLY
Please submit an original cover letter and resume.
*Applications are accepted and considered on a rolling basis.
*Applications without a cover letter will not be considered.
ABOUT CANCER SUPPORT COMMUNITY
The Cancer Support Community is a global nonprofit that uplifts and strengthens people impacted by cancer. We are dedicated to fostering a community where people find connection, compassion, and knowledge. We provide professionally led support and navigation services, along with social connections and award-winning education - when, where and how impacted individuals prefer throughout their cancer experience. These resources are available at over 200 Cancer Support Community, Gilda's Club, and healthcare partner locations as well as online and over the phone - all at no cost. We amplify the voices of those impacted by cancer through research and advocacy and create solutions that break down barriers to care and close the healthcare gap for communities whose members are disproportionately affected by cancer. For more information, visit www.CancerSupportCommunity.org.
Cancer Support Community is an Equal Opportunity Employer

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