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Manager Utilization Management Jobs in Austin, TX

Evolent

Field Medical Director, Vascular Surgeon

Austin, TX · On-site

$130 - $140/hr

As a Vascular Surgery, Field Medical Director 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-clinical ...

CareVitality Inc

Care Manager - Remote

Austin, TX · On-site

$60K - $77K/yr

Experience or formal training in care management, chronic disease management, behavioral health or utilization management, is preferred. Language Skills: * Must have excellent interpersonal, oral and ...

MWH

Crane Manager / Crane Superintendent

Austin, TX · On-site

$110 - $150/hr

Essential Functions Crane Operations Management * Manage day-to-day crane operations across the project. * Coordinate crane utilization and scheduling between subcontractors, package managers, and ...

MWH

Crane Manager / Crane Superintendent

Austin, TX · On-site

Essential Functions Crane Operations Management * Manage day-to-day crane operations across the project. * Coordinate crane utilization and scheduling between subcontractors, package managers, and ...

MWH

Crane Manager / Crane Superintendent

Del Valle, TX · On-site

Essential Functions Crane Operations Management * Manage day-to-day crane operations across the project. * Coordinate crane utilization and scheduling between subcontractors, package managers, and ...

Evolent

Oncology - Radiation Physician

Austin, TX · 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 ...

CBRE

Sr. Procurement Manager

Austin, TX · On-site

$94K - $127K/yr

Act as a key point of contact for utilization management and coordination with outside procurement solutions. * Lead by example and model behaviors that are consistent with CBRE RISE values.

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Showing results 21-40

All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in Austin, TX

Manager Utilization Management information

See Austin, TX salary details

$38.7K

$90.2K

$166K

How much do manager utilization management jobs pay per year?

As of Aug 20, 2026, the average yearly pay for manager utilization management in Austin, TX is $90,211.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,000.00 and $108,500.00 per year, depending on experience, location, and employer.

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 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 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 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 the most commonly searched types of Utilization Management jobs in Austin, TX?

The most popular types of Utilization Management jobs in Austin, TX are:

What are popular job titles related to Manager Utilization Management jobs in Austin, TX?

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

What job categories do people searching Manager Utilization Management jobs in Austin, TX look for?

The top searched job categories for Manager Utilization Management jobs in Austin, TX are:

What cities near Austin, TX are hiring for Manager Utilization Management jobs?

Cities near Austin, TX with the most Manager Utilization Management job openings:

Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Austin, TX as of August 2026, with employment types broken down into 85% Full Time, and 15% Contract. Highlights an 100% In-person job distribution, with an average salary of $90,211 per year, or $43.4 per hour.

Clinical Adjudication Manager (Part C)

TMF Health Quality Institute

Austin, TX • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 17 days ago

Job description

**Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.**
*This position is located Remote United States*
*This position requires working weekends, and rotating holidays as needed*
Position Purpose:
Manages project activities and participates in the development and monitoring of all related tasks. Manages medical and non-medical appeals decisions.
Essential Responsibilities:
  • Plans and manages project activities to meet contract deliverables.
  • Plans, manages, and develops a standardized approach for dissemination and communication of project information.
  • Plans, manages, and develops presentations or instructional materials related to area of responsibility.
  • Plans, prepares, and facilitates regular team meetings.
  • Manages, trains, and evaluates project work activities and personnel.
  • Manages the administrative processing of appeals/disputes and the coordination of workflow among internal staff and subcontractors.
  • Manages, establishes, and maintains professional and effective working relationships with external business partners and internal staff.

Minimum Qualifications
Education
  • Associate's degree or 60 or more credit hours towards a Bachelor's degree from an accredited college or university in healthcare or related discipline
    • Additional clinical or medical administration experience may be substituted for Associate's degree on a year per year basis. (Experience requirements may be satisfied by full-time experience or the prorated part-time equivalent.)

Experience
  • Five (5) years conducting or overseeing Medicare appeals, medical review, or utilization management of Medicare claims.
  • Three (3) years management or supervisory
  • Healthcare Professional with one (1) year demonstrated experience writing, making, or overseeing Medicare related medical necessity decisions
  • Nursing, Physical Therapy, Respiratory Therapy or Occupational Therapy experience
  • Conducting or overseeing Medicare Part C related appeals activities, preferred

Benefits
C2C offers an excellent benefits package, including:
  • Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance
  • Section 125 plan
  • 401K
  • Competitive salary
  • License/credentials reimbursement
  • Tuition Reimbursement

EOE Vet/Disability
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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