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Manager Utilization Management Jobs in Delta, PA

Eurofins

Biochemistry Resource Manager

Lancaster, PA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Utilization should be detailed enough to reflect the cost per project (for client) and costs ... Understanding and practitioner of Lean and/or Six Sigma principles and Project Management ...

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All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in Delta, PA

Manager Utilization Management information

See Delta, PA salary details

$38K

$88.8K

$163.4K

How much do manager utilization management jobs pay per year?

As of Aug 17, 2026, the average yearly pay for manager utilization management in Delta, PA is $88,786.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,000.00 and $106,800.00 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 cities near Delta, PA are hiring for Manager Utilization Management jobs?

Cities near Delta, PA with the most Manager Utilization Management job openings:

Manager Utilization Management jobs near you

Energy Manager

United States Army Installation Management Command

Aberdeen, MD • On-site, Remote

$102K - $158K/yr

Full-time

PTO

Posted 6 days ago

Job description

Summary
This is a Direct Hire Authority (DHA) solicitation utilizing the DHA for Certain Personnel in the DoD Workforce to recruit and appoint qualified candidates to positions in the competitive service.
About the Position: Serves as Energy Manager for IMCOM, DPW, Engineering Division, Army Energy Program at APG, MD. Developmental and preparatory position with assignments and training directed towards advancement to the full performance level. Position may be filled at the GS-12 or GS-13 grade level.
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Duties
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  • Serves as the Energy Manager for the US Army Installation Management Command (IMCOM) Directorate of Public Works (DPW) Engineering Division's Army Energy Program at Aberdeen Proving Ground.
  • Responsible for directing, administering, and performing work concerned with energy management plans, conservation and resilience operations, and utility related matters at an IMCOM Garrison.
  • Manages and implements the Army Energy Program with the goal of developing policy and directives to reduce energy costs and to support stewardship of resources, readiness, and sustainability.
  • Serves as a technical expert on facility energy utilization in support of the Army Energy Program.
  • Acts as the Contracting Officer's Representative (COR) for all energy related contracts directing and controlling material acquisition and overseeing construction progress and quality, intervening into the process as necessary.
  • Prepares all energy-related responses to outside audits, inspections, and surveys; represents the installation in dealing with other agencies.
  • Receives, reviews, and approves utility billing, overseeing building automation and metering systems to verify cost, consumption, and usage of energy and water systems.
  • Conducts detailed feasibility studies to collect information for economic analysis that provides information for energy conservation program plans.
  • May be required to represent the Operations and Maintenance Division during facility or weather emergencies, to coordinate available resources to mitigate facility damage and provide rapid organized support to limit tenant mission impact.

Requirements
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Conditions of employment
  • Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
  • This position requires the incumbent to be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment.
  • This position has a Temporary Duty (TDY) or business travel requirement of 5% of the time.
  • Appointment to this position is subject to a one-year probationary period unless the appointee has previously met the requirements as described in 5 CFR Part 315.
  • Must have and maintain a Certified Energy Manager (CEM) License through the Association of Energy Engineers or able to obtain a CEM License within the First Year of Employment.
  • This position may have work weekends, holidays, and outside normal duty hours.
  • OGE 450 Financial Disclosure Statement must be completed and signed prior to appointment and annually thereafter.
  • Must successfully complete and maintain Contracting Officers' Representative (COR) Certification within 90 days of appointment to the position.

Qualifications
Who May Apply: US Citizens
In order to qualify, you must meet the education and experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.
Basic Requirement for Engineers:
A. Degree: Bachelor's degree (or higher degree) in engineering. To be acceptable, the program must: (1) lead to a bachelor's degree (or higher degree) in a school of engineering with at least one program accredited by the Accreditation Board for Engineering and Technology (ABET); OR (2) include differential and integral calculus and courses (more advanced than first-year physics and chemistry) in five of the following seven areas of engineering science or physics: (a) statics, dynamics; (b) strength of materials (stress-strain relationships); (c) fluid mechanics, hydraulics; (d) thermodynamics; (e) electrical fields and circuits; (f) nature and properties of materials (relating particle and aggregate structure to properties); and (g) any other comparable area of fundamental engineering science or physics, such as optics, heat transfer, soil mechanics, or electronics.
OR
B. Combination of Education and Experience: College-level education, training, and/or technical experience that furnished (1) a thorough knowledge of the physical and mathematical sciences underlying engineering, and (2) a good understanding, both theoretical and practical, of the engineering sciences and techniques and their applications to one of the branches of engineering. The adequacy of such background must be demonstrated by one of the following:
1. Professional registration or licensure - Current registration as an Engineer Intern (EI), Engineer in Training (EIT), or licensure as a Professional Engineer (PE) by any State, the District of Columbia, Guam, or Puerto Rico. Absent other means of qualifying under this standard, those applicants who achieved such registration by means other than written test (e.g., State grandfather or eminence provisions) are eligible only for positions that are within or closely related to the specialty field of their registration. For example, an applicant who attains registration through a State Board's eminence provision as a manufacturing engineer typically would be rated eligible only for manufacturing engineering positions.
2. Written Test - Evidence of having successfully passed the Fundamentals of Engineering (FE) examination, or any other written test required for professional registration, by an engineering licensure board in the various States, the District of Columbia, Guam, or Puerto Rico.
3. Specified academic courses - Successful completion of at least 60 semester hours of courses in the physical, mathematical, and engineering sciences and that included the courses specified in A above. The courses must be fully acceptable toward meeting the requirements of an engineering program.
4. Related curriculum - Successful completion of a curriculum leading to a bachelor's degree in an appropriate scientific field, e.g., engineering technology, physics, chemistry, architecture, computer science, mathematics, hydrology, or geology, may be accepted in lieu of a degree in engineering, provided the applicant has had at least 1 year of professional engineering experience acquired under professional engineering supervision and guidance. Ordinarily there should be either an established plan of intensive training to develop professional engineering competence, or several years of prior professional engineering-type experience, e.g., in interdisciplinary positions.
In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below:
Specialized Experience: One year of specialized experience which includes 1. Use mechanical and electrical engineering knowledge to resolve difficult facility energy engineering problems. 2. Inspect and analyze energy systems operations for regulatory compliance operation. 3. Experience reducing forms of energy consumption without adversely affecting the mission. 4. Experience studying and managing an energy program to recommend ways to improve efficiency and effectiveness of the energy program. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-12).
Specialized Experience: One year of specialized experience which includes: 1. Use mechanical and electrical engineering knowledge to resolve facility energy engineering problems. 2. Assist in inspecting and analyzing energy systems operations for regulatory compliance operation. 3. Experience reducing forms of energy consumption in buildings and facilities. 4. Experience organizing an energy program to recommend ways to improve efficiency and effectiveness of the energy program. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-11).
Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience aloneno substitution of education for experience is permitted.
Education
FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/
Additional information
  • Male applicants born after December 31, 1959, must complete a Pre-Employment Certification Statement for Selective Service Registration.
  • You will be required to provide proof of U.S. Citizenship.
  • This position requires a 1 year probationary period during which the agency evaluates your fitness and whether your continued employment advances the public interest. In making this determination, the agency may consider your performance and conduct; agency needs and interests; whether your continued employment supports organizational or Government goals; and whether it promotes the efficiency of the Federal service. Continued employment requires written certification that it advances the public interest.
  • Direct Deposit of Pay is required.
  • This position requires you to submit a Public Financial Disclosure Report (OGE 278) or a Confidential Financial Disclosure Report (OGE450) upon entry, and annually thereafter.
  • Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
  • If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.
  • Multiple positions may be filled by this vacancy.
  • This is a Construction, Engineering and Infrastructure Career Field position.
  • Salary includes applicable locality pay or Local Market Supplement.
  • When you perform a Civilian Permanent Change of Station (PCS) with the government, the Internal Revenue Service (IRS) considers the majority of your entitlements to be taxable. Visit https://www.dfas.mil/civilianemployees/civrelo/Civilian-Moving-Expenses-Tax-Deduction/ for more information.
  • Permanent Change of Station (PCS) allowances may be authorized, subject to the provisions of the Joint Travel Regulations and an agency determination that a PCS move is in the Government Interest.
  • The following special programs/incentives MAY be offered if it is appropriate to the position being filled and in the best interest of the government:
    • Recruitment Incentives
    • Relocation Incentives
    • Student Loan Repayment
    • Salary negotiations for those candidates who are new to Federal service may be authorized.
    • Credit for prior non-federal work experience and certain military service for determining annual leave accrual rate may be authorized.

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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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