1

Manager Utilization Management Jobs in Wichita, KS

Formulary Management Pharmacist

Wichita, KS ยท On-site

$57.50 - $69/hr

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...

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.

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

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

Restaurant Kitchen Manager

Wichita, KS ยท On-site

$45K - $58K/yr

Manage food inventory, including record keeping and utilization * Manage cost of labor and productivity * Schedule staff hours * Resolve personnel problems including, but not limited to issues such ...

Restaurant Kitchen Manager

Wichita, KS ยท On-site

$45K - $58K/yr

Manage food inventory, including record keeping and utilization * Manage cost of labor and productivity * Schedule staff hours * Resolve personnel problems including, but not limited to issues such ...

Develop and implement manufacturing strategies that improve throughput, equipment utilization, and ... Working knowledge of OSHA regulations, quality management systems, and environmental compliance.

Manages Specialist scheduling requirements, coordinating updates, shift changes, and intraday ... Monitors agent states, occupancy levels, and productivity metrics to optimize resource utilization ...

HSE Manager

Wichita, KS ยท On-site

$90K - $100K/yr

Oversee chemical inventory management and Safety Data Sheet (SDS) administration * Support and ... Identify and implement sustainability initiatives that reduce waste, improve resource utilization ...

Manages Specialist scheduling requirements, coordinating updates, shift changes, and intraday ... Monitors agent states, occupancy levels, and productivity metrics to optimize resource utilization ...

Manages Specialist scheduling requirements, coordinating updates, shift changes, and intraday ... Monitors agent states, occupancy levels, and productivity metrics to optimize resource utilization ...

Manages Specialist scheduling requirements, coordinating updates, shift changes, and intraday ... Monitors agent states, occupancy levels, and productivity metrics to optimize resource utilization ...

Registered Nurse (RN) Supervisor

Wichita, KS ยท On-site

$70K - $85K/hr

Utilization Review RNs, RN Case Managers, Medical Assistant Care Navigators This position is located in Wichita, KS. Applicant must be able to work on-site. Position Summary The RN Supervisor ...

next page

Showing results 1-20

Manager Utilization Management information

See Wichita, KS salary details

$34.9K

$81.4K

$149.8K

How much do manager utilization management jobs pay per year?

As of Aug 26, 2026, the average yearly pay for manager utilization management in Wichita, KS is $81,419.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,200.00 and $98,000.00 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 Wichita, KS?

The most popular types of Utilization Management jobs in Wichita, KS are:

What are popular job titles related to Manager Utilization Management jobs in Wichita, KS?

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

Infographic showing various Manager Utilization Management job openings in Wichita, KS as of August 2026, with employment types broken down into 83% Full Time, and 17% Contract. Highlights an 100% In-person job distribution, with an average salary of $81,419 per year, or $39.1 per hour.

Formulary Management Pharmacist

Pharmacy Careers

Wichita, KS โ€ข On-site

$57.50 - $69/hr

Other

Posted 10 days ago


Job description

Formulary Management Pharmacist - Influence Therapy Access at Scale | Hybrid/Remote Friendly
Shape which medications patients can access by evaluating new drugs, analyzing clinical and economic data, and supporting P&T; Committee decisions. This role offers strong intellectual challenge and often hybrid or remote flexibility.
Key Responsibilities

  • Evaluate and review new drug products for formulary inclusion or exclusion.
  • Analyze clinical trial data, cost-effectiveness, and therapeutic outcomes to support recommendations.
  • Collaborate with Pharmacy & Therapeutics (P&T;) Committees on formulary decisions.
  • Maintain and update formulary lists in compliance with health-plan, PBM, and regulatory standards.
  • Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines.
What You'll Bring
  • Education: PharmD or Bachelor of Pharmacy.
  • Licensure: Active U.S. pharmacist license.
  • Experience: Managed care, PBM, or health-plan ideal. All pharmacists interested in formulary and policy work are encouraged to apply.
  • Skills: Strong analytical ability, interpretation of clinical research, and excellent written communication.
Why This Role?
  • Influence therapy access decisions that affect large populations.
  • Gain specialized expertise in managed-care pharmacy.
  • Many positions are hybrid or remote-friendly.
  • Competitive pay, benefits, and professional development.

About Us
We are a confidential healthcare organization working with PBMs, insurers, and health systems nationwide. Our pharmacists drive evidence-based decisions that balance patient care with responsible resource use.
Apply Today
Take the next step - apply now for our Formulary Management Pharmacist opening and make your expertise count system-wide.