ZipRecruiter

Log In

1

Supervisor Utilization Management Jobs (NOW HIRING)

next page

Showing results 1-20

All JobsSupervisor Utilization Management Jobs

Supervisor Utilization Management information

See salary details

$39K

$91K

$167.5K

How much do supervisor utilization management jobs pay per year?

As of Jun 25, 2026, the average yearly pay for supervisor utilization management in the United States is $91,011.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $109,500.00 per year, depending on experience, location, and employer.

What is a Supervisor Utilization Management job?

A Supervisor Utilization Management oversees the utilization review process to ensure healthcare services are used efficiently and appropriately. They manage a team of utilization review staff, monitor case reviews, and ensure compliance with policies and regulations. Their role includes coordinating with healthcare providers, optimizing resource use, and improving patient care outcomes.

What is the highest paying job in healthcare management?

In healthcare management, executive roles such as Chief Executive Officer (CEO), Chief Operating Officer (COO), and Chief Financial Officer (CFO) typically have the highest salaries. These positions require extensive experience, leadership skills, and often advanced degrees like an MBA or healthcare administration certification.

What jobs pay $2000 a day?

Jobs that can pay $2000 a day typically include high-level roles such as specialized surgeons, senior corporate executives, or certain consulting and investment banking positions. These roles often require advanced skills, extensive experience, and sometimes certifications, and they may involve long hours or high-pressure environments.

What are the key skills and qualifications needed to thrive in the Supervisor Utilization Management position, and why are they important?

To thrive as a Supervisor Utilization Management, you need in-depth knowledge of healthcare utilization review, case management, and compliance regulations, typically supported by a clinical background and relevant licensure or certification. Familiarity with utilization management software, claims processing systems, and data analysis tools such as Microsoft Excel or SQL is often required. Strong leadership, effective communication, and problem-solving abilities are critical soft skills for leading teams and collaborating with physicians and payers. These capabilities ensure efficient workflow management, regulatory adherence, and improved patient outcomes within healthcare organizations.

What degree do you need for utilization management?

A supervisor in utilization management typically needs at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Some roles may require a master's degree or professional certifications such as Certified Managed Care Professional (CMCP) or Certified Professional in Healthcare Quality (CPHQ). Experience in healthcare or case management is also important for advancement.

What are the typical daily responsibilities of a Supervisor Utilization Management?

A Supervisor Utilization Management typically oversees a team of utilization review nurses or specialists, monitors case workloads, and ensures that medical necessity and regulatory standards are met during patient care reviews. On a daily basis, you might review complex cases, coordinate with physicians and insurance companies regarding care determinations, and implement departmental process improvements. Supervisors also provide staff training, audit case files for quality assurance, and manage departmental reporting and metrics. Collaborating with interdisciplinary teams and adapting to changing regulations are essential aspects of the role, offering variety and opportunities to influence patient care delivery.

Is utilization management a growing field?

Utilization management is a growing field within healthcare, driven by the need to control costs and improve patient outcomes. Demand for professionals in this area is increasing, especially as organizations seek certified managers with knowledge of healthcare policies and utilization review tools.
More about Supervisor Utilization Management jobs
What are the most commonly searched types of Supervisor Utilization Management jobs? The most popular types of Supervisor Utilization Management jobs are:
What states have the most Supervisor Utilization Management jobs? States with the most job openings for Supervisor Utilization Management jobs include:
What job categories do people searching Supervisor Utilization Management jobs look for? The top searched job categories for Supervisor Utilization Management jobs are:
Supervisor Utilization Management jobs near you
Supervisor Utilization Management

Supervisor Utilization Management

Cambia Health Solutions

Lewiston, ID • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 19 days ago

Cambia Health Solutions rating

8.4

Company rating: 8.4 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

101st of 261 rated insurance

Job description

Supervisor Utilization Management
Hybrid role (3 days/week in office) at our Burlington, Renton, Spokane, Vancouver, Portland, Medford, Salt Lake City, Boise, Lewiston, or Fargo offices.
Candidates must reside within commutable distance of that location or be willing to relocate.
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day, Cambia's dedicated team of Utilization Management (UM) Leaders are living our mission to make health care easier and lives better. As a member of the Clinical Services leadership team, our Supervisor Utilization Management supervises the team and acts as a resource for utilization management professional and support staff. Oversees and coordinates team activities to achieve business objectives and ensure medically necessary, cost-effective, quality care is delivered to members through various utilization management programs, including prior authorization and inpatient concurrent review, and regulatory compliance. May also be responsible for ensuring that medical payments are appropriate and in alignment with contract provisions, proper coding and policy compliance - all in service of making our members' health journeys easier.
As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us.
What if your clinical expertise and leadership instincts could shape the standard of care for an entire team - and thousands of members at once? Are you a clinical professional who finds yourself naturally stepping up to guide others, streamline processes, and ask 'how do we make this better for the patient? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
  • Bachelor's degree in Nursing or related field
  • 3 years of leadership experience
  • 5 years of clinical experience or equivalent combination of education and experience.
  • Must have license or certification, in a state or territory of the United States in the health or human services-related field that allows the professional to conduct an assessment as permitted within the scope of practice of the discipline (e.g. medical vs. behavioral health)
  • 3 years full time equivalent direct clinical care
  • Current unrestricted Registered Nurse (RN) license in a state or territory of the United States

Skills and Attributes:
  • Demonstrated competency in setting priorities for a team and overseeing work outputs and timelines.
  • Ability to communicate effectively, verbally and in writing including with members, employer or provider groups.
  • Ability to effectively develop and lead a team (including employees who may be in multiple locations or work remotely).
  • Demonstrated experience in recognizing problems and effectively resolving complex issues.
  • Familiarity with health insurance industry trends and technology.
  • Demonstrated competency related to clinical utilization management and care management practices.
  • Ability to apply best practices and designated standards.
  • Knowledge of payment coding guidelines, as applicable (Payment Review only).
  • Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

What You Will Do at Cambia:
  • Assigns and prioritizes work, sets goals, and coordinates daily activities of the team. Provides regular updates and communication to staff through 1:1 and team meetings.
  • Monitors individual and team results to ensure work is completed in a timely manner, in accordance with department standards and procedures, and is in compliance with medical policy and medical necessity guidelines.
  • Assists in development of productivity and quality standards. May conduct or participate in compliance audits and report audit findings. Identifies and implements process improvements as needed.
  • Acts as a resource for staff and others. Appropriately escalates issues and partners with other departments to resolve issues and remove barriers. Collaborates with physician advisors on complex case and coverage determination processes.
  • Participates in the hiring process, provides on-going coaching, employee development and writing of performance reviews. Develops and maintains desk reference guides on work procedures. Ensures new hires complete necessary training. Assesses training needs and plays an active role in development of staff.
  • Completes special projects as assigned and may provide back-up support to staff as needed.
  • Maintains clinical competency and keeps current on medical practices, procedures and industry trends.
  • May develop and present educational updates internally or to other departments.
  • Seeks ideas and opportunities for continuous improvement, determines which opportunities should be pursued and implements improvements as appropriate.

FTEs Supervised
  • 8-15

#LI-Hybrid
Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history.
  • Oregon, Washington, Utah, and Idaho: The expected hiring range is $92,700 - $125,400, the full salary range is $87,000 - $142,000 and the bonus target is 15%.

  • North Dakota: The expected hiring range is $90,906.65 - $122,991.35 and the full salary range is $80,717 - $133,182.

About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
  • Work alongside diverse teams building cutting-edge solutions to transform health care.
  • Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
  • Grow your career with a company committed to helping you succeed.
  • Give back to your community by participating in Cambia-supported outreach programs.
  • Connect with colleagues who share similar interests and backgrounds through our employee resource groups.

We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
  • Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
  • Annual employer contribution to a health savings account.
  • Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
  • Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
  • Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
  • Award-winning wellness programs that reward you for participation.
  • Employee Assistance Fund for those in need.
  • Commute and parking benefits.

Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

What Cambia Health Solutions employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply