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Utilization Management Assistant Jobs in Texas (NOW HIRING)

U9131

Utilization Management Coordinator PRN

Dallas, TX · On-site

Processes incoming faxes, scans documents and other clerical duties as deemed necessary to assist with the facilitation of Utilization Management functions. * Communicates with insurance company to ...

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Utilization Management Assistant information

See Texas salary details

$27K

$45.1K

$64.7K

How much do utilization management assistant jobs pay per year?

As of Aug 29, 2026, the average yearly pay for utilization management assistant in Texas is $45,089.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,100.00 and $45,200.00 per year, depending on experience, location, and employer.

What is a utilization management assistant?

A Utilization Management Assistant is a healthcare administrative professional who supports the utilization management team by handling clerical tasks, coordinating communications, and organizing patient documentation. They often help ensure that medical services are used efficiently and that insurance requirements are met by gathering information, processing authorizations, and maintaining records. This role is essential in facilitating collaboration between healthcare providers, insurance companies, and patients, ultimately helping to optimize the quality and cost-effectiveness of patient care.

What are the key skills and qualifications needed to thrive as a utilization management assistant?

To thrive as a Utilization Management Assistant, you need a solid understanding of healthcare processes, medical terminology, and administrative procedures, often supported by a high school diploma or associate's degree. Familiarity with electronic health records (EHR) systems, insurance verification tools, and Microsoft Office Suite is typically required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing documentation and collaborating with clinical teams. These skills ensure accurate data handling, efficient workflow, and compliance with healthcare regulations, all of which are vital for successful utilization management operations.

What are some common challenges utilization management assistants face when working with insurance pre-authorizations?

Utilization Management Assistants often encounter challenges such as navigating complex insurance requirements, meeting tight deadlines for pre-authorization requests, and communicating effectively with both healthcare providers and insurance representatives. Staying organized and detail-oriented is essential to ensure all documentation is accurate and submitted promptly. Additionally, adapting to frequent changes in insurance policies and maintaining strong problem-solving skills are key to overcoming these obstacles.

Is utilization management assistant a good job?

Utilization Management Assistants support healthcare organizations by reviewing medical records and authorizations to ensure appropriate care and cost management. The role typically requires attention to detail, knowledge of healthcare policies, and proficiency with electronic health records systems. It can offer stable employment with opportunities for advancement in healthcare administration.

What are the most commonly searched types of Utilization Management jobs in Texas?

The most popular types of Utilization Management jobs in Texas are:

What cities in Texas are hiring for Utilization Management Assistant jobs?

Cities in Texas with the most Utilization Management Assistant job openings:

Utilization Management Assistant jobs near you
Infographic showing various Utilization Management Assistant job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $45,089 per year, or $21.7 per hour.

Utilization Management Assistant

Texas Children's Hospital

Bellaire, TX • On-site

Full-time

Re-posted 2 days ago

Texas Children's Hospital rating

8.3

Company rating: 8.3 out of 10

Based on 177 frontline employees who took The Breakroom Quiz

86th of 1,064 rated hospitals

Job description


We're hunting for a Utilization Management Assistant, someone who's ready to be part of a growing team with amazing opportunities Receives, processes and completes data entry of demographic information on all referral/authorization requests from participating providers via fax or phone. Assists and collaborates with all medical management staff, as well as other health plan staff, e.g. Claims Department, Network Development. Provides customer service and education for all incoming calls regarding provider and/or product information.
Think you've got what it takes?
Job Duties & Responsibilities
  • Serves as support to Medical Management Intake Department
  • Primarily responsible for processing initial incoming faxes or phone requests into the intake department Gathering demographic and benefit data and documenting in appropriate system. This is determined through documented policy and procedures.
  • Adheres to time frames, and turnaround times, as evidenced by results of inter-rater reliability reviews.
  • Routes and evaluates all calls and faxes to refer to and assign as necessary to other staff.
  • Performs data entry of authorization information into systems, and or fax information to, originating physicians, or facility or specialist.
  • Implements nuances of product line and regulatory requirements in the processing of all authorization requests including notification requirements.
  • Responsible for confirming eligibility for requested authorizations and for requesting membership identification numbers for newborns.
  • Educates providers on authorization requirements and processes and Policy and Procedures of the Health Plan.
  • Receives transfer calls from member services relating to authorization issues, questions or capabilities of service providers.

Skills & Requirements
  • H.S. Diploma or GED required
  • Some college course work preferred
  • 2 years managed care, preferably in medical management department, claims and member service
  • Experience in Healthcare or Insurance environment

About Us
Founded in 1996, Texas Children's Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.
To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.
Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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