ZipRecruiter

Log In

1

Utilization Management Associate Jobs in Houston, TX

The Paradies Shops

Warehouse Associate

Houston, TX · On-site

$13.50 - $16/hr

Associates must have the ability to communicate and partners with store management, vendors and ... Proper utilization and respect for company issued tools and resources, with applications based on ...

Paradies Lagardere

Warehouse Associate

Houston, TX · On-site

$13.50 - $16/hr

Associates must have the ability to communicate and partners with store management, vendors and ... Proper utilization and respect for company issued tools and resources, with applications based on ...

AA2IT

Equipment Readiness Associate

Dickinson, TX · On-site

$24 - $26/hr

... utilization and efficiency of assets. This person reduces the cost of service delivery (CoSD ... Execute work orders (WOs) as assigned through the computerized maintenance management system for ...

previous pagenext page

Showing results 21-40

All JobsUtilization Management Associate JobsUtilization Management Associate Jobs in Houston, TX

Utilization Management Associate information

What does a utilization management associate do?

A Utilization Management Associate is responsible for reviewing healthcare services and determining whether they are medically necessary, appropriate, and efficient. They work with healthcare providers, insurance companies, and patients to ensure that treatments comply with established guidelines and policies. Their role often includes reviewing medical records, processing authorizations, and assisting in the coordination of care to optimize the use of healthcare resources. This position helps control costs while ensuring that patients receive the appropriate level of care.

What skills and qualifications are needed to thrive as a utilization management associate?

A Utilization Management Associate typically needs a background in healthcare administration or a related field, strong analytical skills, and knowledge of medical terminology and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and regulatory compliance systems is important, and certifications like Certified Professional in Healthcare Management (CPHM) can be advantageous. Attention to detail, effective communication, and strong organizational skills help associates excel in evaluating medical necessity and collaborating with care teams. These competencies ensure accurate, efficient review processes that support quality patient care and compliance with payer requirements.

What are the typical daily responsibilities of a utilization management associate?

Utilization Management Associates typically review medical records, verify insurance coverage, and coordinate with healthcare providers to ensure that treatments and services meet established guidelines and payer requirements. They also communicate with physicians and patients to gather necessary information for authorization requests. By ensuring appropriate utilization of healthcare resources, they help support patient care while managing costs and compliance for their organization. Collaboration with clinical staff and insurance representatives is a key part of the role, contributing to effective case management.

What is the difference between Utilization Management Associate vs Utilization Review Coordinator?

AspectUtilization Management AssociateUtilization Review Coordinator
CertificationsTypically requires a healthcare-related certification or licenseOften requires similar certifications, such as CCM or RHIA
Work EnvironmentWorks in insurance companies, healthcare providers, or managed care organizationsWorks in hospitals, insurance companies, or healthcare facilities
Job FocusAssists in reviewing medical necessity and authorization processesCoordinates and conducts utilization reviews and approvals
Common UsageUsed interchangeably in healthcare and insurance settingsOften used in hospital and insurance contexts

The Utilization Management Associate and Utilization Review Coordinator roles share similarities in certifications and work environments, focusing on reviewing medical necessity and authorization. The main difference lies in their specific responsibilities, with associates assisting in the process and coordinators actively conducting reviews and approvals.

What are the most commonly searched types of Utilization Management jobs in Houston, TX?

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

What cities near Houston, TX are hiring for Utilization Management Associate jobs?

Cities near Houston, TX with the most Utilization Management Associate job openings:

Infographic showing various Utilization Management Associate job openings in Houston, TX as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 2% Temporary, and 2% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution.

Pharmacy Technician or Sr Pharmacy Tech - Galveston (Days)

Galveston, TX • On-site

UTMB Health
See more jobs at UTMB Healthexternal

$16.50 - $20/hr

Full-time

Re-posted 21 days ago

UTMB Health rating

7.2

Company rating: 7.2 out of 10

Based on 172 frontline employees who took The Breakroom Quiz

Job description

This is an open-pooled position. Applicants' education/experience will be considered and the position may be filled at a lower or higher level, as appropriate.

WORK SCHEDULE:

Day shift

Pharmacy Technologist

Minimum Qualifications:

EDUCATION & EXPERIENCE

Required:

  • High school diploma or equivalent

LICENSES, REGISTRATIONS OR CERTIFICATIONS

Required:

  • Registered as a Pharmacy Technician with the Texas State Board of Pharmacy (TSBP)
  • OR
  • Registered as a Pharmacist Intern with the Texas State Board of Pharmacy (TSBP)

PREFERRED QUALIFICATIONS

  • ACPE approved IV (sterile products) certification a plus
     

JOB DESCRIPTION

The Pharmacy Technologist assists Pharmacists in providing drug distribution, technical services, and clinical services associated with the preparation, storage and dispensing of pharmaceuticals.

Senior Pharmacy Technologist

Minimum Qualifications:

EDUCATION & EXPERIENCE

  • High school diploma or equivalent
  • Two (2) years of pharmacy technician experience OR Associate of Applied Science in Pharmacy Technician
  • Four (4) or more advanced Pharmacy Technologist competencies:
    • Prepares and/or oversees preparation of complex prescription medications or medications that require special handling within assigned area such as extemporaneous non-sterile compounded products, sterile compounded IV products or specialty medications
    • Participates in the operations of medication therapy management
    • Initiates medication reconciliation
    • Assists with screening, documentation, and preparation of immunizations
    • Works with patients, providers, and payers to obtain prior authorization
    • Resolves billing/adjudication issues encountered in the processing of prescription
    • Proficient in the use of financial assistance software
    • Proficient in C2 safe operation and/or OR anesthesia narcotic reconciliation
    • Advanced skill in the use of technology within area of assignment
    • Works with leaders and team members to solve problems within assigned area
    • Ability to train new employees within area of assignment
    • Demonstrates the ability to communicate with other healthcare professionals effectively and professionally
    • Ability to apply accepted procedures in inventory control of medications, equipment, devices, and other supplies
    • Supports pharmacy compliance with professional standards and relevant legal, regulatory, formulary, contractual, and safety requirements
    • Performs system data entry of information such as referral requests, drug utilization management information, prepacking information, drug purchasing information, or non-formulary approval information

LICENSES, REGISTRATIONS OR CERTIFICATIONS

Required:

Registered as a Pharmacy Technician with the Texas State Board of Pharmacy (TSBP)

OR

Registered as a Pharmacist Intern with the Texas State Board of Pharmacy (TSBP)

Preferred:

ACPE approved IV (sterile products) certification a plus.

JOB DESCRIPTION

The Senior Pharmacy Technologist assists pharmacists in providing drug distribution, technical services, and clinical services associated with the preparation, storage, and dispensing of pharmaceuticals. The Senior Pharmacy Technologist provides technical support and addresses problems related to the assigned area and only passes complex issues to the relevant Lead Pharmacy Technologist and/or Supervisor as needed.

Equal Employment Opportunity

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

What UTMB Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply