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Utilization Management Coordinator Jobs in Indiana

The role coordinates with operations, utilization management, and claims to prevent unnecessary costs. Responsibilities also include supporting internal process improvements and maintaining ...

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Utilization Management Coordinator information

See Indiana salary details

$15

$28

$44

How much do utilization management coordinator jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for utilization management coordinator in Indiana is $28.17, according to ZipRecruiter salary data. Most workers in this role earn between $20.34 and $32.93 per hour, depending on experience, location, and employer.

What does a utilization management coordinator do?

A Utilization Management Coordinator is responsible for reviewing and assessing healthcare services to ensure that patients receive appropriate care while managing costs for healthcare providers or insurance companies. They evaluate medical records, coordinate with healthcare professionals, and help determine if certain treatments or procedures are medically necessary according to established guidelines. Their goal is to optimize the use of healthcare resources, prevent unnecessary treatments, and support quality patient outcomes.

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

To thrive as a Utilization Management Coordinator, you need a background in healthcare or nursing, knowledge of medical terminology, and experience in case management or utilization review, often supported by a relevant degree or certification (such as RN or LPN). Familiarity with utilization management software, electronic health records (EHRs), and insurance authorization platforms is typically required. Strong organizational skills, attention to detail, and effective communication are essential soft skills for this role. These capabilities ensure accurate review of medical cases, compliance with regulations, and efficient coordination between providers, payers, and patients.

How does a utilization management coordinator typically collaborate with clinical staff and insurance providers?

A Utilization Management Coordinator serves as a vital link between healthcare providers, clinical staff, and insurance companies. They regularly communicate with physicians and nurses to gather clinical information, review treatment plans, and ensure that proposed services meet medical necessity criteria. Coordinators also interact with insurance providers to obtain pre-authorizations, clarify coverage policies, and appeal denied claims when appropriate. Effective collaboration and strong communication skills are essential, as the role requires balancing the needs of patients, providers, and payers while ensuring timely and cost-effective care.

What degree do you need for utilization management coordinator?

A utilization management coordinator typically needs at least a bachelor's degree in healthcare administration, nursing, or a related field. Relevant certifications, such as Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Strong knowledge of medical terminology, insurance processes, and data analysis tools is also important.

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

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

What cities in Indiana are hiring for Utilization Management Coordinator jobs?

Cities in Indiana with the most Utilization Management Coordinator job openings:

Infographic showing various Utilization Management Coordinator job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 85% Physical, 3% Hybrid, and 12% Remote job distribution, with an average salary of $58,602 per year, or $28.2 per hour.

Medicaid Support Specialist

Wellpath

Indianapolis, IN • On-site

Full-time

Re-posted 22 days ago


Wellpath rating

7.2

Company rating: 7.2 out of 10

Based on 94 frontline employees who took The Breakroom Quiz

345th of 898 rated healthcare providers


Job description

Overview

The Medicaid Support Specialist provides expertise and assistance to field staff in Medicaid enrollment and eligibility processes. They communicate policy changes, escalate issues to leadership, and help ensure proper payer reimbursements. The role coordinates with operations, utilization management, and claims to prevent unnecessary costs. Responsibilities also include supporting internal process improvements and maintaining compliance with Medicaid billing guidelines. This role plays a key part in optimizing Medicaid enrollment outcomes and operational efficiency.


Responsibilities

  • Support field staff on Medicaid enrollment and eligibility matters

  • Communicate Medicaid policy updates and organizational changes

  • Escalate issues to departmental leadership as needed

  • Coordinate across departments to ensure accurate payer reimbursement

  • Assist in QA audits and process improvements related to Medicaid billing


Qualifications

EDUCATION

  • Bachelor’s degree preferred or equivalent years of work experience

EXPERIENCE

  • 1-2 years of experience with Medicaid/Private insurance billing/claims or enrollments

  • 1-2 years of experience with analyzing data, creation of reports, and converting for meaningful use for internal and external clients

  • 1 year of Customer Service experience preferred

LICENSES/CERTIFICATIONS

  • None required


What Wellpath employees say

Pay

Benefits

Hours and flexibility

Workplace

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