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Utilization Management Non Clinical Jobs in Springfield, IL

Diverge Health

Practice Liaison

Springfield, IL · On-site

... and non-clinical care teams. What you'll do The Practice Liaison serves as the primary point of ... A graduate or professional degree in business, management, healthcare policy, healthcare ...

Diverge Health

Practice Liaison

Springfield, IL · On-site

... and non-clinical care teams. What you'll do The Practice Liaison serves as the primary point of ... A graduate or professional degree in business, management, healthcare policy, healthcare ...

UHS

DIR - CLINICAL SVCS - BH

Springfield, IL · On-site

A clinically skilled multidisciplinary team works to partner with the youth and family to ... Maintain and allocate a qualified core of staff resources, managing resource utilization and ...

UHS

DIR - CLINICAL SVCS - BH

Springfield, IL · On-site

$95K - $120K/yr

A clinically skilled multidisciplinary team works to partner with the youth and family to ... Maintain and allocate a qualified core of staff resources, managing resource utilization and ...

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Showing results 41-60

All JobsUtilization Management Non Clinical JobsUtilization Management Non Clinical Jobs in Springfield, IL

Utilization Management Non Clinical information

See Springfield, IL salary details

$38.7K

$88.7K

$161.6K

How much do utilization management non clinical jobs pay per year?

As of Aug 15, 2026, the average yearly pay for utilization management non clinical in Springfield, IL is $88,687.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,900.00 and $103,600.00 per year, depending on experience, location, and employer.

What is the difference between Utilization Management Non Clinical vs Utilization Review Nurse?

AspectUtilization Management Non ClinicalUtilization Review Nurse
CredentialsCertifications like CCM, RN (optional), but primarily non-clinical certificationsRN license, certifications such as CCM or CUC
Work EnvironmentOffice-based, administrative setting, telecommuting optionsClinical settings, hospitals, or insurance companies, often with direct patient or provider interaction
Employer & Industry UsageHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare providers
Search & Comparison IntentUnderstanding non-clinical roles in utilization managementClinical review roles involving direct patient care assessment

Utilization Management Non Clinical roles focus on administrative, policy, and documentation tasks without direct patient care, while Utilization Review Nurses perform clinical assessments to determine care necessity. Both roles are essential in healthcare utilization but differ mainly in clinical involvement and required credentials.

Is utilization management a hard job?

Utilization Management Non Clinical roles involve reviewing healthcare services to ensure appropriate use of resources, which can be challenging due to the need for attention to detail, understanding of medical policies, and decision-making under time constraints. The job requires strong analytical skills, knowledge of healthcare guidelines, and often involves working with electronic health records and insurance policies.

What are popular job titles related to Utilization Management Non Clinical jobs in Springfield, IL?

For Utilization Management Non Clinical jobs in Springfield, IL, the most frequently searched job titles are:

What job categories do people searching Utilization Management Non Clinical jobs in Springfield, IL look for?

The top searched job categories for Utilization Management Non Clinical jobs in Springfield, IL are:

What cities near Springfield, IL are hiring for Utilization Management Non Clinical jobs?

Cities near Springfield, IL with the most Utilization Management Non Clinical job openings:

Utilization Management Non Clinical jobs near you
Infographic showing various Utilization Management Non Clinical job openings in Springfield, IL as of August 2026, with employment types broken down into 100% Full Time. Highlights an 90% In-person, and 10% Remote job distribution, with an average salary of $88,687 per year, or $42.6 per hour.

Practice Liaison

Diverge Health

Springfield, IL • On-site

Full-time

Re-posted 3 days ago

Job description

At Diverge Health we are passionate about improving health access and outcomes for those most in need. We partner with primary care providers to improve the engagement and management of their Medicaid patients, offering independent practices with specialized resources and clinical programs to close gaps in care. Our teams work to address medical, social and behavioral patient needs, lowering healthcare costs and improving patient lives. Guided by our core values of humility, continuous learning and feeling the weight, our team is on a mission to strengthen communities from within, unlocking people's ability to live their healthiest lives.
We are looking for a Practice Liaison to join our growing team! A key role in our market operations team, the Practice Liaison will be accountable for ensuring that participating practices can continually access, and have a clear understanding of how to utilize, Diverge Health's technology and care solutions. We are looking for someone who has excellent communication skills, and the ability to communicate with providers, payers, and non-clinical care teams.
What you'll do
The Practice Liaison serves as the primary point of contact between Diverge Health and our partnered practices. This person will partner with cross-functional stakeholders such as Network Development and Local Care teams to establish relationships with practices and then maintain regular communication between the practice and the Care Team regarding patient care plans. The Practice Liaison is expected to support the practice with ongoing workflow development, monitoring, and implementation as it relates to operational initiatives that will improve practice performance in the areas of panel management, quality (including gap closure, pre-visit planning, and post-visit documentation), risk adjustment (in applicable markets), and high-risk patient engagement. The Practice Liaison also delivers and/or facilitates regular training related to these areas and other aspects of value-based care.
Key areas you'll add value
  • Jointly with Network Development Representatives, establish relationships with practices following initial network contracting.
  • Lead the new practice onboarding process, including development of the onboarding plan, scheduling and delivering trainings, and arranging practice access to Diverge Health technology solutions.
  • Provide education and training to clinicians and staff on value-based care, Diverge Health's incentive plan, and best practices in quality and risk adjustment (Medicaid and other lines of business as applicable).
  • Facilitate presentation and discussion of performance scorecards, claims data, and gap reports, translating insights into clear, actionable steps.
  • In collaboration with practice leadership, develop initiatives that drive value-based transformation and improve quality, efficiency, and overall practice performance.
  • Facilitate access to Diverge Health resources, including Medical Directors, Care Team members, and technology solutions.
  • Maintain regular communication between practices and the Care Team regarding patient care plans developed by Diverge Health.
  • Facilitate quarterly Joint Operating Committee (JOC) meetings with the Market Medical Director to review incentive performance, quality scorecards, and care team engagement, and to improve practice performance in quality, documentation, and patient engagement.
  • Support practices in navigating EMRs, Diverge's Provider Portal, and other technology platforms; serve as a resource for resolving operational or data-related issues.
  • Maintain accurate and up-to-date practice profiles in Diverge Health's CRM, including provider rosters, contact information, tiering, communications plans, and engagement cadence (e.g., JOC frequency).
  • Meet defined practice engagement and performance goals, balancing external practice interactions with internal meetings, travel, and administrative responsibilities.

What you'll bring
  • Bachelor's degree (or equivalent experience) in business, healthcare administration, or related field.
  • A graduate or professional degree in business, management, healthcare policy, healthcare administration or related field preferred.
  • 2-4 years of experience in a healthcare operational or customer-facing role (provider or payer), with familiarity in primary care practice workflows (scheduling, billing, documentation).
  • 2+ years' experience with a value-based care company preferred
  • Strong understanding of value-based care (VBC) models and how they differ from fee-for-service, with experience supporting practices in a VBC environment.
  • Knowledge of HEDIS quality measures, including effectiveness of care, access & availability, and utilization.
  • Familiarity with risk adjustment methodologies, especially Hierarchical Condition Categories (HCCs) and related documentation requirements.
  • Ability to interpret reports and dashboards to track performance, close quality gaps, and identify opportunities for improved outcomes.
  • Proficiency in Microsoft Office, especially PowerPoint (provider-facing presentations) and Excel (data analysis).
  • Proven ability to balance competing priorities in dynamic, fast-paced environments.
  • A proactive self-starter who can work independently while thriving in a collaborative team setting.
  • Strong communication and presentation skills with the ability to engage clinicians, staff, and practice leadership.
  • Comfort adapting to change and navigating ambiguity in high-growth environments.

Physical Requirements
  • Ability to travel within the community; must have a valid driver's license and car insurance, and access to reliable transportation for physician office visits.
  • Lift and carry materials and supplies.
  • Stand, walk, and move for extended periods while conducting physician office visits.
  • Adapt to varying environmental conditions (both outside while traveling in the community and inside physician offices).

Who we're looking for
  • Ability to deal with difficult people outside of the organization while maintaining a high level of professionalism and integrity.
  • Ability to manage multiple projects simultaneously.
  • Equally empathetic and objective, humble and highly conscientious; a teammate that inspires and motivates others
  • Comfort with uncertainty; self-motivated and directed; can manage effectively in high growth, rapidly evolving environments
  • A problem solver, able to think critically and strategically while being hands on in driving work; proactively identifies and resolves risks to execution and deliver
  • Strong representation of the company's mission, vision, and values across all dimensions of internal and external interactions
  • Strength in authentically connecting with people from all walks of life with empathy and humility

This is a full-time, exempt, salaried position. Commensurate on candidate experience, the expected base salary range for this role is $90,000 - $105,000.
Our Investors
Diverge Health is funded by GV and incubated by Triple Aim Partners, which since 2019 has partnered with entrepreneurs to co-found and launch eight companies focused on improving the quality, experience and total cost of healthcare.
At Diverge Health we believe that a diverse set of backgrounds and experiences enrich our teams and enable us to realize our mission. If you do not have experience in all areas detailed above, we encourage you to share your unique background with us and how it might be additive to our team.
Special Considerations
Diverge Health is dedicated to the principles of Diversity, Equity and Inclusion and Equal Employment Opportunities for all employees and applicants for employment. We do not discriminate on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, reproductive health decisions, family responsibilities or any other characteristic protected by the federal, state or local laws. Our decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance and business needs.
At this time, we are unable to support hiring in Alaska and Hawaii due to our primary operations being based in the Eastern and Central time zones.
Candidates must be authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.

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