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Utilization Management Jobs in Connecticut (NOW HIRING)

Waterbury Hospital

Clinical Case Manager

Waterbury, CT · On-site

Has overall accountability for the utilization management and transition management for patients within the assigned caseload. Ensures the appropriate status and level of care is determined and ...

Waterbury Hospital

Case Manager

Waterbury, CT

$20.50 - $26.25/hr

Has overall accountability for the utilization management and transition management for patients within the assigned caseload. Partners with Social Workers and collaborates with other health care ...

Waterbury Hospital

Case Manager

Waterbury, CT · On-site

$20.50 - $26.25/hr

Has overall accountability for the utilization management and transition management for patients within the assigned caseload. Partners with Social Workers and collaborates with other health care ...

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Showing results 21-40

All JobsUtilization Management JobsUtilization Management Jobs in Connecticut

Utilization Management information

See Connecticut salary details

$37.1K

$85.1K

$155.1K

How much do utilization management jobs pay per year?

As of Aug 18, 2026, the average yearly pay for utilization management in Connecticut is $85,124.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,400.00 and $99,400.00 per year, depending on experience, location, and employer.

What is utilization management?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

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

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

What are the key skills and qualifications needed to thrive in utilization management, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What degree is needed for utilization management?

Utilization management professionals typically need 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 Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM). Experience in healthcare settings and knowledge of medical terminology and insurance processes are also important.

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

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

What are popular job titles related to Utilization Management jobs in Connecticut?

For Utilization Management jobs in Connecticut, the most frequently searched job titles are:

What job categories do people searching Utilization Management jobs in Connecticut look for?

The top searched job categories for Utilization Management jobs in Connecticut are:

What cities in Connecticut are hiring for Utilization Management jobs?

Cities in Connecticut with the most Utilization Management job openings:

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Connecticut as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $85,124 per year, or $40.9 per hour.

Technical Test Lead | Insurance | Claims & Policy Administration

Spruce Infotech

Hartford, CT • On-site

Full-time

Re-posted 20 days ago

Job description

Job Title: Availity QE Lead (Claims & Provider E2E Testing)
Work Location: HartfordCT6156
XXX
Contract duration: 12
Target Start Date: 01 Jul 2026
Does this position require Visa independent candidates only? YES
**hybrid work set-up**
Job Details:
Must Have Skills
Payer-provider integration workflows
Authorization processes
Provider data exchange
Eligibility verification
Utilization management
Claims adjudication & provider workflows
Healthcare applications (Availity, eviCore)
Nice to have skills
QA leadership & test governance
End-to-end test strategy & execution
Defect management & leakage prevention
Integration testing (upstream/downstream systems)
Test data management & environment readiness
Release assurance & coordination
Eclipse-based healthcare application exposure
Detailed Job Description
• Brings hands-on experience working with key Healthcare applications such as Availity and eviCore, with exposure to payer-provider integration workflows and authorization processes.
• Demonstrates strong functional understanding of provider data exchange, eligibility verification, and utilization management, enabling seamless coordination with business stakeholders.
• Strong QA leadership across claims adjudication and provider workflows
• Expertise in end-to-end test strategy, execution, and defect management
• Experience managing upstream/downstream integrations
• Focus on test data readiness, environment alignment, and release assurance
• Proven ability to drive cross-functional coordination and reduce defect leakage
Minimum years of experience
8-10 years
Certifications Needed :No
Top 3 responsibilities you would expect the Subcon to shoulder and execute
Stakeholder Managment
Test management
Test Reirting and SLAs
Interview Process (Is face to face required?)
Yes
Any additional information you would like to share about the project specs/ nature of work
support critical Caremark Aetna initiatives across claims and provider domains, including largescale enterprise transformation and core QA delivery. These roles are pivotal to ensuring release stability, regression coverage, and transformation readiness, with strong dependency on onsite coordination and leadership presence.
Project Code: Hartford Child code for HC 1 2 7 and SS

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