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Utilization Management Jobs in Indiana (NOW HIRING)

Powers Health

Physician Advisor

Munster, IN · On-site

The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...

Powers Health

Physician Advisor

Hobart, IN · On-site

The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...

Powers Health

Physician Advisor

Munster, IN · On-site

The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Indianapolis, IN · On-site +1

$54.75 - $66.75/hr

Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:

Powers Health

Physician Advisor

Hobart, IN · On-site

The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...

Powers Health

Provider Advisor

Hobart, IN

The Provider Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...

Powers Health

Provider Advisor

Hobart, IN · On-site

$52.89 - $78.85/hr

The Provider Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...

Deaconess

Clinical Denial Analyst (RN)

Evansville, IN · On-site

$28.71 - $40.19/hr

Minimum of two (2) years performing utilization review, charge audit, case management or similar functions in an acute care or specialty hospital Preferred Certification/License/Experience: * BSN

MedSource

IM Physician

Indianapolis, IN · On-site

Participate in quality improvement, utilization management, and patient safety initiatives *Collaborate with hospital leadership, nursing, and medical staff committees *Support implementation of ...

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All JobsUtilization Management JobsUtilization Management Jobs in Indiana

Utilization Management information

See Indiana salary details

$37.1K

$85.1K

$155.1K

How much do utilization management jobs pay per year?

As of Jun 29, 2026, the average yearly pay for utilization management in Indiana is $85,148.00, 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 jobs pay 4000 a week without a degree?

Utilization Management roles typically require healthcare or insurance industry knowledge and often a relevant certification rather than a degree. High-paying jobs that can reach $4,000 a week without a degree include sales positions, real estate brokers, commercial pilots, or skilled trades like electricians and plumbers, especially with experience and certifications. These roles often involve commission, bonuses, or overtime to achieve such earnings.

What jobs pay $2000 a day?

Jobs that can pay $2000 a day typically include specialized roles such as senior management, high-level consultants, certain medical specialists, and experienced legal professionals. These positions often require advanced skills, extensive experience, and sometimes certifications, and they may involve freelance or contract work with high hourly or project-based rates.

What are the key skills and qualifications needed to thrive in the Utilization Management position, 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 is a Utilization Management job?

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 is the least stressful healthcare job?

Utilization management roles are often considered less stressful compared to direct patient care jobs because they involve reviewing medical necessity and insurance claims rather than providing hands-on treatment. These positions typically have regular hours, less physical demand, and focus on administrative tasks, making them a lower-stress option within healthcare. However, stress levels can vary based on workplace environment and individual preferences.

What does utilization management do?

Utilization management is a healthcare job that involves reviewing and approving or denying medical services to ensure they are necessary and appropriate. It helps control healthcare costs and maintains quality by evaluating treatment plans, often using guidelines and data analysis. Professionals in this role typically work with insurance companies, healthcare providers, and use tools like medical records and clinical criteria.

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 most commonly searched types of Utilization Management jobs in Indiana? The most popular types of Utilization Management jobs in Indiana are:
What are popular job titles related to Utilization Management jobs in Indiana? For Utilization Management jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Utilization Management jobs in Indiana look for? The top searched job categories for Utilization Management jobs in Indiana are:
What cities in Indiana are hiring for Utilization Management jobs? Cities in Indiana with the most Utilization Management job openings:
Utilization Management jobs near you

Physician Advisor

Powers Health

Munster, IN • On-site

Full-time

Posted 27 days ago

Key responsibilities

  • Conduct clinical reviews to support utilization management and quality initiatives.

  • Consult with physicians on patient status and resource use.

  • Collaborate with care management and health information management to improve documentation and coding.

Powers Health rating

6.5

Company rating: 6.5 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

594th of 877 rated healthcare providers

Job description

Position Title: Physician Advisor
Location: Community Hospital - Munster, IN 46321
Position Summary:
The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical reviews, consulting with Physicians on patient status and resource use, collaborating with care management and health information management (HIM) to improve documentation and coding, and acting as a liaison with third-party payers for appeals and authorizations. The goal is to ensure accurate reimbursement, efficient use of hospital services, adherence to regulations, and ultimately, better patient care and outcomes.
Education & Experience Requirements:
  • Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO). Graduate of an accredited residency program and is board eligible in American Board of Medical Specialties or equivalent board.
  • Current and unlimited license to practice medicine in the State of Indiana.
  • Maintain all necessary and customary narcotics and controlled substance numbers and licenses.
  • Maintain active CPR certification.
  • Minimum of 5 years of medical clinical practice or previous role as Physician Advisor.
  • Knowledge of and ability to apply professional medical principles, procedures, and techniques.
  • Excellent verbal and written communication skills to communicate effectively with other physicians, staff, patients, payors, etc.
  • Effective ability to communicate recommendations or suggestions in a balanced way to the Physicians and staff.
  • Experience in hospital process; i.e., utilization management, case management, clinical care protocols, and coding and billing with strong knowledge of regulatory requirements such as CMS and Joint Commission and payor guideline.
  • Maintain concise, timely, and accurate confidential records of patients.
  • Ability to analyze complex clinical and administrative data and provide actionable recommendations.
  • Good time management skills. Strong decision making and practice skills.

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