Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review ...
Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review ...
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 ...
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 ...
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 ...
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 ...
Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review ...
Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review ...
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 ...
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 ...
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:
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:
As a FMD, Interventional Pain Management, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
As a FMD, Interventional Pain Management, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
Remote Prior Authorization Pharmacist
West Lafayette, IN · Remote
$52.25 - $62.75/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Remote Prior Authorization Pharmacist
West Lafayette, IN · Remote
$52.25 - $62.75/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Remote Prior Authorization Pharmacist
Indianapolis, IN · Remote
$55.75 - $67/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Remote Prior Authorization Pharmacist
Indianapolis, IN · Remote
$55.75 - $67/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
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 ...
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 ...
The Provider Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
The Provider Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
UTILIZATION REVIEW RN
Seymour, IN · On-site
$30.72/hr
Bachelors Degree in Nursing with case management certification LICENSE/CERTIFICATION Licensed RN in ... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ...
UTILIZATION REVIEW RN
Seymour, IN · On-site
$30.72/hr
Bachelors Degree in Nursing with case management certification LICENSE/CERTIFICATION Licensed RN in ... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ...
... utilization management, and patient safety initiatives Collaborate with hospital leadership, nursing, and medical staff committees Support implementation of clinical protocols, policies, and best ...
... utilization management, and patient safety initiatives Collaborate with hospital leadership, nursing, and medical staff committees Support implementation of clinical protocols, policies, and best ...
As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...
Utilization Management and Review, Clinical and Patient Financial Documentation Systems, Level of Care review, criteria Payer Appeals guidelines, Regulatory guidelines, Transitional Care (Required)
Utilization Management and Review, Clinical and Patient Financial Documentation Systems, Level of Care review, criteria Payer Appeals guidelines, Regulatory guidelines, Transitional Care (Required)
Epic Tapestry Specialist
Indianapolis, IN · On-site +1
Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Ability to work independently and collaborate as part of a team * Effective written and verbal ...
Epic Tapestry Specialist
Indianapolis, IN · On-site +1
Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Ability to work independently and collaborate as part of a team * Effective written and verbal ...
Epic Tapestry Consultant
Indianapolis, IN · On-site +1
Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work Experience/Direct Knowledge of ...
Epic Tapestry Consultant
Indianapolis, IN · On-site +1
Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work Experience/Direct Knowledge of ...
Minimum of 2 years of utilization review experience in a hospital setting required ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Minimum of 2 years of utilization review experience in a hospital setting required ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Epic Tapestry Sr Analyst
Indianapolis, IN · On-site +1
Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to manage multiple projects and ...
Epic Tapestry Sr Analyst
Indianapolis, IN · On-site +1
Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to manage multiple projects and ...
Utilization Management information
See Indiana salary details
$37.1K - $47.8K
15% of jobs
$47.8K - $58.6K
8% of jobs
$60.1K is the 25th percentile. Wages below this are outliers.
$58.6K - $69.3K
15% of jobs
The median wage is $76.1K / yr.
$69.3K - $80K
20% of jobs
$80K - $90.7K
11% of jobs
$96.1K is the 75th percentile. Wages above this are outliers.
$90.7K - $101.5K
13% of jobs
$101.5K - $112.2K
5% of jobs
$112.2K - $122.9K
3% of jobs
$122.9K - $133.7K
4% of jobs
$133.7K - $144.4K
3% of jobs
$144.4K - $155.1K
3% of jobs
$37.1K
$85.1K
$155.1K
How much do utilization management jobs pay per year?
As of Jun 9, 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 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 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:
- No Experience Utilization Management Nurse
- Part Time Utilization Review Nurse
- Registered Nurse Utilization Review
- Remote Utilization Management
- Remote Utilization Management Nurse
- Flex Schedule Remote Utilization Review Nurse
- Commission Cvs Health Utilization Management
- Utilization Review Physician
- Weekday Cvs Utilization Management Nurse
- No Experience Utilization Review Nurse
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:
- Lpn Utilization Review
- Lpn Utilization Review Work From Home
- Aetna Utilization Review Nurse
- Director Optum Utilization Review
- Utilization Review Manager
- Anthem Utilization Review Nurse
- Utilization Review Case Manager
- Remote Aetna Utilization Review Nurse
- Remote Aetna Utilization Review
- Chart Utilization Review
What cities in Indiana are hiring for Utilization Management jobs? Cities in Indiana with the most Utilization Management job openings:
Internal Medicine Physician General Internist - Physicians Only Apply - Perm
SmartDocs DirectIndianapolis, IN
Full-time
Posted 2 days ago
Job description
Medical Doctors Only Apply. A Internal Medicine Physician General Internist practice is seeking a qualified physician for Indianapolis, IN. This and other physician jobs brought to you by ExactMD.
Provides
medical leadership of all for utilization management, cost containment,
and medical quality improvement activities. Performs medical review
activities pertaining to utilization review, quality assurance, and
medical review of complex, controversial, or experimental medical
services. Supports effective implementation of performance improvement
initiatives for capitated providers.
Assists Chief Medical
Director in planning and establishing goals and policies to improve
quality and cost-effectiveness of care and service for members. Provides
medical expertise in the operation of approved quality improvement and
utilization management programs in accordance with regulatory, state,
corporate, and accreditation requirements.
Assists the
Chief Medical Director in the functioning of the physician committees
including committee structure, processes, and membership. Oversees the
activities of physician advisors. Utilizes the services of medical and
pharmacy consultants for reviewing complex cases and medical necessity
appeals. Participates in provider network development and new market
expansion as appropriate. Assists in the development and implementation
of physician education with respect to clinical issues and policies.
Identifies utilization review studies and evaluates adverse trends in
utilization of medical services, unusual provider practice patterns, and
adequacy of benefit/payment components. Identifies clinical quality
improvement studies to assist in reducing unwarranted variation in
clinical practice in order to improve the quality and cost of care.
Interfaces with physicians and other providers in order to facilitate
implementation of recommendations to providers that would improve
utilization and health care quality. Reviews claims involving complex,
controversial, or unusual or new services in order to determine medical
necessity and appropriate payment.
Develops alliances with
the provider community through the development and implementation of the
medical management programs. As needed, may represent the business unit
before various publics both locally and nationally on medical
philosophy, policies, and related issues. Represents the business unit
at appropriate state committees and other ad hoc committees
Consults on MCO clinical policy related to Substance Use Disorders and
the cases of individual members for the MCM program on a routine basis.
Education/Experience: Medical Doctor or Doctor of Osteopathy, board certified preferable in a primary care specialty (Internal Medicine, Family Practice, Pediatrics or Emergency Medicine). The candidate must be an actively practicing physician. Previous experience within a managed care organization is preferred. Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is preferred. Experience treating or managing care for a culturally diverse population preferred.
Position Purpose: Assist the Chief Medical Director to
direct and coordinate the medical management, quality improvement and
credentialing functions for the business unit.
Education/Experience: Medical Doctor or Doctor of Osteopathy, board certified preferable in a primary care specialty (Internal Medicine, Family Practice, Pediatrics or Emergency Medicine). The candidate must be an actively practicing physician. Previous experience within a managed care organization is preferred. Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is preferred. Experience treating or managing care for a culturally diverse population preferred.