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Utilization Management Jobs in Baltimore, MD (NOW HIRING)

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Utilization Management information

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$38.8K

$88.9K

$162K

How much do utilization management jobs pay per year?

As of Aug 9, 2026, the average yearly pay for utilization management in Baltimore, MD is $88,913.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,100.00 and $103,800.00 per year, depending on experience, location, and employer.

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 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 most commonly searched types of Utilization Management jobs in Baltimore, MD? The most popular types of Utilization Management jobs in Baltimore, MD are:
What are popular job titles related to Utilization Management jobs in Baltimore, MD? For Utilization Management jobs in Baltimore, MD, the most frequently searched job titles are:
What job categories do people searching Utilization Management jobs in Baltimore, MD look for? The top searched job categories for Utilization Management jobs in Baltimore, MD are:
What cities near Baltimore, MD are hiring for Utilization Management jobs? Cities near Baltimore, MD with the most Utilization Management job openings:
Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Baltimore, MD as of August 2026, with employment types broken down into 93% Full Time, and 7% Contract. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $88,913 per year, or $42.7 per hour.

Medical Director II, Utilization Management

Devoted Health

Nottingham, MD • On-site, Remote

$280K - $345K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 25 days ago

Devoted Health rating

9.0

Company rating: 9.0 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

36th of 304 rated insurance

Job description

Job Description
A bit about this role:
This position interacts with utilization management, clinical management, pharmacy, network management, data analytics, legal, finance as well as other health plan departments. As a Medical Director in Utilization Management, you share responsibility for leadership in the appropriate use of medical services within established quality and evidenced based guidelines as well as executing the essential functions below:
Your Responsibilities and Impact will include:
  • Assists in development and maintenance of an efficient UM program to meet the needs of health plan members commensurate with company values.
  • Perform clinical reviews (i.e., part A, B, appeals, quality of care) and conduct peer to peer discussions.
  • Participate in inter-rater reliability activities.
  • Participate in analysis of utilization data and suggest improvement opportunities.
  • Provide appropriate mentoring and leadership to clinical teams as well as develop relationships to support growth and fiscal responsibility.
  • Participate in committees and workgroups to achieve department and corporate objectives.
  • Provide clinical support and participate in utilization management, quality management, clinical services and care management programs to identify opportunities for improvement and efficiency.
  • Serves as a clinical resource and subject matter expert to both clinical and non-clinical staff throughout the Devoted Health Plan.
  • Active participation in acute and post acute clinical rounds.
  • Conduct discussions with physicians in the Devoted network regarding: medical policies, utilization management, use of resources, and quality.

Required skills and experience:
  • Doctorate from an accredited school of medicine (M.D.) or osteopathy (D.O) required.
  • Five or more years of clinical practice experience.
  • Three (3) years of previous medical director experience working for a health plan, medical group, or hospital in utilization management or medical management.

Desired skills and experience:
  • Passionate about their work, eager to have fun with our team, motivated to be a part of a fast growing organization.
  • Excited by the process of developing and implementing new processes.
  • Belief that population health and a focus on smart allocation of scarce resources can lead to high value care both in terms of quality and safety.
  • Ability to remain calm in the midst of the storm, guiding others to smart, effective solutions
  • Comfort with ambiguity and a love for problem solving.

#LI-Remote
Salary Range: $280,000 - $345,000 / year
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
  • Employer sponsored health, dental and vision plan with low or no premium
  • Generous paid time off
  • $100 monthly mobile or internet stipend
  • Stock options for all employees
  • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
  • Parental leave program
  • 401K program
  • And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

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