ZipRecruiter

Log In

1

Utilization Management Jobs in Barrington, IL (NOW HIRING)

Staffingine LLC

Power BI Developer

Oak Brook, IL · On-site

Create interactive visualizations for utilization management metrics, claims * analytics, and operational KPIs * Build and optimize calculations, measures, and calculated columns for * healthcare and ...

Med-Metrix

Physician Advisor - Remote

Chicago, IL · On-site

$140 - $190/hr

Provides consultation to attendings, nurses, and case management staff regarding complex clinical issues and advises on justification required for continued stay, medical necessity and utilization ...

Vizient, Inc.

Value Analysis Manager

Chicago, IL · Hybrid

$88K - $155K/yr

Knowledge of value analysis methodologies, product standardization practices, and utilization management principles. Ability to analyze clinical, operational, financial, and quality data to support ...

Advocate Aurora Health

RN Care Manager

Downers Grove, IL · On-site

$38.20 - $57.30/hr

Ability to apply elements of Utilization Management programs. Physical REQUIREMENTSMust be able to sit up to approximately 50 percent of the workday; stand and walk for the equivalent of several ...

previous pagenext page

Showing results 21-40

All JobsUtilization Management JobsUtilization Management Jobs in Barrington, IL

Utilization Management information

See Barrington, IL salary details

$38.8K

$89K

$162.1K

How much do utilization management jobs pay per year?

As of Sep 3, 2026, the average yearly pay for utilization management in Barrington, IL is $89,006.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,200.00 and $103,900.00 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 job categories do people searching Utilization Management jobs in Barrington, IL look for?

The top searched job categories for Utilization Management jobs in Barrington, IL are:

What cities near Barrington, IL are hiring for Utilization Management jobs?

Cities near Barrington, IL with the most Utilization Management job openings:

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Barrington, IL as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $89,006 per year, or $42.8 per hour.

Senior Manager, Financial Planning and Analysis Aetna Clinical Services (Utilization Management)

CVS Health

Northbrook, IL • On-site

$75K - $182K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,359 frontline employees who took The Breakroom Quiz

92nd of 113 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary
The Senior Manager will lead a team supporting the Utilization Management function within Clinical Services. Responsibilities will include FP&A functions (Budgeting & Forecasting, Expense Management, Month Close & Reporting), Operations support (membership-based and metrics driven staffing models), and managing business partnerships. Proficiency with Microsoft Excel and PowerPoint is needed along with experience with Aetna Finance systems and processes.


Fundamental Components:

  • Develops and executes the annual financial planning and analysis (FP&A) budgeting process, working closely with key stakeholders to establish financial targets and allocate resources effectively.

  • Oversees the analysis of financial performance, including variance analysis, trend analysis, and profitability analysis by providing insights and recommendations to senior leadership based on financial data and trends.

  • Conducts scenario analysis and sensitivity analysis to evaluate the financial impact of various business scenarios and help guide strategic decisions.

  • Creates sophisticated financial models to support strategic decision-making and long-term financial planning.

  • Analyzes the financial performance of business units, product lines, or projects, identifying areas of improvement and growth opportunities.

  • Establishes financial planning and analysis processes, systems, and tools to increase efficiency and accuracy.

  • Creates budgeting and forecasting processes, ensuring accuracy and alignment with strategic objectives.

  • Conducts performance evaluations, sets performance goals, provides guidance, and fosters a collaborative and high-performing team environment.

Required Qualifications:

  • 7+ years of relevant financial planning and analysis experience.

  • 7+ years of experience with Microsoft Excel and PowerPoint are needed along with experience with financial systems.

Preferred Qualifications:

  • Proficiency with Anaplan, Hyperion, and S4 Hana.

  • Healthcare, managed care, or financial services experience.

  • Advanced degree in finance, accounting, or related field.

Education:

  • Bachelor's Degree in finance, accounting, or related field required or equivalent years of relevant experience.

Pay Range

The typical pay range for this role is:

$75,400.00 - $182,549.00


This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/28/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

What CVS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply