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Utilization Management Jobs in Duluth, MN (NOW HIRING)

Aspirus Health

Medical Director Physician

Duluth, MN · On-site

$150/hr

... utilization and other standard quality and throughput metrics. * Oversee evaluation and management of clinical practices within the department; * Provide best practice data to other departments and ...

Miller Creek Lawn & Landscape

General Manager

Duluth, MN · On-site

$100 - $120/hr

Strong understanding of operational efficiency, labor management, and revenue strategy * Valid ... Monitor labor efficiency, fleet utilization, and scheduling effectiveness * Identify bottlenecks ...

Sappi

Area Reliability Engineer

Cloquet, MN · On-site

$97K - $123K/yr

Champion reliability improvement initiatives, including RCFA, FMEA, work management best practices, and improved KPI utilization. * Collaborate closely with operations, engineering, procurement, and ...

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Utilization Management information

See Duluth, MN salary details

$38.7K

$88.9K

$161.9K

How much do utilization management jobs pay per year?

As of Aug 24, 2026, the average yearly pay for utilization management in Duluth, MN is $88,875.00, 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 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 Duluth, MN?

The most popular types of Utilization Management jobs in Duluth, MN are:

What are popular job titles related to Utilization Management jobs in Duluth, MN?

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

What job categories do people searching Utilization Management jobs in Duluth, MN look for?

The top searched job categories for Utilization Management jobs in Duluth, MN are:

What cities near Duluth, MN are hiring for Utilization Management jobs?

Cities near Duluth, MN with the most Utilization Management job openings:

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Duluth, MN as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 19% Part Time, and 2% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $88,875 per year, or $42.7 per hour.

Management and Program Analyst

Criminal Investigation & Law Enforcement | IRS Careers

Duluth, MN • On-site

$125K/yr

Full-time

Posted 6 days ago

Internal Revenue Service rating

7.5

Company rating: 7.5 out of 10

Based on 129 frontline employees who took The Breakroom Quiz

130th of 295 rated public sector bodies

Job description

WHAT IS LARGE BUSINESS & INTERNATIONAL (LB&I) DIVISION?

A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisions
  • Positions are to be filled in following areas:
    • Program and Business Solutions (PBS): Office of Tech and Program Solutions (TPS), Program Planning Coordination & Analysis (PPCA), and Program Planning & Reporting (PPR).

REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILSQualifications:

Federal experience is not required. Experience may have been gained in the public sector, private sector or through Volunteer Service. One year of experience refers to full-time work; part-timework is considered on a prorated basis. To ensure full credit for your work experience, please indicate dates of employment by month/day/year, and indicate number of hours worked per week, on your resume.
You must meet the following requirements by the closing date of this announcement.
QUALIFICATION REQUIREMENTS: To qualify for this position, you must meet the qualification requirements outlined below:
SPECIALIZED EXPERIENCE FOR GS-14: To be eligible for this position, you must have one (1) year of specialized experience at a level of difficulty and responsibility equivalent to the GS-13 grade level in the Federal service. Specialized experience includes:

  • Experience leading complex program evaluations, organizational studies, or cross-functional projects to assess program effectiveness, improve business operations, identify resource requirements, and develop recommendations that support organizational objectives;
  • Experience developing, evaluating, implementing, or recommending policies, procedures, operating guidance, strategic initiatives, or program improvements based on analysis of legislation, regulations, organizational priorities, program performance, or business requirements;
  • Experience analyzing program operations, resource utilization, financial information, organizational performance measures, and operational risks to identify trends, evaluate impacts, develop corrective actions, and recommend improvements that support mission accomplishment;
  • Experience planning, coordinating, and monitoring major projects or program initiatives involving multiple organizations or stakeholders, establishing priorities, resolving implementation issues, tracking milestones, and evaluating project outcomes;
  • Experience preparing executive-level reports, briefings, recommendations, decision documents, and presentations that communicate complex analytical findings and support management decisions;
  • Experience presenting recommendations, advising senior management, coordinating with internal and external stakeholders, resolving complex or sensitive issues, and communicating technical information through both oral presentations and written products.


AND
You must also meet the following requirements:

  • TIME AFTER COMPETITIVE APPOINTMENT (TACA): By the closing date (or if this is an open continuous announcement, by the cut-off date) specified in this job announcement, current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. For this requirement, a competitive appointment is one where you applied to and were appointed from an announcement open to "All US Citizens"
  • TIME IN GRADE (TIG): For positions above the GS-05,applicants must meet applicable time-in-grade requirements to be considered eligible. One year (52 weeks) at the next lower grade level is required to meet the time-in-grade requirements for the grade you are applying for. For positions at the GS-05, you cannot advance to the GS-05 if you have held a GS-02 in the past 52 weeks. There is no TIG restriction for GS-02, 03 or 04 positions.


For more information on qualifications please refer to OPM's Qualifications Standards.

Education:A college or university degree generally must be from an accredited (or pre-accredited) college or university recognized by the U.S. Department of Education. For a list of schools which meet these criteria, please refer to Department of Education Accreditation page.
FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet the requirements. You must show proof the education credentials have been deemed to be at least equivalent to that gained in conventional U.S. education program. It is your responsibility to provide such evidence when applying. Click here (Section 3, Explanation of Terms) or here for Foreign Education Credentialing instructions.
We recommend choosing an evaluator from a member organization of one of the following national associations of credential evaluation services: National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER

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