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Utilization Management Jobs in Fort Wayne, IN (NOW HIRING)

Pharmacy Careers

Appeals Pharmacist (Remote)

Fort Wayne, IN · On-site

$52.25 - $63.75/hr

Experience: Managed care or utilization management preferred. Hospital, ambulatory, and community pharmacists with strong documentation and clinical skills are encouraged to apply. * Skills:

New

Trinity Health

Pharmacist - Specialty Pharmacy

Fort Wayne, IN · On-site

$57.50 - $69/hr

Identifies and documents utilization management and appropriateness of therapy. Reviews EMR, recent medical history, patient labs, height, and weight when needed for therapy. Completes ADR/FDA Med ...

Trinity Health

Pharmacist - Specialty Pharmacy

Fort Wayne, IN · On-site

$53.25 - $64/hr

Identifies and documents utilization management and appropriateness of therapy. Reviews EMR, recent medical history, patient labs, height, and weight when needed for therapy. Completes ADR/FDA Med ...

Trinityhealth

Pharmacist - Specialty Pharmacy

Fort Wayne, IN · On-site

$57.50 - $69/hr

Identifies and documents utilization management and appropriateness of therapy. Reviews EMR, recent medical history, patient labs, height, and weight when needed for therapy. Completes ADR/FDA Med ...

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All JobsUtilization Management JobsUtilization Management Jobs in Fort Wayne, IN

Utilization Management information

See Fort Wayne, IN salary details

$38.5K

$88.3K

$160.8K

How much do utilization management jobs pay per year?

As of Aug 11, 2026, the average yearly pay for utilization management in Fort Wayne, IN is $88,288.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,600.00 and $103,100.00 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 popular job titles related to Utilization Management jobs in Fort Wayne, IN? For Utilization Management jobs in Fort Wayne, IN, the most frequently searched job titles are:
What job categories do people searching Utilization Management jobs in Fort Wayne, IN look for? The top searched job categories for Utilization Management jobs in Fort Wayne, IN are:
What cities near Fort Wayne, IN are hiring for Utilization Management jobs? Cities near Fort Wayne, IN with the most Utilization Management job openings:
Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Fort Wayne, IN as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 92% In-person, 3% Hybrid, and 5% Remote job distribution, with an average salary of $88,288 per year, or $42.4 per hour.

Remote Clinical Review Pharmacist

Pharmacy Careers

Fort Wayne, IN • On-site

$108K - $129K/yr

Other

This job post has expired today. Applications are no longer accepted.

Job description

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule
Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate prescriptions and treatment plans for safety, appropriateness, and cost-effectiveness while working from home.
Key Responsibilities

  • Review prescriptions, treatment plans, and clinical requests for appropriateness, safety, and value.
  • Apply clinical guidelines and evidence-based standards to support determinations.
  • Collaborate with physicians, nurses, and utilization-management teams on complex cases.
  • Document recommendations and decisions according to health-plan and regulatory requirements.
  • Participate in quality initiatives and peer-to-peer discussions as needed.
What You'll Bring
  • Education: PharmD or Bachelor of Pharmacy.
  • Licensure: Active, unrestricted U.S. pharmacist license.
  • Experience: Clinical review, utilization management, or managed care preferred. Hospital, ambulatory, and community pharmacists with strong clinical judgment are highly encouraged to apply.
  • Skills: Excellent clinical writing, critical thinking, and communication.
Why This Role?
  • 100% remote with flexible scheduling.
  • Help patients access safe, effective, and affordable medications.
  • Develop specialized expertise in managed care and utilization review.
  • Competitive compensation, full benefits, and advancement opportunities.

About Us
We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time.
Apply Today
Take the next step as a Remote Clinical Review Pharmacist - apply today and enjoy the flexibility of working from home

Apply