Network Partner quarterly meetings, Utilization Management roundtables) * Lead activities around Hill Days, meetings with Congressional staff, and other offerings * Lead and manage activities around ...
Network Partner quarterly meetings, Utilization Management roundtables) * Lead activities around Hill Days, meetings with Congressional staff, and other offerings * Lead and manage activities around ...
Network Partner quarterly meetings, Utilization Management roundtables) * Lead activities around Hill Days, meetings with Congressional staff, and other offerings * Lead and manage activities around ...
Quick apply
Network Partner quarterly meetings, Utilization Management roundtables) * Lead activities around Hill Days, meetings with Congressional staff, and other offerings * Lead and manage activities around ...
Director, Policy and Advocacy
Washington, DC · On-site
$120K - $132K/yr
Network Partner quarterly meetings, Utilization Management roundtables) * Lead activities around Hill Days, meetings with Congressional staff, and other offerings * Lead and manage activities around ...
Quick apply
Director, Policy and Advocacy
Washington, DC · On-site
$120K - $132K/yr
Network Partner quarterly meetings, Utilization Management roundtables) * Lead activities around Hill Days, meetings with Congressional staff, and other offerings * Lead and manage activities around ...
Director, Policy and Advocacy
Washington, DC · On-site
$120K - $132K/yr
Network Partner quarterly meetings, Utilization Management roundtables) * Lead activities around Hill Days, meetings with Congressional staff, and other offerings * Lead and manage activities around ...
Director, Policy and Advocacy
Washington, DC · On-site
$120K - $132K/yr
Network Partner quarterly meetings, Utilization Management roundtables) * Lead activities around Hill Days, meetings with Congressional staff, and other offerings * Lead and manage activities around ...
Technical Infrastructure Program Manager I , Data Center Power Utilization Management & Planning ...
Herndon, VA · On-site
... management plans; training and mentoring performance; and driving process improvements. As a Technical Infrastructure Program Manager within this team focused on global data center inventory and ...
New
Technical Infrastructure Program Manager I , Data Center Power Utilization Management & Planning ...
Herndon, VA · On-site
... management plans; training and mentoring performance; and driving process improvements. As a Technical Infrastructure Program Manager within this team focused on global data center inventory and ...
New
Uses clinical expertise and utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities.
Uses clinical expertise and utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities.
Uses clinical expertise and utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities.
Uses clinical expertise and utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities.
Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities. Responsible for the timely ...
Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities. Responsible for the timely ...
Lead strategic practice initiatives with guidance from HAP leadership, including staffing and utilization management, headcount forecasting, staff performance management, staff learning and ...
Lead strategic practice initiatives with guidance from HAP leadership, including staffing and utilization management, headcount forecasting, staff performance management, staff learning and ...
Field Medical Director, Radiation OncologyAs a FMD, 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 ...
Field Medical Director, Radiation OncologyAs a FMD, 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 ...
Field Medical Director, Radiation Oncology As a FMD, 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 ...
Field Medical Director, Radiation Oncology As a FMD, 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 ...
Field Medical Director, Radiation Oncology As a FMD, 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 ...
Field Medical Director, Radiation Oncology As a FMD, 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 Accreditation Reviewer
Washington, DC · On-site
$120K - $135K/yr
Excel, Word, and PowerPoint • A valid US passport and valid driver's license is required EDUCATION AND TRAINING REQUIREMENTS: • For care management accreditation programs (i.e., utilization ...
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Clinical Accreditation Reviewer
Washington, DC · On-site
$120K - $135K/yr
Excel, Word, and PowerPoint • A valid US passport and valid driver's license is required EDUCATION AND TRAINING REQUIREMENTS: • For care management accreditation programs (i.e., utilization ...
Launched by former Big 4 Management Consultants; our multidisciplinary teams bring together the ... FSM Utilization Specialist Candidates shall work to support requirements for Program Support and ...
Launched by former Big 4 Management Consultants; our multidisciplinary teams bring together the ... FSM Utilization Specialist Candidates shall work to support requirements for Program Support and ...
Hospitalist Medical Director
Washington, DC · On-site
$320K/yr
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. * Our dedicated site coordinator will help maintain a healthy work ...
Hospitalist Medical Director
Washington, DC · On-site
$320K/yr
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. * Our dedicated site coordinator will help maintain a healthy work ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Washington, DC · On-site
$95 - $109/hr
Currently seeking Otolaryngologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Washington, DC · On-site
$95 - $109/hr
Currently seeking Otolaryngologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Medical Consultant Reviewer- Pediatrician PRN D.C.
Washington, DC · On-site
$192K - $249K/yr
Provide clinical subject matter expertise to utilization management staff, case managers, and consultants. * Participate in fair hearings , representing clinical determinations when required. * Take ...
Medical Consultant Reviewer- Pediatrician PRN D.C.
Washington, DC · On-site
$192K - $249K/yr
Provide clinical subject matter expertise to utilization management staff, case managers, and consultants. * Participate in fair hearings , representing clinical determinations when required. * Take ...
Physician Reviewer-Radiology (Full-Time)
Washington, DC · On-site
$95 - $96/hr
As a FMD, Radiology 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 environment. You can enjoy ...
Physician Reviewer-Radiology (Full-Time)
Washington, DC · On-site
$95 - $96/hr
As a FMD, Radiology 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 environment. You can enjoy ...
(Orthopedic Surgery) Field Medical Director, MSK Surgery
Washington, DC · On-site
$135 - $150/hr
As a Field Medical Director, MSK Surgery 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 ...
(Orthopedic Surgery) Field Medical Director, MSK Surgery
Washington, DC · On-site
$135 - $150/hr
As a Field Medical Director, MSK Surgery 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 ...
Ensures compliance with regulatory, contractual, and organizational standards through utilization review, quality assurance activities, risk management, staff training, and continuous process ...
Ensures compliance with regulatory, contractual, and organizational standards through utilization review, quality assurance activities, risk management, staff training, and continuous process ...
Utilization Management information
See Reston, VA salary details
$40.6K - $52.4K
15% of jobs
$52.4K - $64.1K
8% of jobs
$65.8K is the 25th percentile. Wages below this are outliers.
$64.1K - $75.9K
15% of jobs
The median wage is $83.3K / yr.
$75.9K - $87.6K
20% of jobs
$87.6K - $99.4K
11% of jobs
$105.3K is the 75th percentile. Wages above this are outliers.
$99.4K - $111.1K
13% of jobs
$111.1K - $122.9K
5% of jobs
$122.9K - $134.6K
3% of jobs
$134.6K - $146.4K
4% of jobs
$146.4K - $158.1K
3% of jobs
$158.1K - $169.9K
3% of jobs
$40.6K
$93.3K
$169.9K
How much do utilization management jobs pay per year?
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.

Full-time
Posted 5 days ago
Job description
Director, Policy and Advocacy
Full-time (Washington DC Metro Area)
The Cancer Support Community (CSC), an international nonprofit organization headquartered in Washington, D.C., isseekingan ambitious and detail-oriented individual who is passionate about making a difference in the lives of peopleimpactedby cancer for our Director, Policy and Advocacy position.
JOB SUMMARY: The Director, Policy and Advocacy will serve in a leadership position of the Cancer Policy Institute to develop and implement CSC's overall strategy related to regulatory and legislative priorities. The individual selected for this role will be a self-starter, experienced in public policy, and committed to fulfilling the mission of CSC. This role is based in Washington, DC, and the individual will report to the Vice President, Policy and Advocacy of the Cancer Policy Institute.
ESSENTIAL FUNCTIONS:
Program Management:
- Work to develop and implement the policy and advocacy agenda of the Cancer Policy Institute
- Serve as a public face of CSC and Cancer Policy Institute at coalition meetings, with policymakers and funders, and at other external convenings with national partners
- Lead coordination and development of activities around CPI meetings and convenings (e.g. Network Partner quarterly meetings, Utilization Management roundtables)
- Lead activities around Hill Days, meetings with Congressional staff, and other offerings
- Lead and manage activities around grassroots communication and advocacy toolkits with Network Partners, patients, and caregivers (e.g. 340B, utilization management, patient engagement, CAR-T cell therapy)
- Manage and oversee specific state-based strategies, as assigned (e.g. 340B, CAR-T cell therapy, Medicaid, telehealth, utilization management)
- Effectively disseminate methodology and results of CSC projects and services with the goal of influencing state and national policy and practices
- Steward and develop relationships with funders
Advocacy Expert:
- Identify, track, and monitor emerging public policy issues in line with CSC's strategic plan
- Conduct strategic policy analysis, research issues and draft reports (both informational and instructional) for internal and external distribution
- Secure and grow relationships with funders, policymakers across multiple sectors, fellow advocates, and other stakeholders
- Engage and coordinate with CSC's national partners to identify areas of common work and consensus, and to advocate collectively for positive change for people affected by cancer
People Leader:
- Coach and mentor staff in the development of capabilities within the department, within CSC and within the support community.
Performs other duties as requested by management
SKILLS AND ABILITIES:
- Ability to analyze policy, develop recommendations and create position statements
- Ability to write clearly, persuasively and briefly according to intended audiences
- Strong project management skills
- Demonstrated knowledge of the policy and programmatic issues related to cancer and health policy
- Demonstrated leadership, acute analytical skills, strong public speaking, confidence in communicating with a variety of public figures and partners, including strategic partnerships
- Highly self-motivated and directed, with attention to detail
- Support and identify opportunities for innovative partnerships with the public and private sectors, academia and government agencies to advance CSC projects and services
- Flexible team player who thrives in environments requiring ability to effectively prioritize and juggle multiple concurrent projects
- Demonstrated experience organizing and coordinating Hill Days and state-based advocacy efforts
- Experience working with grassroots advocacy software
- Proven experience working diplomatically and with discretion with diverse policy allies and coalitions
- Ability to travel up to 25 percent of the time
TECHNICAL SKILLS:
- Technical proficiency with Microsoft Office, Teams, and Zoom, and experience with any specific software or technology needed for the job
EDUCATION: Advanced degree preferred (MPH, MHA, MPP, JD)
EXPERIENCE: A minimum of 5 years of experience in public policy, public interest law or related field; 3-5 years of experience leading people; oncology experience preferred; experience representing patients, caregivers, and/or healthcare consumers preferred.
SALARY AND BENEFITS
Dependent on experience. In addition to a competitive base salary, we offer statutory benefits required by law.
WORK LOCATION
This position is located in Washington, D.C. You may work at CSC's office in Washington, DC on a full-time basis or on a hybrid (in-office/work-from-home) schedule in the Washington, DC area.
HOW TO APPLY
Please submit an original cover letter and resume.
*Applications are accepted and considered on a rolling basis.
*Applications without a cover letter will not be considered.
ABOUT CANCER SUPPORT COMMUNITY
The Cancer Support Community is a global nonprofit that uplifts and strengthens people impacted by cancer. We are dedicated to fostering a community where people find connection, compassion, and knowledge. We provide professionally led support and navigation services, along with social connections and award-winning education - when, where and how impacted individuals prefer throughout their cancer experience. These resources are available at over 200 Cancer Support Community, Gilda's Club, and healthcare partner locations as well as online and over the phone - all at no cost. We amplify the voices of those impacted by cancer through research and advocacy and create solutions that break down barriers to care and close the healthcare gap for communities whose members are disproportionately affected by cancer. For more information, visitwww.CancerSupportCommunity.org.
Cancer Support Community is an Equal Opportunity Employer