Industry/Sector Health Services Specialism Operations Management Level Senior Associate & Summary At PwC, our people in operations consulting specialise in providing consulting services on optimising ...
Industry/Sector Health Services Specialism Operations Management Level Senior Associate & Summary At PwC, our people in operations consulting specialise in providing consulting services on optimising ...
Behavioral Health Medical Director-Remote
Houston, TX · Remote
$137 - $145/hr
Support Utilization Management (UM), Quality Management (QM), Case Management, and Disease Management programs * Conduct medical necessity reviews and peer-to-peer consultations * Collaborate with ...
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Behavioral Health Medical Director-Remote
Houston, TX · Remote
$137 - $145/hr
Support Utilization Management (UM), Quality Management (QM), Case Management, and Disease Management programs * Conduct medical necessity reviews and peer-to-peer consultations * Collaborate with ...
Utilization Review RN At Houston Methodist, the Utilization Review Nurse (URN) position is a ... This position collaborates with case management in the development and implementation of the plan ...
Utilization Review RN At Houston Methodist, the Utilization Review Nurse (URN) position is a ... This position collaborates with case management in the development and implementation of the plan ...
Clinical Management Manager
Houston, TX · On-site
$94K - $293K/yr
Design and implement care delivery models, workflows, and utilization management solutions * Drive measurable improvements in patient flow, capacity, LOS, and avoidable utilization * Partner with ...
Clinical Management Manager
Houston, TX · On-site
$94K - $293K/yr
Design and implement care delivery models, workflows, and utilization management solutions * Drive measurable improvements in patient flow, capacity, LOS, and avoidable utilization * Partner with ...
Support Case Management (CM), Utilization Management (UM), and Clinical Documentation Integrity (CDI) teams through secondary case reviews, troubleshooting, and physician education. * Act as a ...
Support Case Management (CM), Utilization Management (UM), and Clinical Documentation Integrity (CDI) teams through secondary case reviews, troubleshooting, and physician education. * Act as a ...
Case Manager
Houston, TX · On-site
$19 - $24.50/hr
The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...
Case Manager
Houston, TX · On-site
$19 - $24.50/hr
The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...
Physician Advisor - Baylor St. Luke's Medical Center (Assistant Professor)
Houston, TX · On-site
$95K - $129K/yr
Support Case Management (CM), Utilization Management (UM), and Clinical Documentation Integrity (CDI) teams through secondary case reviews, troubleshooting, and physician education. * Act as a ...
Physician Advisor - Baylor St. Luke's Medical Center (Assistant Professor)
Houston, TX · On-site
$95K - $129K/yr
Support Case Management (CM), Utilization Management (UM), and Clinical Documentation Integrity (CDI) teams through secondary case reviews, troubleshooting, and physician education. * Act as a ...
Case Manager
Katy, TX · On-site
$18.25 - $23.50/hr
The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...
Case Manager
Katy, TX · On-site
$18.25 - $23.50/hr
The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...
Case Manager
The Woodlands, TX · On-site
$17.75 - $23/hr
The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...
Case Manager
The Woodlands, TX · On-site
$17.75 - $23/hr
The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...
Case Manager
Houston, TX · On-site
$19 - $24.50/hr
The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...
Case Manager
Houston, TX · On-site
$19 - $24.50/hr
The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...
Case Manager
The Woodlands, TX · On-site
$18.25 - $23.50/hr
The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...
Case Manager
The Woodlands, TX · On-site
$18.25 - $23.50/hr
The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...
The Clinical Utilization Specialist is a key member of the Clinical support team, responsible for ensuring optimal utilization of the company's medical devices in healthcare settings. The role ...
The Clinical Utilization Specialist is a key member of the Clinical support team, responsible for ensuring optimal utilization of the company's medical devices in healthcare settings. The role ...
Pharmacist - Clinical Programs Manager (Days)
Bellaire, TX · On-site
$106K - $127K/yr
In this position you will be a key driver of the pharmacy based clinical programs, disease management initiatives, provider education, and utilization management review. This is an individual ...
Pharmacist - Clinical Programs Manager (Days)
Bellaire, TX · On-site
$106K - $127K/yr
In this position you will be a key driver of the pharmacy based clinical programs, disease management initiatives, provider education, and utilization management review. This is an individual ...
Pharmacist - Clinical Programs Manager (Days)
Bellaire, TX · On-site
$106K - $127K/yr
In this position you will be a key driver of the pharmacy based clinical programs, disease management initiatives, provider education, and utilization management review. This is an individual ...
Pharmacist - Clinical Programs Manager (Days)
Bellaire, TX · On-site
$106K - $127K/yr
In this position you will be a key driver of the pharmacy based clinical programs, disease management initiatives, provider education, and utilization management review. This is an individual ...
Appeals Pharmacist (Remote)
Katy, TX · On-site +1
$49.50 - $60.25/hr
Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:
Appeals Pharmacist (Remote)
Katy, TX · On-site +1
$49.50 - $60.25/hr
Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:
Appeals Pharmacist (Remote)
Katy, TX · On-site +1
$52.50 - $64/hr
Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:
Appeals Pharmacist (Remote)
Katy, TX · On-site +1
$52.50 - $64/hr
Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:
Remote Prior Authorization Pharmacist
Katy, TX · Remote
$50.25 - $60.50/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Remote Prior Authorization Pharmacist
Katy, TX · Remote
$50.25 - $60.50/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Remote Prior Authorization Pharmacist
Katy, TX · Remote
$53.50 - $64.25/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Remote Prior Authorization Pharmacist
Katy, TX · Remote
$53.50 - $64.25/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
The Utilization Review Coordinator will review clinical content of medical record, participate in ... Crisis management certification per hospital policy and standards required. * Experience: One to ...
The Utilization Review Coordinator will review clinical content of medical record, participate in ... Crisis management certification per hospital policy and standards required. * Experience: One to ...
Two (2) years of inpatient clinical nursing, utilization management, or case management experience, preferred * Experience with InterQual or similar evidence-based clinical decision support criteria ...
Two (2) years of inpatient clinical nursing, utilization management, or case management experience, preferred * Experience with InterQual or similar evidence-based clinical decision support criteria ...
Utilization Management information
See Spring, TX salary details
$34.7K - $44.7K
15% of jobs
$44.7K - $54.8K
8% of jobs
$56.2K is the 25th percentile. Wages below this are outliers.
$54.8K - $64.8K
15% of jobs
The median wage is $71.1K / yr.
$64.8K - $74.8K
20% of jobs
$74.8K - $84.9K
11% of jobs
$89.9K is the 75th percentile. Wages above this are outliers.
$84.9K - $94.9K
13% of jobs
$94.9K - $104.9K
5% of jobs
$104.9K - $115K
3% of jobs
$115K - $125K
4% of jobs
$125K - $135K
3% of jobs
$135K - $145.1K
3% of jobs
$34.7K
$79.6K
$145.1K
How much do utilization management jobs pay per year?
What jobs pay 4000 a week without a degree?
What jobs pay $2000 a day?
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 is the least stressful healthcare job?
What does utilization management do?
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.

$77K - $202K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 14 days ago
PwC rating
8.4
Based on 74 frontline employees who took The Breakroom Quiz
19th of 57 rated business consultants
Job description
Industry/Sector
Health ServicesSpecialism
OperationsManagement Level
Senior AssociateJob Description & Summary
At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance.As an operations consulting generalist at PwC, you will possess a broad understanding of various aspects of operations consulting. You will provide comprehensive guidance and support to clients in optimising operational efficiency and effectiveness. Working in this area, you will analyse client needs, develop operational solutions, and offer recommendations tailored to specific business requirements.
Focused on relationships, you are building meaningful client connections, and learning how to manage and inspire others. Navigating increasingly complex situations, you are growing your personal brand, deepening technical expertise and awareness of your strengths. You are expected to anticipate the needs of your teams and clients, and to deliver quality. Embracing increased ambiguity, you are comfortable when the path forward isn't clear, you ask questions, and you use these moments as opportunities to grow.
Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:
Respond effectively to the diverse perspectives, needs, and feelings of others.
Use a broad range of tools, methodologies and techniques to generate new ideas and solve problems.
Use critical thinking to break down complex concepts.
Understand the broader objectives of your project or role and how your work fits into the overall strategy.
Develop a deeper understanding of the business context and how it is changing.
Use reflection to develop self awareness, enhance strengths and address development areas.
Interpret data to inform insights and recommendations.
Uphold and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements.
The Opportunity
As part of the Operations Consulting team, you will manage day-to-day delivery of technology implementation and systems integration initiatives, serving as the bridge between strategy, architecture, and execution. As a Senior Associate, you will analyze complex problems, mentor others, and maintain significant standards while building meaningful client connections and navigating increasingly complex situations. This role offers the chance to enhance your personal brand and technical knowledge while aligning implementation outcomes with business objectives.
Responsibilities
- Oversee daily operations of technology implementation and systems integration projects
- Serve as a liaison between strategic planning and execution phases
- Analyze intricate issues and provide actionable insights
- Mentor junior team members and foster their professional growth
- Maintain quality standards throughout project delivery
- Build and maintain relationships with clients
- Navigate complex challenges to achieve successful outcomes
- Enhance personal brand and technical skills through continuous learning
What You Must Have
- Bachelor's Degree
- At least 4 years of experience
What Sets You Apart
- Master's Degree preferred
- Hands-on experience redesigning UM workflows
- Connecting operational processes to reporting and analytics needs
- Translating business needs into clear BI requirements
- Demonstrating facilitation skills in working sessions
- Owning workstream delivery and team outcomes
- Managing junior team members and delivery activities
- Developing client-ready deliverables and executive presentations
Travel Requirements
Up to 80%Job Posting End Date
The salary range for this position is: $77,000 - $202,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glanceAs PwC is anequal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law.PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.Learn more about how we work: https://pwc.to/how-we-workFor only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines