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Utilization Manager Jobs in Idaho (NOW HIRING)

Pharmacy Careers

Formulary Management Pharmacist

Meridian, ID · On-site

$56.50 - $67.75/hr

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...

Pharmacy Careers

Formulary Management Pharmacist

Boise, ID · On-site

$55.50 - $66.50/hr

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...

Evolent

Physician Reviewer-Radiology (Full-Time)

Boise, ID · 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 ...

Evolent

Physician Reviewer-Radiology (Part Time)

Boise, ID · On-site

$95 - $100/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 ...

EleMental Health

Office Manager

Boise, ID · On-site

Coordinate treatment room utilization and provider availability. * Monitor cancellations, no-shows ... Lead Management & Patient Conversion * Respond quickly to new patient inquiries from website ...

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Showing results 41-60

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Idaho

Utilization Manager information

See Idaho salary details

$36.7K

$85.6K

$157.6K

How much do utilization manager jobs pay per year?

As of Aug 20, 2026, the average yearly pay for utilization manager in Idaho is $85,632.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,000.00 and $103,000.00 per year, depending on experience, location, and employer.

What is a utilization manager?

A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.

What are the key skills and qualifications needed to thrive as a utilization manager?

To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What are some common challenges faced by utilization managers, and how can they be addressed?

Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.

What is the difference between Utilization Manager vs Utilization Coordinator?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound in similar settings, often working under Utilization Managers

In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.

More about Utilization Manager jobs

What are popular job titles related to Utilization Manager jobs in Idaho?

For Utilization Manager jobs in Idaho, the most frequently searched job titles are:

What job categories do people searching Utilization Manager jobs in Idaho look for?

The top searched job categories for Utilization Manager jobs in Idaho are:

What are popular job titles related to Utilization Manager jobs in ID?

For Utilization Manager jobs in ID, the most frequently searched job titles are:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Idaho as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $85,632 per year, or $41.2 per hour.

Formulary Management Pharmacist

Pharmacy Careers

Meridian, ID • On-site

$56.50 - $67.75/hr

Other

Posted 5 days ago

Job description

Formulary Management Pharmacist - Influence Therapy Access at Scale | Hybrid/Remote Friendly
Shape which medications patients can access by evaluating new drugs, analyzing clinical and economic data, and supporting P&T; Committee decisions. This role offers strong intellectual challenge and often hybrid or remote flexibility.
Key Responsibilities

  • Evaluate and review new drug products for formulary inclusion or exclusion.
  • Analyze clinical trial data, cost-effectiveness, and therapeutic outcomes to support recommendations.
  • Collaborate with Pharmacy & Therapeutics (P&T;) Committees on formulary decisions.
  • Maintain and update formulary lists in compliance with health-plan, PBM, and regulatory standards.
  • Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines.
What You'll Bring
  • Education: PharmD or Bachelor of Pharmacy.
  • Licensure: Active U.S. pharmacist license.
  • Experience: Managed care, PBM, or health-plan ideal. All pharmacists interested in formulary and policy work are encouraged to apply.
  • Skills: Strong analytical ability, interpretation of clinical research, and excellent written communication.
Why This Role?
  • Influence therapy access decisions that affect large populations.
  • Gain specialized expertise in managed-care pharmacy.
  • Many positions are hybrid or remote-friendly.
  • Competitive pay, benefits, and professional development.

About Us
We are a confidential healthcare organization working with PBMs, insurers, and health systems nationwide. Our pharmacists drive evidence-based decisions that balance patient care with responsible resource use.
Apply Today
Take the next step - apply now for our Formulary Management Pharmacist opening and make your expertise count system-wide.

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