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Utilization Manager Jobs in Massachusetts (NOW HIRING)

New England Baptist Hospital

Collects quality and variance data as well as utilization management. Utilizes clinical experiences and expertise in conjunction with the managed care environment in collaborating on clinical ...

Tenet Health

Director - Case Management

Worcester, MA · On-site

$118K - $183K/yr

Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction; Care ...

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Utilization Manager information

See Massachusetts salary details

$42.6K

$99.4K

$182.9K

How much do utilization manager jobs pay per year?

As of Aug 12, 2026, the average yearly pay for utilization manager in Massachusetts is $99,396.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,000.00 and $119,600.00 per year, depending on experience, location, and employer.

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 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 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
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What job categories do people searching Utilization Manager jobs in Massachusetts look for? The top searched job categories for Utilization Manager jobs in Massachusetts are:
What cities in Massachusetts are hiring for Utilization Manager jobs? Cities in Massachusetts with the most Utilization Manager job openings:
What are popular job titles related to Utilization Manager jobs in MA? For Utilization Manager jobs in MA, the most frequently searched job titles are:
Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Massachusetts as of August 2026, with employment types broken down into 100% Full Time. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $99,396 per year, or $47.8 per hour.

Correspondence Coordinator, Utilization Management

Saviance

Charlestown, MA • On-site

$21 - $28.25/hr

Other

Re-posted 13 days ago

Job description

Job Title

Qualifications: High school diploma or equivalent Education preferred: AS Degree Experience required: At least 1 year of general clerical experience At least 1 year generating professional correspondence using Microsoft Word Experience preferred: At least 1 year in a health insurance or medical office Regular exposure to/use of medical terminology Microsoft Excel Certification or Conditions of Employment: Pre-employment background check Competencies, skills, and attributes: A willingness to learn, follow directions and work compatibly with others Ability to prioritize work Strong oral and written communication skills Detail oriented with excellent proof reading, data entry and editing skills Regular and reliable attendance is an essential function of the position Work is normally performed in a typical interior/office work environment No or very limited physical effort required; no or very limited exposure to physical risk Ability to work OT during peak periods Other: Other duties as assigned Skill in operating/using standard office machines/equipment

Responsibilities: Gathers information from the clinical documentation system and the clinical staff who have reviewed a case. Organizes the information into messages appropriate for member receipt and for provider receipt. Initiates follow up with clinical staff when clarification is required. Identifies the appropriate letter template and transcribes information from the messages onto the template. Generates final letter(s) and mails or transmits electronically, as appropriate. Maintains mandated time-frames and quality standards. Collaborates with supervisor to identify and implement process improvements. Provides excellent customer service. Other duties as assigned.

Comments/Special Instructions Position to start of as remote, moving back to Charleston office when and if appropriate. Applicants must be available to work both remote/in person

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About Saviance

Sourced by ZipRecruiter

Saviance is a modern consulting firm providing a variety of professional services to its clients in the US. We bring twenty three years of experience to the table. Our consultants are qualified experts and extremely talented. We understand the business behind the technology, and work with many of the top Fortune 100 companies and provide innovative, scalable, robust and secure solutions. At the forefront of the Staffing and IT Solutions industry, Saviance is certified by NMSDC as a Tier 1, Minority Business Enterprise (MBE) . We are a self- certified Small Business and self- certified Woman Owned Business committed to maximizing global workforce solutions on behalf of our clients, empowering businesses and talent through applied human intelligence. We are a Diversity Supplier with global reach specializing in a business services blend of talent, technology, and a relentless commitment to customer success. It’s our diversity that’s acts as a core component of our culture, our approach to business, and the opportunities we provide to our clients and our employees.

Industry

It services

Company size

201 - 500 Employees

Headquarters location

East Rutherford, NJ, US

Year founded

1999

Social media

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