Job Requirements and Key Responsibilities Partners with Consulting management to maximize revenue opportunities, achieve the highest utilization, and increase customer satisfaction. Responsible for ...
Job Requirements and Key Responsibilities Partners with Consulting management to maximize revenue opportunities, achieve the highest utilization, and increase customer satisfaction. Responsible for ...
Care Manager
Eagan, MN · On-site
Knowledge of utilization management procedures, mental health and substance abuse community resources and providers. Knowledge and experience in inpatient setting. Knowledge of DSM V or most current ...
Care Manager
Eagan, MN · On-site
Knowledge of utilization management procedures, mental health and substance abuse community resources and providers. Knowledge and experience in inpatient setting. Knowledge of DSM V or most current ...
Financial and utilization considerations (in partnership with analytics/actuarial/finance ... Therapeutic Class Management * Lead therapeutic class strategy reviews to ensure clinical positions ...
Financial and utilization considerations (in partnership with analytics/actuarial/finance ... Therapeutic Class Management * Lead therapeutic class strategy reviews to ensure clinical positions ...
Financial and utilization considerations (in partnership with analytics/actuarial/finance ... Therapeutic Class Management * Lead therapeutic class strategy reviews to ensure clinical positions ...
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Financial and utilization considerations (in partnership with analytics/actuarial/finance ... Therapeutic Class Management * Lead therapeutic class strategy reviews to ensure clinical positions ...
Financial and utilization considerations (in partnership with analytics/actuarial/finance ... Therapeutic Class Management * Lead therapeutic class strategy reviews to ensure clinical positions ...
Financial and utilization considerations (in partnership with analytics/actuarial/finance ... Therapeutic Class Management * Lead therapeutic class strategy reviews to ensure clinical positions ...
Pharmacy Clinical Pharmacist- Clinical Program Senior Advisor (Multiple Locations)
Bloomington, MN · Remote
Develop and implement utilization management strategies and drug utilization review programs to enhance formulary strategies and improve clinical outcomes in alignment with P&T determination
Pharmacy Clinical Pharmacist- Clinical Program Senior Advisor (Multiple Locations)
Bloomington, MN · Remote
Develop and implement utilization management strategies and drug utilization review programs to enhance formulary strategies and improve clinical outcomes in alignment with P&T determination
The Clinical Program Advisor will be responsible for review, consultation, and clinical evaluation of utilization management criteria to align with pharmaceutical rebate contract requirements and ...
The Clinical Program Advisor will be responsible for review, consultation, and clinical evaluation of utilization management criteria to align with pharmaceutical rebate contract requirements and ...
Remote Clinical Review Pharmacist
Minneapolis, MN · On-site
$123K - $147K/yr
Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document recommendations and decisions according to health-plan and regulatory requirements. * Participate in ...
Remote Clinical Review Pharmacist
Minneapolis, MN · On-site
$123K - $147K/yr
Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document recommendations and decisions according to health-plan and regulatory requirements. * Participate in ...
Travel Nurse RN - Case Manager, Utilization Review - $2,946 per week
Minneapolis, MN · On-site
$2.9K/wk
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Minneapolis, Minnesota. & Requirements * Specialty: Utilization Review * Discipline: RN * ...
Travel Nurse RN - Case Manager, Utilization Review - $2,946 per week
Minneapolis, MN · On-site
$2.9K/wk
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Minneapolis, Minnesota. & Requirements * Specialty: Utilization Review * Discipline: RN * ...
Clinical Pharmacy Manager, Formulary Strategy
Minnetonka, MN · On-site
$120K - $144K/yr
Clinical Pharmacy Manager, Formulary Strategy Medica is a nonprofit health plan with more than a ... Financial and utilization considerations (in partnership with analytics/actuarial/finance)
Clinical Pharmacy Manager, Formulary Strategy
Minnetonka, MN · On-site
$120K - $144K/yr
Clinical Pharmacy Manager, Formulary Strategy Medica is a nonprofit health plan with more than a ... Financial and utilization considerations (in partnership with analytics/actuarial/finance)
Clinical Pharmacy Manager, Formulary Strategy
Minnetonka, MN · On-site
$120K - $144K/yr
Financial and utilization considerations (in partnership with analytics/actuarial/finance ... Therapeutic Class Management * Lead therapeutic class strategy reviews to ensure clinical positions ...
Clinical Pharmacy Manager, Formulary Strategy
Minnetonka, MN · On-site
$120K - $144K/yr
Financial and utilization considerations (in partnership with analytics/actuarial/finance ... Therapeutic Class Management * Lead therapeutic class strategy reviews to ensure clinical positions ...
Specialty Pharmacy Account Manager
Shoreview, MN · On-site
$161K - $228K/yr
Identify, create, and implement new solutions through products offerings and services to clients including enhancement of existing specialty suite of reports, new utilization management reports ...
Specialty Pharmacy Account Manager
Shoreview, MN · On-site
$161K - $228K/yr
Identify, create, and implement new solutions through products offerings and services to clients including enhancement of existing specialty suite of reports, new utilization management reports ...
Identify, create, and implement new solutions through products offerings and services to clients including enhancement of existing specialty suite of reports, new utilization management reports ...
Identify, create, and implement new solutions through products offerings and services to clients including enhancement of existing specialty suite of reports, new utilization management reports ...
Care Management or Utilization Management experience, preferred Licensure: Current License in the state of employment, required Certifications: BLS (CPR) at hire date, required, or within 90 days of ...
Care Management or Utilization Management experience, preferred Licensure: Current License in the state of employment, required Certifications: BLS (CPR) at hire date, required, or within 90 days of ...
Care Management or Utilization Management experience, preferred Licensure: Current License in the state of employment, required Certifications: BLS (CPR) at hire date, required, or within 90 days of ...
Care Management or Utilization Management experience, preferred Licensure: Current License in the state of employment, required Certifications: BLS (CPR) at hire date, required, or within 90 days of ...
Care Management or Utilization Management experience, preferred Licensure: Current License in the state of employment, required Certifications: BLS (CPR) at hire date, required, or within 90 days of ...
Care Management or Utilization Management experience, preferred Licensure: Current License in the state of employment, required Certifications: BLS (CPR) at hire date, required, or within 90 days of ...
Assess and redesign end-to-end processes across claims, enrollment, billing, customer service, utilization management, care management, and pharmacy or pharmacy benefit manager operations * Translate ...
Assess and redesign end-to-end processes across claims, enrollment, billing, customer service, utilization management, care management, and pharmacy or pharmacy benefit manager operations * Translate ...
Region Director Care Coordination-Central Region
Little Falls, MN · Remote
$72.88 - $108.42/hr
You will also require knowledge of utilization management processes and denial prevention strategies, actively collaborating with relevant System and Regional Directors to reduce preventable denials ...
Region Director Care Coordination-Central Region
Little Falls, MN · Remote
$72.88 - $108.42/hr
You will also require knowledge of utilization management processes and denial prevention strategies, actively collaborating with relevant System and Regional Directors to reduce preventable denials ...
Consultant, Clinical Pharmacy Program
Minneapolis, MN · On-site
$11.41/hr
This position has responsibility for coordinating strategic approaches for effective and efficient quality and utilization management of medications. This position will work closely with the Clinical ...
Consultant, Clinical Pharmacy Program
Minneapolis, MN · On-site
$11.41/hr
This position has responsibility for coordinating strategic approaches for effective and efficient quality and utilization management of medications. This position will work closely with the Clinical ...
Hospital case management and utilization management experience preferred Knowledge of current case management principles, utilization management, length of stay management and/or transition/discharge ...
Hospital case management and utilization management experience preferred Knowledge of current case management principles, utilization management, length of stay management and/or transition/discharge ...
Utilization Manager information
See Minnesota salary details
$38.2K - $49.6K
9% of jobs
$58.1K is the 25th percentile. Wages below this are outliers.
$49.6K - $61.1K
22% of jobs
$61.1K - $72.5K
11% of jobs
The median wage is $79.6K / yr.
$72.5K - $84K
14% of jobs
$84K - $95.4K
12% of jobs
$102.6K is the 75th percentile. Wages above this are outliers.
$95.4K - $106.8K
13% of jobs
$106.8K - $118.3K
13% of jobs
$118.3K - $129.7K
5% of jobs
$129.7K - $141.2K
2% of jobs
$141.2K - $152.6K
0% of jobs
$152.6K - $164.1K
0% of jobs
$38.2K
$89.1K
$164.1K
How much do utilization manager jobs pay per year?
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?
What are some common challenges faced by utilization managers, and how can they be addressed?
What is the difference between Utilization Manager vs Utilization Coordinator?
| Aspect | Utilization Manager | Utilization Coordinator |
|---|---|---|
| Certifications | Often requires healthcare or case management certifications | May have similar certifications but less emphasis on management |
| Work Environment | Typically in healthcare organizations, overseeing utilization review processes | Supports daily operations, assisting with case documentation and scheduling |
| Employer & Industry Usage | Common in healthcare, insurance, and managed care companies | Found 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.
What are popular job titles related to Utilization Manager jobs in Minnesota?
For Utilization Manager jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Utilization Manager jobs in Minnesota look for?
The top searched job categories for Utilization Manager jobs in Minnesota are:
What cities in Minnesota are hiring for Utilization Manager jobs?
Cities in Minnesota with the most Utilization Manager job openings:
What are popular job titles related to Utilization Manager jobs in MN?
For Utilization Manager jobs in MN, the most frequently searched job titles are:

Full-time
This job post has expired 2 days ago. Applications are no longer accepted.
Job description
Job Requirements and Key Responsibilities Partners with Consulting management to maximize revenue opportunities, achieve the highest utilization, and increase customer satisfaction. Responsible for the collection, management, and communication of detailed resource specifications for assigned practice. Proactively identifies available resources, using a variety of methods, or open specifications. Facilitates resource meetings with Consulting Managers regarding weekly billable utilization and open request.
Escalate urgent requests on priority staffing calls. Partner with management to understand assigned consultants' skill levels and experience. Actively monitor the selection/acceptance process for assigned resources. Offer creative solutions when no resources with necessary skill sets are available. Recommend creative ways to utilize consultants who lack high demand skill sets. Identify resourcing issues and make recommendations for resolution. Update required systems with resource selection decision and supporting reason.
Responsible for tracking billable utilization and supply/demand modeling for practice. Maintain data integrity. Contribute to overall practice reports. Career Level - IC2