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Utilization Manager Jobs in Nebraska (NOW HIRING)

Nebraska State Jobs

Medicaid Medical Director

Lincoln, NE · On-site

$300K - $350K/yr

This position leads clinical quality strategy, medical policy, utilization management, and population health initiatives while serving as the principal physician advisor to MLTC executive leadership.

Nebraska Government

Physician

Lincoln, NE · On-site

Administrative tasks will include utilization management and oversight of clinical programs such as chronic care clinics. Requirements / Qualifications * Minimum Qualifications: M.D. degree and ...

Son

Physician

Lincoln, NE · On-site

Administrative tasks will include utilization management and oversight of clinical programs such as chronic care clinics. Requirements / Qualifications Minimum Qualifications: M.D. degree and license ...

Nebraska State Jobs

Physician

Lincoln, NE · On-site

Board certification, utilization management experience, experience with InterQual and 2 years supervisory experience. Other: Applicants accepting a job offer must pass the following pre-employment ...

Menard, Inc

Manufacturing Manager Trainee

Valley, NE · On-site

$16.25 - $18/hr

Position Summary: This position is responsible for learning all production, management, and ... Come up with innovative ideas to improve current processes Facility Maintenance and Utilization

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Nebraska

Utilization Manager information

See Nebraska salary details

$37.2K

$86.8K

$159.7K

How much do utilization manager jobs pay per year?

As of Jul 21, 2026, the average yearly pay for utilization manager in Nebraska is $86,775.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,700.00 and $104,400.00 per year, depending on experience, location, and employer.

What does a utilization manager do?

A utilization manager oversees the allocation and efficient use of resources, such as staff and equipment, to meet organizational goals. They analyze data, monitor utilization rates, and ensure compliance with policies, often using tools like spreadsheets or specialized software. This role requires strong organizational and communication skills to optimize productivity and control costs.

What jobs pay 4000 a week without a degree?

Utilization Managers typically require a relevant background in healthcare, logistics, or operations, and their salaries usually do not reach $4,000 weekly without specialized experience or certifications. High-paying roles that can reach this level without a degree often include sales, real estate, or skilled trades like certain construction or technical jobs, which rely more on experience and skills than formal education.

What are the key skills and qualifications needed to thrive as a Utilization Manager, and why are they important?

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 is the highest paying job in healthcare management?

The highest paying roles in healthcare management include Chief Executive Officers (CEOs) of hospitals and health systems, with salaries often exceeding $200,000 annually. Other high-paying positions include Chief Financial Officers (CFOs) and Chief Operating Officers (COOs), who oversee organizational strategy and operations, typically earning six-figure salaries. These roles require extensive experience, advanced degrees, and strong leadership skills.

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.

Is being a MOA a good entry level job?

A Medical Office Assistant (MOA) role is often considered an entry-level position in healthcare, requiring basic administrative skills and knowledge of medical terminology. It provides experience in patient interaction, scheduling, and office management, which can serve as a stepping stone to more advanced healthcare roles. However, career advancement may require additional certifications or education.
More about Utilization Manager jobs
What are the most commonly searched types of Utilization jobs in Nebraska? The most popular types of Utilization jobs in Nebraska are:
What are popular job titles related to Utilization Manager jobs in Nebraska? For Utilization Manager jobs in Nebraska, the most frequently searched job titles are:
What job categories do people searching Utilization Manager jobs in Nebraska look for? The top searched job categories for Utilization Manager jobs in Nebraska are:
What cities in Nebraska are hiring for Utilization Manager jobs? Cities in Nebraska with the most Utilization Manager job openings:
What are popular job titles related to Utilization Manager jobs in NE? For Utilization Manager jobs in NE, the most frequently searched job titles are:
Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Nebraska as of July 2026, with employment types broken down into 81% Full Time, 14% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 86% Physical, 1% Hybrid, and 13% Remote job distribution, with an average salary of $86,775 per year, or $41.7 per hour.
Medicaid Medical Director

Medicaid Medical Director

Nebraska State Jobs

Lincoln, NE • On-site

$300K - $350K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 13 days ago

Nebraska Department Of Transportation rating

7.5

Company rating: 7.5 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

407th of 693 rated public administrative organizations

Job description

The work we do matters!
Hiring Agency:
Health & Human Services - Agency 25
Location:
Lincoln, NE
Hiring Rate:
$1.000
Job Posting:
JR2026-00027855 Medicaid Medical Director (Open)
Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed):
Job Description:
The Nebraska Department of Health and Human Services (DHHS) is seeking an experienced physician leader to serve as Medical Director for the Division of Medicaid and Long-Term Care (MLTC). As the division's senior clinical executive, the Medical Director provides strategic clinical leadership for Nebraska's Medicaid program, ensuring the delivery of high-quality, evidence-based, and fiscally responsible healthcare services for Medicaid members across the state.
The Medical Director provides clinical oversight for Nebraska's Medical Assistance Program, including fee-for-service, managed care, waiver, and other healthcare delivery models. This position leads clinical quality strategy, medical policy, utilization management, and population health initiatives while serving as the principal physician advisor to MLTC executive leadership.
In addition to leading Medicaid clinical operations, the Medical Director will provide executive oversight for clinical initiatives associated with Nebraska's Rural Health Transformation Program (RHTP), supporting statewide efforts to improve access, care coordination, population health, and value-based care.
As a member of the MLTC Executive Leadership Team, the Medical Director serves as a trusted advisor to agency leadership, represents DHHS with providers, managed care organizations, legislators, and federal partners, and helps shape the future of Nebraska Medicaid.
Location: Preferred work location is Lincoln, Nebraska. Candidates located elsewhere in Nebraska will also be considered, with regular travel to Lincoln expected based on business needs.
Salary: Annual salary ranging from $300,000 - $350,000 commensurate with qualifications and experience, if approved. DHHS also offers a comprehensive benefits package, including health insurance, retirement, paid leave, and professional development opportunities.
Reports to: Drew Gonshorowski, Director, Division of Medicaid and Long-Term Care.
Primary Responsibilities:
  • Serve as the senior clinical leader for Nebraska Medicaid, providing strategic oversight of clinical operations, medical policy, quality improvement, utilization management, pharmacy, credentialing, and other medically related programs across fee-for-service, managed care, waiver, and other healthcare delivery models.
  • Lead the development and implementation of evidence-based clinical strategies that improve healthcare quality, patient safety, population health, value-based care, and health outcomes while ensuring compliance with federal and state Medicaid requirements.
  • Provide clinical leadership for Medicaid-related RHTP initiatives, advancing innovative care delivery models, whole-person care, and long-term system transformation that improve access and outcomes for Nebraskans.
  • Serve as the division's principal physician advisor to executive leadership, providing clinical expertise on healthcare policy, regulatory matters, legislative initiatives, complex medical determinations, and strategic planning.
  • Represent Nebraska Medicaid in collaboration with providers, Medicaid Managed Care Organizations, CMS, professional organizations, state agencies, and other stakeholders to strengthen partnerships, improve care coordination, and advance statewide quality initiatives.
  • Ensure the clinical integrity of Nebraska Medicaid through oversight of medical policy, quality initiatives, clinical program performance, medically related contracts, and other administrative or legal matters requiring physician expertise.

Requirements/Qualifications:
Minimum Qualifications:
  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO).
  • Active, unrestricted Nebraska medical license or ability to obtain prior to employment.
  • Board certification in a recognized specialty.
  • Progressive physician leadership experience within a healthcare organization, health plan, or public healthcare system.
  • Experience with Medicaid, managed care, healthcare quality improvement, and healthcare policy.
  • Demonstrated ability to lead complex clinical initiatives and build collaborative partnerships with providers, executive leadership, legislators, and regulatory agencies.

If you're currently employed by the State of Nebraska, please don't apply through this external career site. Instead, log in to Workday and open the Jobs Hub - Internal Apply app from your home landing page. You can access Workday anytime through the Link web page: https://link.nebraska.gov/
Benefits
We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.
Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits
Equal Opportunity Statement
The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.

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