ZipRecruiter

Log In

1

Utilization Manager Jobs in Rhode Island (NOW HIRING)

3B Staffing LLC

Sr Product Owner

Woonsocket, RI · On-site

Exposure to Utilization Management (UM) and Care Management (CM) processes * Prior experience working with Aetna or within a similar healthcare organization * Background in clinical operations or ...

Univar Solutions

Transportation Manager

Providence, RI · On-site

Collaborate with other DTMs within the region for any dedicated capacity needs to ensure capacity requirements for the branch Asset Utilization * Manage local Transportation team and provide guidance ...

Univar Solutions

Transportation Manager

Providence, RI · On-site

Collaborate with other DTMs within the region for any dedicated capacity needs to ensure capacity requirements for the branch Asset Utilization * Manage local Transportation team and provide guidance ...

Univar Solutions

Transportation Manager

Providence, RI · On-site

Collaborate with other DTMs within the region for any dedicated capacity needs to ensure capacity requirements for the branch Asset Utilization * Manage local Transportation team and provide guidance ...

Bcbsri

Case Manager - Behavioral Health

Providence, RI · On-site +1

$73K - $110K/yr

Manage members through the behavioral healthcare delivery system; assess needs in order to identify ... Collaborate with the Utilization Review process including pre-authorization, concurrent review ...

previous pagenext page

Showing results 21-40

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Rhode Island

Utilization Manager information

See Rhode Island salary details

$38.2K

$89.1K

$164K

How much do utilization manager jobs pay per year?

As of Sep 5, 2026, the average yearly pay for utilization manager in Rhode Island is $89,128.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,300.00 and $107,200.00 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 the most commonly searched types of Utilization jobs in Rhode Island?

The most popular types of Utilization jobs in Rhode Island are:

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

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

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

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

What cities in Rhode Island are hiring for Utilization Manager jobs?

Cities in Rhode Island with the most Utilization Manager job openings:

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

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

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Rhode Island as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $89,128 per year, or $42.9 per hour.

Sr Product Owner

3B Staffing LLC

Woonsocket, RI • On-site

Full-time

Posted 24 days ago

Job description

THIS ROLE MUST BE DONE AS A REFERRAL FEE - WE WILL DO FOR 6 MONTHS

MUST BE USC OR GC HOLDER

MUST HAVE EXPERIENCE WITH EDI/CLINICAL FILES/278 TRANSACTIONS

MUST PROVIDE LINKEDIN PAGE AND MUST BE CURRENT AND MATCH EXACTLY TO RESUME

MUST PROVIDE ONE MANAGER LEVEL REFERENCE - NAME, WORK EMAIL, PHONE AND LINKEDIN PAGE

THIS IS REMOTE BUT WANT TO SEE EST TIME ZONE

These individuals will be responsible for:

  • Managing product backlogs
  • Translating business needs into technical requirements
  • Ensuring alignment between business and technology teams

They will be instrumental in delivering technology solutions that drive meaningful business outcomes, with a specific focus on clinical systems, rules engines, and predictive models that support Utilization Management (UM) and Care Management (CM) operations.

Title: Application Product Owners (2 Openings)

Location: 100% remote EST hours required, EST based strongly preferred

Start: ASAP

Duration: 1 year

Must Haves:

  • 8-12 years of experience in product ownership or related roles
  • Strong communication skills to effectively bridge business and technical teams, able to explain technical issues to non-technical stakeholders
  • Strong understanding of SAFe (Scaled Agile Framework) and experience operating within SAFe environments
  • Ability to define and manage a product backlog, including translating business needs into technical requirements (especially related to APIs and business rules)
  • Experience creating meaningful test cases to validate functionality and ensure business value
  • Proven ability to work across both business and technology domains
  • Experience breaking down large initiatives into smaller, manageable work units
  • Familiarity with Water-Scrum-Fall environments (hybrid waterfall and agile)
  • Ownership of product content, including:
    • Understanding what the rules engine does
    • Understanding how the predictive model works and its impact on business processes

Pluses:

  • Experience with EDI (Electronic Data Interchange)
  • Familiarity with clinical files and healthcare data formats
  • Knowledge of 278 (Healthcare Services Review) and 216 transactions
  • Exposure to Utilization Management (UM) and Care Management (CM) processes
  • Prior experience working with Aetna or within a similar healthcare organization
  • Background in clinical operations or experience handling clinical data
  • Experience with file exchange processes, including secure data transfer and integration workflows

Day to day:

  • Participate in daily stand-up meetings to align with the team and share progress or blockers
  • Spend afternoons focused on problem-solving, backlog refinement, and completing individual work
  • Engage in Program Increment (PI) planning every 12 weeks, with occasional in-person sessions (typically once a year)
  • Regularly report progress and updates to leadership, ensuring alignment with strategic goals and communicating risks or dependencies

Apply