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Utilization Manager Jobs in Dover, DE (NOW HIRING)

Evolent

Field Medical Director, Vascular Surgeon

Dover, DE · On-site

$130 - $140/hr

As a Vascular Surgery, Field Medical Director 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 ...

Evolent

Physician Reviewer-Radiology (Part Time)

Dover, DE · 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 ...

Evolent

Physician Reviewer-Radiology (Full-Time)

Dover, DE · 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 ...

Encompass Health

Certified Case Manager

Middletown, DE · On-site

The Certified Case Manager (CCM) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes during a patient ...

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Dover, DE

Utilization Manager information

See Dover, DE salary details

$39K

$91K

$167.4K

How much do utilization manager jobs pay per year?

As of Aug 19, 2026, the average yearly pay for utilization manager in Dover, DE is $90,961.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $109,400.00 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.

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What cities near Dover, DE are hiring for Utilization Manager jobs?

Cities near Dover, DE with the most Utilization Manager job openings:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Dover, DE as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $90,961 per year, or $43.7 per hour.

Utilization Partner - Wilmington, DE

The Reynolds and Reynolds Company

Dover, DE • On-site

$54K - $58K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Reynolds and Reynolds rating

8.4

Company rating: 8.4 out of 10

Based on 46 frontline employees who took The Breakroom Quiz

88th of 245 rated software companies

Job description

Position Description
As a Customer Success Specialist you will be responsible for providing high level customer support to approximately 30-50 automotive dealerships in a defined area. Functioning as a consultant, you will be responsible for providing excellent support for our products and ensuring that our customers are using the software that they purchased to their full potential. You will provide both on-site and video conference support to customers. Roughly 80% of the time you will be on-site and 20% will be video conference.
#LI-Remote
Requirements
Bachelor's Degree or equivalent experience; Must be a self-starter with good time management skills; Strong written and verbal communication skills; Excellent customer service and organizational skills; Ability to build strong customer relationships; Must have a valid driver's license, with fewer than 2 moving violations in the last three years and no OVI/DUI/DWI violations in the last five years; Ability to travel, with overnight hotel stays, up to 50% during training period (approximately 6 months). After training, must be able to travel approximately 10% of the month.; Must have reliable home internet with sufficient bandwidth for video conferencing
Benefits
We strive to offer an environment that provides our associates with the right balance between work and family. We offer a comprehensive benefits package including:
- Medical, dental, vision, life insurance, and a health savings account
- 401(k) with up to 6% matching
- Company car for business and personal use
- Professional development and training
- Promotion from within
- Paid vacation and sick days
- Eight paid holidays
- Referral bonuses
Reynolds and Reynolds promotes a healthy lifestyle by providing a non-smoking environment. Reynolds and Reynolds is an equal opportunity employer.

What Reynolds and Reynolds employees say

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Benefits

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About Reynolds and Reynolds

Sourced by ZipRecruiter

Reynolds and Reynolds develops and supports software for automotive retailers. We feature the industry’s only Retail Management System. This platform gives dealers a choice in dealership management systems (DMS) — ERA-IGNITE or POWER — along with retailing tools built to work together to streamline dealership operations and to improve customer satisfaction with the dealership. We also manufacture and distribute business forms and promotional items. Our products help dealers reduce compliance risk, brand their dealership, increase efficiency, and simplify administrative processes. Our associates are the key to our success. We wouldn’t be the leader in the automotive industry without them. We foster an environment that allows associates to grow professionally through engaging work and promotion from within.

Industry

Computer and computer peripheral equipment and software wholesalers

Company size

1,001 - 5,000 Employees

Headquarters location

Dayton, OH, US

Year founded

1866

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