... utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution Educate offices using approved materials Review patient ...
... utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution Educate offices using approved materials Review patient ...
Operations Manager
West Springfield, MA · On-site
Daily payroll utilization * Driving EVV Utilization * Driving Electronic documentation (EMR) utilization * Compliance tracking * Unemployment claim management * Worker compensation management
Operations Manager
West Springfield, MA · On-site
Daily payroll utilization * Driving EVV Utilization * Driving Electronic documentation (EMR) utilization * Compliance tracking * Unemployment claim management * Worker compensation management
Physician Reviewer-Radiology (Part Time)
Hartford, CT · On-site
$95 - $100/hr
Medical
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 ...
Physician Reviewer-Radiology (Part Time)
Hartford, CT · On-site
$95 - $100/hr
Medical
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 ...
Family Medicine-Physician Reviewer-Radiology (Full-Time or Part-time)
Hartford, CT · On-site
$95 - $96/hr
Medical
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 ...
Family Medicine-Physician Reviewer-Radiology (Full-Time or Part-time)
Hartford, CT · On-site
$95 - $96/hr
Medical
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 ...
(Orthopedic Surgery) Field Medical Director, MSK Surgery
Hartford, CT · On-site
$135 - $150/hr
Medical
As a Field Medical Director, MSK Surgery 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 ...
(Orthopedic Surgery) Field Medical Director, MSK Surgery
Hartford, CT · On-site
$135 - $150/hr
Medical
As a Field Medical Director, MSK Surgery 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 ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Hartford, CT · On-site
$95 - $109/hr
Medical
Currently seeking Otolaryngologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Hartford, CT · On-site
$95 - $109/hr
Medical
Currently seeking Otolaryngologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Hartford, CT · On-site
$95 - $109/hr
Medical
Currently seeking Rheumatologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Hartford, CT · On-site
$95 - $109/hr
Medical
Currently seeking Rheumatologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Physician Reviewer-Radiology (Full-Time)
Hartford, CT · On-site
$95 - $96/hr
Medical
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 ...
Physician Reviewer-Radiology (Full-Time)
Hartford, CT · On-site
$95 - $96/hr
Medical
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 ...
Radiation Oncology Field Medical Director
Hartford, CT · On-site
$130 - $145/hr
Medical
Field Medical Director, Radiation Oncology As a FMD, 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 ...
Radiation Oncology Field Medical Director
Hartford, CT · On-site
$130 - $145/hr
Medical
Field Medical Director, Radiation Oncology As a FMD, 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 ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Hartford, CT · On-site
$95 - $109/hr
Medical
Currently seeking Endocrinologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Hartford, CT · On-site
$95 - $109/hr
Medical
Currently seeking Endocrinologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Home Health Branch Manager
West Springfield, MA · On-site
$60K - $65K/yr
Daily payroll utilization * Driving EVV Utilization * Driving Electronic documentation (EMR) utilization * Compliance tracking * Unemployment claim management * Worker compensation management
Home Health Branch Manager
West Springfield, MA · On-site
$60K - $65K/yr
Daily payroll utilization * Driving EVV Utilization * Driving Electronic documentation (EMR) utilization * Compliance tracking * Unemployment claim management * Worker compensation management
Administrative Practice Manager
Springfield, MA · On-site
$36.06 - $57.69/hr
Medical
Dental
Vision
Retirement
PTO
... utilization management indicators, program revenue, expense performance, and leads data-informed process improvements. * Evaluates the impact of operational changes, leads change management ...
Administrative Practice Manager
Springfield, MA · On-site
$36.06 - $57.69/hr
Medical
Dental
Vision
Retirement
PTO
... utilization management indicators, program revenue, expense performance, and leads data-informed process improvements. * Evaluates the impact of operational changes, leads change management ...
Home Health Branch Manager
$60K - $65K/yr
Daily payroll utilization * Driving EVV Utilization * Driving Electronic documentation (EMR) utilization * Compliance tracking * Unemployment claim management * Worker compensation management
Home Health Branch Manager
$60K - $65K/yr
Daily payroll utilization * Driving EVV Utilization * Driving Electronic documentation (EMR) utilization * Compliance tracking * Unemployment claim management * Worker compensation management
Home Health Branch Manager
$60K - $65K/yr
Daily payroll utilization * Driving EVV Utilization * Driving Electronic documentation (EMR) utilization * Compliance tracking * Unemployment claim management * Worker compensation management
Home Health Branch Manager
$60K - $65K/yr
Daily payroll utilization * Driving EVV Utilization * Driving Electronic documentation (EMR) utilization * Compliance tracking * Unemployment claim management * Worker compensation management
Operations Supervisor
New Britain, CT · On-site
Coordinate with maintenance and other terminals to optimize vehicle availability and utilization * Manage non-revenue movements and inter-terminal coordination to ensure maximum efficiency Cross ...
Operations Supervisor
New Britain, CT · On-site
Coordinate with maintenance and other terminals to optimize vehicle availability and utilization * Manage non-revenue movements and inter-terminal coordination to ensure maximum efficiency Cross ...
Coordinate with maintenance and other terminals to optimize vehicle availability and utilization * Manage non-revenue movements and inter-terminal coordination to ensure maximum efficiency Cross ...
Coordinate with maintenance and other terminals to optimize vehicle availability and utilization * Manage non-revenue movements and inter-terminal coordination to ensure maximum efficiency Cross ...
Operations Supervisor
New Britain, CT · On-site
Coordinate with maintenance and other terminals to optimize vehicle availability and utilization * Manage non-revenue movements and inter-terminal coordination to ensure maximum efficiency Cross ...
Operations Supervisor
New Britain, CT · On-site
Coordinate with maintenance and other terminals to optimize vehicle availability and utilization * Manage non-revenue movements and inter-terminal coordination to ensure maximum efficiency Cross ...
... utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution Educate offices using approved materials Review patient ...
... utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution Educate offices using approved materials Review patient ...
Experience with utilization management, home care, community resources, and rehabilitation beneficial. Highlights * Engaged supportive Leadership. * Mission-Driven Team Environment * PER DIEM About ...
Experience with utilization management, home care, community resources, and rehabilitation beneficial. Highlights * Engaged supportive Leadership. * Mission-Driven Team Environment * PER DIEM About ...
Experience with utilization management, home care, community resources, and rehabilitation beneficial. Highlights * Engaged supportive Leadership. * Mission-Driven Team Environment * PER DIEM About ...
Experience with utilization management, home care, community resources, and rehabilitation beneficial. Highlights * Engaged supportive Leadership. * Mission-Driven Team Environment * PER DIEM About ...
Utilization Manager information
See Enfield, CT salary details
$39.6K - $51.4K
9% of jobs
$60.2K is the 25th percentile. Wages below this are outliers.
$51.4K - $63.3K
22% of jobs
$63.3K - $75.1K
11% of jobs
The median wage is $82.4K / yr.
$75.1K - $87K
14% of jobs
$87K - $98.8K
12% of jobs
$106.2K is the 75th percentile. Wages above this are outliers.
$98.8K - $110.7K
13% of jobs
$110.7K - $122.5K
13% of jobs
$122.5K - $134.4K
5% of jobs
$134.4K - $146.2K
2% of jobs
$146.2K - $158.1K
0% of jobs
$158.1K - $169.9K
0% of jobs
$39.6K
$92.3K
$169.9K
How much do utilization manager jobs pay per year?
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 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?
| 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 job categories do people searching Utilization Manager jobs in Enfield, CT look for?
The top searched job categories for Utilization Manager jobs in Enfield, CT are:
What cities near Enfield, CT are hiring for Utilization Manager jobs?
Cities near Enfield, CT with the most Utilization Manager job openings:

Field Reimbursement Manager - Hartford CT
Hartford, CT • Hybrid
Full-time
Posted 8 days ago
Job description
Field Reimbursement Manager
What you will do
Let's do this. Let's change the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified geographic region for Patient Access and Reimbursement. This role involves supporting products by executing the collaborative territory strategic plan. The FRM will ensure an understanding of the reimbursement process, field reimbursement services, and patient support programs. They will also work on patient-level reimbursement issue resolution, requiring knowledge and experience with patient health information (PHI).
Act as an extension of the HUB, providing live one-on-one coverage support
Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements and forms
Review patient-specific information in cases where the site has specifically requested assistance resolving any issues or coverage challenges
Educate and update healthcare providers (HCPs) on key private and public payer coverage and changes that impact patient product access
Coordinate access/reimbursement issues with relevant partners, including the HUB
Provide information to HCPs on how the products are covered under the benefit design (Commercial, Medicare, Medicaid)
Serve as a payer expert for defined geography and promptly communicate payer changes to key stakeholders
Offer office education during the access process, including formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution
Educate offices using approved materials
Review patient insurance benefit options and alternate funding/financial assistance programs
Collaborate with other departments to resolve reimbursement issues
Working Conditions:
3 days a week in geography for customer appointments, (geography specific)
General office demands - Remote, Work from Home.
One to two home office days per week.
Must be able to travel up to 60-80% via automobile or plane.
Must have a valid driver's license with a clean driving record.
Possible long periods of sitting and/or keyboard work.
About Veteran Resources
Sourced by ZipRecruiter
Industry
Technology, communication and media
Company size
11 - 50 Employees
Headquarters location
Walnut Creek, CA, US
Year founded
2008