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Utilization Manager Jobs in Lancaster, TX (NOW HIRING)

Value Analysis Manager

Irving, TX · Hybrid

$88K - $155K/yr

Manage the day-to-day operations of the value analysis program, driving product standardization, utilization management, and cost-reduction initiatives. * Serve as the gatekeeper for new product ...

Value Analysis Manager

Irving, TX · On-site

$88K - $155K/yr

Manage the day-to-day operations of the value analysis program, driving product standardization, utilization management, and cost-reduction initiatives. * Serve as the gatekeeper for new product ...

You will be the primary advocate for the patient, ensuring high-quality outcomes, managing resource utilization, and removing barriers to efficient care delivery. What You Will Do * Care Coordination:

You will be the primary advocate for the patient, ensuring high-quality outcomes, managing resource utilization, and removing barriers to efficient care delivery. What You Will Do * Care Coordination:

You will be the primary advocate for the patient, ensuring high-quality outcomes, managing resource utilization, and removing barriers to efficient care delivery. What You Will Do * Care Coordination:

The Manager will lead workforce planning, talent development, recruiting, utilization, and operational excellence while promoting firmwide resource optimization through cross-office and cross ...

The Utilization Review (UR) Intake Specialist provides staff support services including typing ... Strong interpersonal, time management and organizational skills * Ability to remain poised in ...

The Utilization Review (UR) Intake Specialist provides staff support services including typing ... Strong interpersonal, time management and organizational skills * Ability to remain poised in ...

The Manager will lead workforce planning, talent development, recruiting, utilization, and operational excellence while promoting firmwide resource optimization through cross-office and cross ...

New

The Manager will lead workforce planning, talent development, recruiting, utilization, and operational excellence while promoting firmwide resource optimization through cross-office and cross ...

Showing results 41-60

Utilization Manager information

See Lancaster, TX salary details

$37K

$86.3K

$158.8K

How much do utilization manager jobs pay per year?

As of Sep 3, 2026, the average yearly pay for utilization manager in Lancaster, TX is $86,280.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,400.00 and $103,800.00 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.

What are the most commonly searched types of Utilization jobs in Lancaster, TX?

The most popular types of Utilization jobs in Lancaster, TX are:

What job categories do people searching Utilization Manager jobs in Lancaster, TX look for?

The top searched job categories for Utilization Manager jobs in Lancaster, TX are:

What cities near Lancaster, TX are hiring for Utilization Manager jobs?

Cities near Lancaster, TX with the most Utilization Manager job openings:

Infographic showing various Utilization Manager job openings in Lancaster, TX as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, 1% Contract, and 1% Nights. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $86,280 per year, or $41.5 per hour.

Senior Manager, Financial Planning and Analysis Aetna Clinical Services (Utilization Management)

CVS Health

Irving, TX • On-site

$75K - $182K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago


CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,359 frontline employees who took The Breakroom Quiz

92nd of 113 rated pharmacies


Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary
The Senior Manager will lead a team supporting the Utilization Management function within Clinical Services. Responsibilities will include FP&A functions (Budgeting & Forecasting, Expense Management, Month Close & Reporting), Operations support (membership-based and metrics driven staffing models), and managing business partnerships. Proficiency with Microsoft Excel and PowerPoint is needed along with experience with Aetna Finance systems and processes.


Fundamental Components:

  • Develops and executes the annual financial planning and analysis (FP&A) budgeting process, working closely with key stakeholders to establish financial targets and allocate resources effectively.

  • Oversees the analysis of financial performance, including variance analysis, trend analysis, and profitability analysis by providing insights and recommendations to senior leadership based on financial data and trends.

  • Conducts scenario analysis and sensitivity analysis to evaluate the financial impact of various business scenarios and help guide strategic decisions.

  • Creates sophisticated financial models to support strategic decision-making and long-term financial planning.

  • Analyzes the financial performance of business units, product lines, or projects, identifying areas of improvement and growth opportunities.

  • Establishes financial planning and analysis processes, systems, and tools to increase efficiency and accuracy.

  • Creates budgeting and forecasting processes, ensuring accuracy and alignment with strategic objectives.

  • Conducts performance evaluations, sets performance goals, provides guidance, and fosters a collaborative and high-performing team environment.

Required Qualifications:

  • 7+ years of relevant financial planning and analysis experience.

  • 7+ years of experience with Microsoft Excel and PowerPoint are needed along with experience with financial systems.

Preferred Qualifications:

  • Proficiency with Anaplan, Hyperion, and S4 Hana.

  • Healthcare, managed care, or financial services experience.

  • Advanced degree in finance, accounting, or related field.

Education:

  • Bachelor's Degree in finance, accounting, or related field required or equivalent years of relevant experience.

Pay Range

The typical pay range for this role is:

$75,400.00 - $182,549.00


This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/28/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.


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