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Utilization Manager Jobs in Portland, OR (NOW HIRING)

Providence Service

Utilization Review RN

Portland, OR · On-site

Utilization Management covers 7 days/week, including holidays. This posting is not for a specific job vacancy. It serves to establish a place for current or future interested applicants to apply for ...

Providence Service

Utilization Review RN

Portland, OR · On-site

Utilization Management covers 7 days/week, including holidays. This posting is not for a specific job vacancy. It serves to establish a place for current or future interested applicants to apply for ...

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Showing results 1-20

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Portland, OR

Utilization Manager information

See Portland, OR salary details

$41.4K

$96.5K

$177.6K

How much do utilization manager jobs pay per year?

As of Aug 31, 2026, the average yearly pay for utilization manager in Portland, OR is $96,518.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,100.00 and $116,100.00 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 popular job titles related to Utilization Manager jobs in Portland, OR?

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

What job categories do people searching Utilization Manager jobs in Portland, OR look for?

The top searched job categories for Utilization Manager jobs in Portland, OR are:

What cities near Portland, OR are hiring for Utilization Manager jobs?

Cities near Portland, OR with the most Utilization Manager job openings:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Portland, OR as of August 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $96,518 per year, or $46.4 per hour.

Utilization Management (Pre- Auth)- REMOTE

PSRTEK

Portland, OR • On-site

Contractor

Re-posted 23 days ago

Job description

Position:  Facets UM Consultant with pre-Auth

Experience: -10+Years

Location: -Remote (PST TIME ZONE)

Responsibilities: -

  • A Facets UM Consultant is responsible for providing customers with application domain expertise related to Utilization Management rules and processes within the Facets platform.
  • Review and analyze FACETS Pre-Auth/UM rules for state-specific customization.
  • Evaluate rule logic for authorization routing, benefit limits, and medical necessity guidelines.
  • Identify gaps affecting intake, determination, and UM workflows. • Work closely with UM operations, clinical teams, and configuration groups.
  • 5 - 8 years in UM/Pre-Auth configuration within FACETS.
  • Familiarity with UM workflows, clinical guidelines, and state mandates.
  • Experience working with clinical/utilization management stakeholders.
  • Deep understanding of US Healthcare payer operations.
  • Ability to analyze complex rules and configurations.

Educational Qualifications: -

  • Engineering Degree – BE/ME/BTech/MTech/BSc/MSc.

·       Technical certification in multiple technologies is desirable.


PSRTEK is a reputed technology recruitment and IT staffing brand with a global footprint and an admired client base. As an ideas and innovation powerhouse with a culture of excellence, we bring remarkable expertise and deliver powerfully transformative results.