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Utilization Manager Jobs in Springfield, GA (NOW HIRING)

... utilization of resources. * Selects and coordinates work of subcontractors working on various ... Supervises assistant managers, reviews their reports, checks on any reported difficulties, and ...

Proactively interacts with Utilization Management team and attending physicians to review admission status and prevent inpatient denials. Prioritizes review of SDC and Observation patients to ...

Proactively interacts with Utilization Management team and attending physicians to review admission status and prevent inpatient denials. Prioritizes review of SDC and Observation patients to ...

Proactively interacts with Utilization Management team and attending physicians to review admission status and prevent inpatient denials. Prioritizes review of SDC and Observation patients to ...

Proactively interacts with Utilization Management team and attending physicians to review admission status and prevent inpatient denials. Prioritizes review of SDC and Observation patients to ...

Care Coordinator - SJ

Savannah, GA · On-site

$18 - $24.25/hr

Proactively interacts with Utilization Management team and attending physicians to review admission status and prevent inpatient denials. Prioritizes review of SDC and Observation patients to ...

Proactively interacts with Utilization Management team and attending physicians to review admission status and prevent inpatient denials. Prioritizes review of SDC and Observation patients to ...

Proactively interacts with Utilization Management team and attending physicians to review admission status and prevent inpatient denials. Prioritize review of SDC and Observation patients to ...

Care Coordinator - CH

Savannah, GA · On-site

$18 - $24.25/hr

Proactively interacts with Utilization Management team and attending physicians to review admission status and prevent inpatient denials. Prioritize review of SDC and Observation patients to ...

... Management (TCM) requirements, with the aim of addressing root causes of utilization and supporting patients to prevent avoidable readmissions or return visits. * Conduct targeted patient and ...

Showing results 21-40

Utilization Manager information

See Springfield, GA salary details

$32.2K

$75.2K

$138.4K

How much do utilization manager jobs pay per year?

As of Sep 1, 2026, the average yearly pay for utilization manager in Springfield, GA is $75,181.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,200.00 and $90,500.00 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 cities near Springfield, GA are hiring for Utilization Manager jobs?

Cities near Springfield, GA with the most Utilization Manager job openings:

Infographic showing various Utilization Manager job openings in Springfield, GA as of August 2026, with employment types broken down into 85% Full Time, 14% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $75,181 per year, or $36.1 per hour.

Hospital Senior Account Manager, Anti-Infectives - Columbia, SC / Augusta, GA

GlaxoSmithKline

Savannah, GA

Full-time

Posted 13 days ago


GlaxoSmithKline rating

8.9

Company rating: 8.9 out of 10

Based on 19 frontline employees who took The Breakroom Quiz

9th of 86 rated pharmaceutical


Job description

Territory includes but is not limited toColumbia, SC and Augusta, GA

The Hospital Senior Account Manager supports and advances formulary access, protocol and order set readiness, discharge pathway support, and demand generation across targeted hospital accounts. This role engages Infectious Disease physicians, as well as hospitalists, pharmacists, case management teams, discharge planners, as well as key decision makers of IDNs (CMO, Pharmacy Directors, P&T Committee members) as needed, to drive sales.

The Hospital Senior Account Managers will meet and/or exceed sales performance objectives in an assigned territory by developing, implementing, and executing an integrated territory business plan encompassing key customer targets within assigned accounts. The role will require:

  • Manage hospital relationship - engaging clinical and non-clinical stakeholders to understand unique customer needs & priorities
  • Providing scientific and clinical information within the disease state area and approved product.
  • Delivering sales presentations of approved products to physicians, APPs, medical staff, and other appropriate clinic personnel by utilizing customer engagement selling model
  • Effectively utilize and manage all resources to optimize customer engagement
  • Collaborate effectively across GSK's highly matrixed sales organization, partnering closely with Organized Provider Account Directors, Reimbursement Managers, and other cross-functional stakeholders to drive aligned execution and business success.
  • Participation in training and development programs while abiding by all industry and corporate policies and procedures

Successful outcome is driving sales in a hospital setting by convincing HCPs to write a GSK product for within indication patients and securing formulary access, inclusion in protocols and discharge orders as needed.

Key Responsibilities

  • Achieve and exceed sales targets within the assigned territory by developing, implementing, and executing an integrated business plan to maximize sales and prioritize high-value customers and growth opportunities.
  • Secure and translate hospital formulary wins and market access achievements into consistent prescribing and utilization within targeted hospital accounts
  • Engage pharmacy, medical, and operational stakeholders in clinical discussions that support patient identification, treatment selection, IV-to-oral transition, discharge readiness, and readmission reduction.
  • Facilitate collaboration with nurse navigators, discharge planners, case managers, and specialty pharmacy partners to support patient access and therapy continuity
  • Identify and address clinical, operational, behavioral, and process-related barriers impacting product adoption
  • Plan and organize activities to achieve call metrics, optimizing coverage and frequency to key customers to maximize access and sales opportunities.
  • Deliver comprehensive clinical brand presentations to physicians and other healthcare professionals, driving appropriate product utilization.
  • Understand the healthcare delivery system within each assigned account, including the physician hierarchy, key pharmacy personnel, and clinical nursing staff.
  • Develop in-depth product and account knowledge, staying informed about local and regional market trends.
  • Analyze utilization trends, customer insights, and local market dynamics to identify opportunities and drive performance.
  • Identify and address clinical, operational, behavioral, and process-related barriers impacting product adoption
  • Conduct educational programs, in-services, speaker programs, and compliant scientific discussions.
  • Collaborate with peers in the sales organization to share best practices and strategies.
  • Provide feedback on marketing strategy, analyze the effectiveness of sales activities and territory performance, and develop territory plans with the Regional Sales Director, brand team, and other support partners to deliver exceptional customer experience.
  • Manage the territory budget to support sales and marketing activities effectively.
  • Complete administrative tasks promptly, executing the company brand strategy and tactics within the assigned geographic area.
  • Participate in training and development programs to enhance skills and knowledge.
  • Maintain adherence and compliance with all corporate and industry policies and procedures.

Why You?

Basic Qualifications

  • BA/BS degree from an accredited institution.
  • Valid driver's license.
  • 5+ years of experience in the pharmaceutical/medical/biotech industry.
  • 3+ years of experience calling on hospitals and health systems
  • Experience with hospital decision-making processes, clinical pathways, formulary management, and antimicrobial stewardship programs.
  • Willingness to travel up to 50% within assigned geography, including overnight travel.
  • Ability to lift and/or move up to 35 pounds

Preferred Qualifications

  • Consistent record of top-tier sales performance and proven product launch success
  • Demonstrated success driving demand generation within hospitals
  • Anti-Infective experience preferred
  • Expertise in account selling and managing complex sales processes.
  • Deep knowledge of the Health Systems business model, organizational structure, key stakeholder roles and decision-making processes (P&T, formulary, etc.)
  • Experience engaging specialist physicians, hospitalists, pharmacists, and pharmacy leadership
  • Experience collaborating across hospital and community care settings
  • Ability to work effectively both independently and as part of a team
  • Analyze data and trends to create actionable business plans
  • Flexibility and adaptability to changing market conditions
  • Demonstrated ability to adhere to all regulatory, legal, and compliance standards.
  • Exceptional presentation and selling skills, coupled with strong business acumen.

#LI-GSK

#LI-Remote

#GSKCommercial

#GSKUrology


Skills

Account Management, Cross-Functional Work, Data to Insights, Digital Fluency, Omnichannel, Scientific Literacy

Please visit GSK US Benefits Summary to learn more about the comprehensive benefits program GSK offers US employees.

Why GSK?

Uniting science, technology and talent to get ahead of disease together.

GSK is a global biopharma company with a purpose to unite science, technology and talent to get ahead of disease together. We aim to positively impact the health of 2.5 billion people by the end of the decade, as a successful, growing company where people can thrive. We get ahead of disease by preventing and treating it with innovation in specialty medicines and vaccines. We focus on four therapeutic areas: respiratory, immunology and inflammation; oncology; HIV; and infectious diseases - to impact health at scale.

People and patients around the world count on the medicines and vaccines we make, so we're committed to creating an environment where our people can thrive and focus on what matters most. Our culture of being ambitious for patients, accountable for impact and doing the right thing is the foundation for how, together, we deliver for patients, shareholders and our people.

If you require an accommodation or other assistance to apply for a job at GSK, please contact the appropriate Recruitment Staff by emailing us at -usrecruitment.adjustments@gsk.com

GSK is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), military service or any basis prohibited under federal, state or local law.

Important notice to Employment businesses/ Agencies

GSK does not accept referrals from employment businesses and/or employment agencies in respect of the vacancies posted on this site. All employment businesses/agencies are required to contact GSK's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to GSK. The obtaining of prior written authorization is a condition precedent to any agreement (verbal or written) between the employment business/ agency and GSK. In the absence of such written authorization being obtained any actions undertaken by the employment business/agency shall be deemed to have been performed without the consent or contractual agreement of GSK. GSK shall therefore not be liable for any fees arising from such actions or any fees arising from any referrals by employment businesses/agencies in respect of the vacancies posted on this site.

Please note that if you are a US Licensed Healthcare Professional or Healthcare Professional as defined by the laws of the state issuing your license, GSK may be required to capture and report expenses GSK incurs, on your behalf, in the event you are afforded an interview for employment. This capture of applicable transfers of value is necessary to ensure GSK's compliance to all federal and state US Transparency requirements. For more information, please visit the Centers for Medicare and Medicaid Services (CMS) website at https://openpaymentsdata.cms.gov/


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About GlaxoSmithKline

Sourced by ZipRecruiter

GlaxoSmithKline is a globally recognized pharmaceutical and healthcare company based in Philadelphia, PA, USA. Originated from a merger between Glaxo Wellcome and SmithKline Beecham in 2000, the company excels in the pharmaceutical industry and holds a leading position in making medicines, vaccines, and consumer healthcare products. GSK's mission is to improve the quality of human life by enabling people to do more, feel better, and live longer. They adhere to core values of transparency, integrity, respect for people, and patient-focus, reflecting in their endeavors to conduct research and deliver innovative healthcare solutions to patients and consumers worldwide.

Industry

Scientific research and development services

Company size

10,000+ Employees

Headquarters location

Philadelphia, PA, US