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Utilization Managment Jobs (NOW HIRING)

ECU Health

System Manager- Care Managment

Greenville, NC · On-site

$96K - $141K/yr

Evidence knowledge of utilization review processes and can apply necessary UR concepts to operations and throughput of acute care. Demonstrates a visible working style, acts in a manner that is ...

Jimmy Jazz

ASC Supervisor - RN

Coeur D Alene, ID · On-site

$39 - $50/hr

Industry Nursing, Managment , Ophthalmology * Employee Type FT Non-Exempt * Required Degree 4 Year ... Monitor operational metrics including OR utilization, productivity, patient satisfaction, staff ...

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How much do utilization managment jobs pay per year?

As of Sep 13, 2026, the average yearly pay for utilization managment in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

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Infographic showing various Utilization Managment job openings in the United States as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $89,483 per year, or $43 per hour.

Technical Test Lead | Insurance | Claims & Policy Administration

Hartford, CT • On-site

Spruce Infotech
IT Services • 1 - 10 employees
Learn more about Spruce Infotechexternal

Full-time

Re-posted 16 days ago

Job description

Job Title: Availity QE Lead (Claims & Provider E2E Testing)
Work Location: HartfordCT6156
XXX
Contract duration: 12
Target Start Date: 01 Jul 2026
Does this position require Visa independent candidates only? YES
**hybrid work set-up**
Job Details:
Must Have Skills
Payer-provider integration workflows
Authorization processes
Provider data exchange
Eligibility verification
Utilization management
Claims adjudication & provider workflows
Healthcare applications (Availity, eviCore)
Nice to have skills
QA leadership & test governance
End-to-end test strategy & execution
Defect management & leakage prevention
Integration testing (upstream/downstream systems)
Test data management & environment readiness
Release assurance & coordination
Eclipse-based healthcare application exposure
Detailed Job Description
• Brings hands-on experience working with key Healthcare applications such as Availity and eviCore, with exposure to payer-provider integration workflows and authorization processes.
• Demonstrates strong functional understanding of provider data exchange, eligibility verification, and utilization management, enabling seamless coordination with business stakeholders.
• Strong QA leadership across claims adjudication and provider workflows
• Expertise in end-to-end test strategy, execution, and defect management
• Experience managing upstream/downstream integrations
• Focus on test data readiness, environment alignment, and release assurance
• Proven ability to drive cross-functional coordination and reduce defect leakage
Minimum years of experience
8-10 years
Certifications Needed :No
Top 3 responsibilities you would expect the Subcon to shoulder and execute
Stakeholder Managment
Test management
Test Reirting and SLAs
Interview Process (Is face to face required?)
Yes
Any additional information you would like to share about the project specs/ nature of work
support critical Caremark Aetna initiatives across claims and provider domains, including largescale enterprise transformation and core QA delivery. These roles are pivotal to ensuring release stability, regression coverage, and transformation readiness, with strong dependency on onsite coordination and leadership presence.
Project Code: Hartford Child code for HC 1 2 7 and SS

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