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Utilization Review Manager Jobs in Anderson, IN (NOW HIRING)

... utilization. * Review scheduling efficiency, job flow, and capacity planning to minimize downtime ... Proven experience managing teams and financial performance. * Strong communication, coaching, and ...

... utilization. * Review scheduling efficiency, job flow, and capacity planning to minimize downtime ... Proven experience managing teams and financial performance. * Strong communication, coaching, and ...

... utilization. * Review scheduling efficiency, job flow, and capacity planning to minimize downtime ... Proven experience managing teams and financial performance. * Strong communication, coaching, and ...

Case Manager

Anderson, IN · On-site

$17.25 - $22.25/hr

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care ... Participates in clinical record/utilization review of medical records and quality assurance and ...

Case Manager

Indianapolis, IN

$19 - $24.50/hr

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care ... Participates in clinical record/utilization review of medical records and quality assurance and ...

Case Manager

Indianapolis, IN · On-site

$19 - $24.50/hr

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care ... Participates in clinical record/utilization review of medical records and quality assurance and ...

Case Manager

Anderson, IN

$17.25 - $22.25/hr

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care ... Participates in clinical record/utilization review of medical records and quality assurance and ...

Medical Case Manager I

Carmel, IN · On-site

$63K - $95K/yr

A cost containment background, such as utilization review or managed care is helpful * Strong interpersonal, time management, and organizational skills * Computer proficiency and technical aptitude ...

Medical Case Manager I

Carmel, IN · On-site

$63K - $95K/yr

A cost containment background, such as utilization review or managed care is helpful * Strong interpersonal, time management, and organizational skills * Computer proficiency and technical aptitude ...

Showing results 21-40

Utilization Review Manager information

See Anderson, IN salary details

$33.8K

$78.9K

$145.1K

How much do utilization review manager jobs pay per year?

As of Aug 12, 2026, the average yearly pay for utilization review manager in Anderson, IN is $78,864.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,600.00 and $94,900.00 per year, depending on experience, location, and employer.

Is utilization review a stressful job?

Utilization review managers oversee the assessment of healthcare services to ensure appropriate and efficient care, which can involve high workloads and strict deadlines, leading to stress. The job requires strong organizational skills, attention to detail, and the ability to handle complex cases, which may contribute to job-related stress for some individuals.

What are some common challenges faced by utilization review managers in balancing patient care and cost efficiency?

Utilization Review Managers often encounter the challenge of ensuring patients receive appropriate care while also adhering to insurance and regulatory guidelines that emphasize cost efficiency. This requires strong analytical skills to assess clinical information and make fair determinations, often under tight deadlines and with incomplete data. The role also involves frequent communication with physicians, payers, and case managers to resolve disagreements and clarify criteria, making negotiation and diplomacy essential. Staying updated on changing healthcare regulations and payer requirements can add to the complexity, but it also provides opportunities for professional growth and leadership within healthcare administration.

What are the key skills and qualifications needed to thrive as a utilization review manager?

To thrive as a Utilization Review Manager, you need a solid background in healthcare management, clinical knowledge (often as an RN or healthcare professional), and experience with utilization review processes. Familiarity with case management software, electronic health records (EHRs), and certifications such as Certified Case Manager (CCM) or Certified Professional in Utilization Review (CPUR) are often expected. Strong analytical thinking, attention to detail, leadership, and effective communication are crucial soft skills for success in this role. These skills ensure appropriate resource use, regulatory compliance, and coordinated patient care, which are vital for both healthcare quality and operational efficiency.

What is the difference between Utilization Review Manager vs Utilization Review Coordinator?

AspectUtilization Review ManagerUtilization Review Coordinator
CertificationsTypically requires certifications like CCM or ACUMay require similar certifications but often less advanced
Work EnvironmentSupervises review teams, manages processes in healthcare or insurance settingsPerforms case reviews, supports the review process under supervision
Employer & IndustryHospitals, insurance companies, healthcare organizationsInsurance companies, healthcare providers, third-party administrators

The Utilization Review Manager oversees review teams and manages utilization review processes, focusing on policy compliance and efficiency. The Utilization Review Coordinator supports the review process by conducting case assessments and assisting managers. While both roles require similar certifications and work in related environments, the manager holds a supervisory position with broader responsibilities.

What does a utilization review manager do?

A Utilization Review Manager oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They ensure that patient care adheres to established guidelines and that healthcare resources are used effectively. Their duties typically include leading a team of reviewers, collaborating with healthcare providers, ensuring compliance with regulations, and making recommendations on care authorization. The goal is to balance quality patient care with cost-effective resource management.
What are popular job titles related to Utilization Review Manager jobs in Anderson, IN? For Utilization Review Manager jobs in Anderson, IN, the most frequently searched job titles are:
What cities near Anderson, IN are hiring for Utilization Review Manager jobs? Cities near Anderson, IN with the most Utilization Review Manager job openings:
Infographic showing various Utilization Review Manager job openings in Anderson, IN as of June 2026, with employment types broken down into 3% As Needed, 70% Full Time, 21% Part Time, 3% Temporary, and 3% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $78,864 per year, or $37.9 per hour.

GPS Case Management Medical Review Therapeutic Area Leader

Eli Lilly and Company

Indianapolis, IN

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago


Eli Lilly and Company rating

8.8

Company rating: 8.8 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

11th of 86 rated pharmaceutical


Job description

At Lilly, the work is demanding because patients are waiting. We unite caring with discovery to help make life better for people around the world, knowing that every decision, every detail, and every day matters. Headquartered in Indianapolis, Indiana, our over 50,000 employees around the globe take on complex challenges to discover and deliver life-changing medicines, strengthen how health is understood and managed, and support the communities we serve. This is hard, urgent, selfless work-but it's work worth doing. If you're driven by purpose and ready to bring your best to work that truly matters for patients, we invite you to join us.


Leadership in Medical Review

  • Supervise Case Management Medical Review personnel within the therapeutic area across the global team, including physicians and scientists.
  • Build deep regulatory and technical expertise through recruitment, development, and retention of staff.
  • Facilitate, train and mentor Case Management Medical Reviewers in the responsibilities of the role.
  • Provide feedback and coaching, support short and long-term development plans, and ensure appropriate individual recognition.
  • Oversee the medical evaluation of safety of Individual Case Safety Reports for all assigned compounds across their life cycle to inform the safety profile of the therapeutic area portfolio.
  • Develop, maintain, and share technical expertise and medical knowledge in the therapeutic area.
  • Provide strong global medical leadership that influences scientific and process improvements and drive change within the organization.
  • Lead and participate in process improvement and innovation projects to support the safety of all assigned compounds.
  • Participate in the development and implementation of the functional strategic plan for Case Management Medical Review.
  • Manage resources to meet business objectives and future needs within the therapeutic area in collaboration with leaders across the global team.
  • Collaborate cross-functionally to ensure alignment of goals and deliverables, readjusting as business needs dictate.
  • Partner closely with global GPS partners for efficient resource forecasting, planning, and utilization to meet business objectives.

Enterprise Leadership

  • Lead actions and collaborate with GPS teams to ensure appropriate interaction, communication, and high-quality medical evaluation of safety within the therapeutic area.
  • Act as a Lilly Case Management Medical Review representative for both internal and external customers, interacting as described in corporate guidelines and policies.
  • Build strong relationships with key customers, representing and championing the role of safety in the organization.
  • Collaborate with Affiliates, Business Units, and Clinical Development teams regarding areas of relevant medical review expertise and responsibility.
  • Lead actions required to manage or clarify a safety issue in collaboration with the responsible global teams.
  • Understand the roles and responsibilities of the EU qualified person (QP) and ensure support to the fulfillment of QP's legal responsibilities is provided when required.

Minimum Qualification Requirements:

  • Medical Doctor or Doctor of Osteopathy. Must be board eligible or certified in appropriate specialty/subspecialty or have completed the comparable level of post-medical school clinical training relevant to the country of hiring.
  • US trained physicians must have achieved board eligibility or certification. Foreign medical graduates (in US based jobs) who are not US board eligible or certified may be hired directly for employment in the US at the discretion of the Chief Medical Officer.
  • Non-US trained physicians must have completed education and training at a medical school that meets the minimum requirements substantially equivalent to the requirements of medical schools accredited by the Liaison Committee on Medical Education (LCME). For the recognized list of foreign medical schools and the disapproved list, see PLA: Physicians Licensing Information and Medical Education | MBC.

Additional Preferences:

  • 5 years of clinical development or pharmacovigilance experience preferred.
  • Knowledge of drug development process.
  • Fluent in English with highly effective written and verbal communication skills.
  • Strong clinical/diagnostic skills.
  • Excellent interpersonal, organizational and negotiation skills.
  • Ability to work on multiple projects and function effectively in a fast-paced matrixed environment.
  • Ability to prioritize tasks and shift priorities rapidly to meet tight deadlines
  • Ability to influence others (both cross-functionally and within the function) in order to create a positive working environment.
  • Excellent teamwork skills.
  • Willing to engage in domestic and international travel to the degree appropriate to support the business of the team.

Lilly is dedicated to helping individuals with disabilities to actively engage in the workforce, ensuring equal opportunities when vying for positions. If you require accommodation to submit a resume for a position at Lilly, please complete the accommodation request form (https://careers.lilly.com/us/en/workplace-accommodation) for further assistance. Please note this is for individuals to request an accommodation as part of the application process and any other correspondence will not receive a response.


Lilly is proud to be an EEO Employer and does not discriminate on the basis of age, race, color, religion, gender identity, sex, gender expression, sexual orientation, genetic information, ancestry, national origin, protected veteran status, disability, or any other legally protected status.


Our employee resource groups (ERGs) offer strong support networks for their members and are open to all employees. Our current groups include: Africa, Middle East, Central Asia (AMECA), Black Employees at Lilly (BE@Lilly), Chinese Culture Network (CCN), EnAble, Evolve, Lilly Indian Network (LIN), Organization of Latinx at Lilly (OLA), Pride (LGBTQ+ Allies), Veterans Leadership Network (VLN) and Women's Initiative for Leading at Lilly (WILL).


Actual compensation will depend on a candidate's education, experience, skills, and geographic location. The anticipated wage for this position is

$225,000 - $330,000

Full-time equivalent employees also will be eligible for a company bonus (depending, in part, on company and individual performance). In addition, Lilly offers a comprehensive benefit program to eligible employees, including eligibility to participate in a company-sponsored 401(k); pension; vacation benefits; eligibility for medical, dental, vision and prescription drug benefits; flexible benefits (e.g., healthcare and/or dependent day care flexible spending accounts); life insurance and death benefits; certain time off and leave of absence benefits; and well-being benefits (e.g., employee assistance program, fitness benefits, and employee clubs and activities).Lilly reserves the right to amend, modify, or terminate its compensation and benefit programs in its sole discretion and Lilly's compensation practices and guidelines will apply regarding the details of any promotion or transfer of Lilly employees.

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About Eli Lilly

Sourced by ZipRecruiter

Eli Lilly, based in Indianapolis, IN, US, is one of the pioneers in the pharmaceutical industry with a rich history dating back to 1876. This global pharmaceutical company focuses on discovering, developing, manufacturing and selling pharmaceutical products in approximately 120 countries. The company's product categories include endocrinology, oncology, cardiovascular, neuroscience, and immunology. Having invested over $9 billion in research and development in the past decade, Eli Lilly is also committed to creating high-quality medicines that meet real needs. As a recipient of several awards and recognitions, Eli Lilly is known for its focus on life-saving research and drug development. Their mission is to make medicines that help people live longer, healthier, and more active lives.

Industry

Pharmaceutical product wholesalers

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

1876