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

Elevance Health

Cost of Care Manager

Indianapolis, IN · Hybrid

Cost of Care Manager Cost of Care Manager Location: This role requires associates to be in-office 1 ... Reviews post-implementation claims, utilization, provider reimbursement, payment policy ...

Elevance Health

Cost of Care Manager

Indianapolis, IN · On-site

Cost of Care Manager Cost of Care Manager Location: This role requires associates to be in-office 1 ... Reviews post-implementation claims, utilization, provider reimbursement, payment policy ...

Brightli

Care Coordinator

Indianapolis, IN · On-site

$18.50 - $24.75/hr

Provides technical assistance to HCH Team and CSS's on use of Care Manager and Cyber Access ... Is responsive to all Quality Assurance procedures of the system, cooperates with utilization review ...

CVS Health

Grad Pharmacist

Indianapolis, IN · On-site

$16 - $19.75/hr

... quality assurance drug utilization review (DUR), pharmacy professional standards such as ... the management, oversight, and operations within the pharmacy, including but not limited to:

CVS Health

Grad Pharmacist

Westfield, IN · On-site

$16 - $20/hr

... quality assurance drug utilization review (DUR), pharmacy professional standards such as ... the management, oversight, and operations within the pharmacy, including but not limited to:

CVS Health

Grad Pharmacist

Indianapolis, IN · On-site

$16 - $19.75/hr

... quality assurance drug utilization review (DUR), pharmacy professional standards such as ... the management, oversight, and operations within the pharmacy, including but not limited to:

CVS Health

Grad Pharmacist

Indianapolis, IN · On-site

$16 - $19.75/hr

... quality assurance drug utilization review (DUR), pharmacy professional standards such as ... the management, oversight, and operations within the pharmacy, including but not limited to:

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All JobsUtilization Review JobsUtilization Review Manager JobsUtilization Review Manager Jobs in Anderson, IN

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 Sep 6, 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.

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 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 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 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.

How much does a utilization review manager make?

A utilization review manager typically earns between $70,000 and $110,000 annually, depending on experience, location, and the size of the organization. They often require knowledge of healthcare policies, insurance processes, and may hold certifications such as URAC or CCM.

Is utilization review manager a stressful job?

Utilization review managers often work in a fast-paced healthcare environment, which can be stressful due to the need to meet strict deadlines, ensure accurate assessments, and handle complex cases. The role requires strong organizational skills and attention to detail, and some individuals may find the responsibility and workload challenging, especially during high-volume periods.

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 job categories do people searching Utilization Review Manager jobs in Anderson, IN look for?

The top searched job categories for Utilization Review Manager jobs in Anderson, IN 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:

Utilization Review Manager jobs near you
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.

Registered Pharmacist - Part Time or PRN

Quality Correctional Care

Carmel, IN • On-site

Part-time

PTO

Re-posted 15 days ago

Job description

About us: Quality RX is a closed-door pharmacy that proudly provides medication for the county jail setting. We are a woman-owned business located in Carmel, Indiana. We value those who are committed to our core values of Advocacy, Courtesy, Efficiency, and Safety.challenges of sustaining the wellness and recovery process when leaving jail and returning to their communities.
Registered Pharmacist Position Summary: The Registered Pharmacist must work with pharmacy staff, Quality Correctional Care staff, and county staff to provide medications to inmates and facilities. 

Registered Pharmacist Mandatory Functions:

  • Comply with all current and future state, federal, and local laws and regulations.
  • Comply with court orders, medical department rules and the policies and procedures of Quality Rx.
  • Review prescriptions for accuracy, appropriate therapy, and interactions and communicate any discrepancies to providers quickly to prevent any disruption of care to patients
  • Accurately and efficiently process, package, and dispense prescriptions
  • Maintains records for controlled substances and removes outdated and damaged drugs from the pharmacy inventory.
  • Closely manage inventory in a cost-effective manner
  • Supervise pharmacy technicians and ensures work is accurate
  • Recommend improved procedures, equipment, and supplies to Supervisor.
  • Participate in periodic drug utilization reviews of facilities.
  • Maintains safe and clean working environment by complying with procedures, rules, and regulations.
  • Present/participate in in-service education sessions.
  • Maintain professional attitude at all times.
  • Any and all duties as assigned.

Registered Pharmacist Education, experience, and skills required:

  • The Registered Pharmacist must be licensed in the state of Indiana
  • Graduate degree from an accredited pharmacy college recognized by the American Council of Pharmaceutical Education (ACPE)
  • Experience working in a closed door/institutional pharmacy required
  • Experience with FrameWork helpful, but not required 

Registered Pharmacist Work Location: In person - Carmel, Indiana
Pharmacy Hours: 8AM-4PM, M-F - Option for Part-time, or PRN

QRX Benefits:
  • Competitive compensation packages
  • Paid time off

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