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Utilization Jobs in Delaware (NOW HIRING)

Report on back orders, planned utilization, WIP requirements, and costs to the parties concerned. Measure, analyze and report key process metrics, and monitor adherence to key performance indicators ...

Appeals Pharmacist (Remote)

Dover, DE · On-site +1

$57.25 - $69.75/hr

Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:

Appeals Pharmacist (Remote)

Newark, DE · On-site +1

$56 - $68.25/hr

Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:

As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...

As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...

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Showing results 1-20

Utilization information

See Delaware salary details

$21

$42

$69

How much do utilization jobs pay per hour?

As of Jul 9, 2026, the average hourly pay for utilization in Delaware is $42.32, according to ZipRecruiter salary data. Most workers in this role earn between $33.46 and $48.61 per hour, depending on experience, location, and employer.

What is the difference between Utilization vs Resource Coordinator?

AspectUtilizationResource Coordinator
Primary FocusMeasuring and optimizing how staff time is usedManaging and assigning resources for projects
Required CredentialsOften no specific credentials, but industry experience helpsTypically requires organizational or project management skills
Work EnvironmentCorporate, healthcare, or consulting firmsProject teams, staffing agencies, or departments
Common UsageTracking staff utilization ratesAllocating resources to projects or tasks

Utilization focuses on measuring how effectively staff time is used, often to improve productivity. Resource Coordinator involves actively managing and assigning resources to ensure project needs are met. While related, utilization is more about analysis, and resource coordination is about execution and management.

What are utilization specialists?

Utilization specialists are professionals who review and evaluate the necessity, appropriateness, and efficiency of the use of healthcare services, procedures, and facilities. They work closely with healthcare providers, insurance companies, and patients to ensure that care is delivered according to established guidelines and that resources are used effectively. Their goal is to help manage costs while ensuring patients receive the appropriate level of care.

What are some of the common challenges faced by Utilization Review Specialists when assessing medical necessity of services?

Utilization Review Specialists often encounter the challenge of balancing patient advocacy with cost-effective care. They must stay updated on evolving insurance policies and clinical guidelines, which can be complex and change frequently. Additionally, coordinating with physicians and healthcare staff to obtain necessary documentation and clarifying treatment plans can be time-consuming. Strong communication skills and attention to detail are essential to ensure timely and accurate reviews, while also maintaining positive working relationships with clinical teams.

What are the key skills and qualifications needed to thrive as a Utilization Review Specialist, and why are they important?

To thrive as a Utilization Review Specialist, you need a background in healthcare (often as an RN or LPN/LVN), strong analytical skills, and knowledge of insurance and medical necessity criteria. Familiarity with utilization management software, ICD-10/CPT coding, and regulatory guidelines like Medicare and Medicaid is typically required. Excellent attention to detail, critical thinking, and effective communication skills set top performers apart in this role. These abilities are crucial to accurately evaluating patient care needs, ensuring regulatory compliance, and optimizing resource use within healthcare organizations.
What are the most commonly searched types of Utilization jobs in Delaware? The most popular types of Utilization jobs in Delaware are:
Production Scheduler

Full-time

Posted 23 days ago


Simmons Foods rating

6.6

Company rating: 6.6 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

240th of 391 rated food and drinks producers


Job description

Purpose of the Position -

The production planner role ensures production availability to fulfill demand by translating midterm and long-term supply plans into granular short-term production schedules that also align with near-term requirements. The role balances available and required capacity to optimize service, working capital and conversion costs while monitoring any potential issues which may impact production schedules.

Essential Position Responsibilities - This is a salary position

Analyst: Translate network supply plan into a production schedule for the manufacturing assets within its scope.  Work closely with finished goods replenishment planning and material planning teams to ensure proper coverage and accurate schedules.  Develops and aligns changes to the production schedule when demand or supply deviates from plan.  Identify possible future capacity constraints and bottlenecks in the short to mid-term.  Anticipate potential issues by comparing demand with supply in the short term and midterm.  Translate new product introduction plans from research and development and/or new product innovation teams into production plans.  Work with the network supply planner to identify consistent production adherence issues that might require an update to the planning assumptions. 

Systems Expert: Use and maintain current planning systems to create the best production schedules using established processes.  Leverage technology and analytics to run what-if-analysis to build a realistic, optimal and feasible production schedule

Internal Collaborator.  Develop and maintain production planning assumptions and performance measures in conjunction with purchasing, planning, manufacturing operations, logistics/warehousing, commercial teams, to include yield, line capacity, scrap rates, projects and holiday planning.  Align and support Network Supply Planner on Master Schedule Quality metrics and controlling working capital.  Ensure that Direct Material Support is receiving the appropriate signal for buying and that schedules remain support to drive attainment delivery.

Communicator/Reporter:  Report on back orders, planned utilization, WIP requirements, and costs to the parties concerned.  Measure, analyze and report key process metrics, and monitor adherence to key performance indicators (KPIs).

Process Improver:  Participate in the process to improve and upgrade production planning systems and reporting.  Analyze service, capacity utilization and WIP to determine how to increase utilization, reduce waste or improve customer service.

Success Criteria:  Production plan/schedule: An operationally and financially optimized production schedule that is developed, taking into account customer requirements, inventory levels, material availability and available capacity. Metrics could include capacity utilization, customer fill rates, inventory performance and master schedule quality/attainment.

Participates as a member of the Team. Participates in the ongoing development, communication and implementation of team concepts, programs and policies; coordinates work to ensure best practices with all team members. Attends appropriate team meetings. As a member of the Team, fosters strong cohesiveness regarding all major issues, e.g., direction, annual plan, budget, policy changes, etc. Accepts responsibility to quickly identify any  areas that lack cohesiveness, bringing them to the attention of the team leader and working with the team in a  supportive manner to resolve issues and actively look for ways, and reinforce actions needed, to achieve synergy  possible within the larger organization.

Simmons Operating systems principles and objectives: Is familiar with Simmons’ established operating systems  (e.g. quality, security, office environment, company policies, LEAN); understands the responsibility to maintain  familiarity with the systems and this position’s role in support of these systems - including a consideration of the impact  of individual actions on the systems and the responsibility to communicate concerns and improvement ideas.

Performs other duties as necessary in support of business objectives: This position description is intended to  guide the activities of the person in this position and is not intended to limit the thinking and creativity of the person as to the work of this function nor is it intended that this describe all the work that may be required of the person in this  position.

Physical Activities: Enters and locates information on a computer. Visually verifies information, often in small print.  Communicates with Customers, Vendors, or Employees via telephone, in person, and/or electronic mail. May present  information to small or large groups. Move about in a manufacturing environment, office environment, and surrounding property. 

Personal Protective Equipment (PPE): As needed by facility. 

Travel: May travel within North America to and from multiple facilities or worksites, requiring overnight stays. 

Technical Experience: 2+ years’ working experience in similar or related roles is desired but not mandatory. Hands-on experience working with multiple partners to resolve exceptions and negotiating the best alternatives is desired but not mandatory.

Industry Experience: Education in the field of expertise like operations, supply chain management, business (B.Sc.) or equivalent years of experience is required for the role. A certification in supply chain from APICS, certified in production and inventory management (CPIM) or lean is desired but not mandatory.

Minimum Education: Bachelor’s Degree in related field or 4 years related experience 

Preferred Education: N/A

Location: This position can be located in any of these three locations: Siloam Springs, AR | Quakertown, PA | Bridgeville, DE

We value military experience and welcome veterans to join our team.

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About Simmons Foods

Sourced by ZipRecruiter

Simmons Foods, headquartered in Siloam Springs, AR, US, is an established player in the global food processing industry. The company was founded in 1949 by Bill Simmons, and over the decades, it has grown to become a world leader in poultry, pet, and animal nutrition industries. Through its official website (simmonsfoods.com), the company has consistently communicated its commitment to quality, reliable partnerships, and innovative solutions. It specializes in the production and distribution of chicken, pet foods, and specialty pet snacks. Their mission is to be at the forefront of innovation in food products and to provide quality and value to customers and consumers.

Company size

1,001 - 5,000 Employees

Headquarters location

Siloam Springs, AR, US

Year founded

1949

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