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Weekday Insurance Utilization Review Jobs in Mandeville, LA

RMGS Inc

Medical Administrator

MS · On-site

Lead utilization review, quality assurance, and risk management efforts related to medical records ... Supplemental insurance (critical care and accident) * 401(k) * Workers' compensation * Direct ...

The Brick Company

Branch Manager

Madisonville, LA · On-site

Dental insurance * Health insurance * Paid time off * Vision insurance Branch Manager Department ... Review monthly financial reports and implement corrective actions when necessary. * Approve ...

Circle K

Store Assistant Manager

Hammond, LA · On-site

$13.50 - $18.25/hr

Medical, Vision, Dental, & Life Insurance/Short & Long Term Disability * Flexible Schedules ... Click below to review information about our company's use of the federal E-Verify program to check ...

Globalstar

Senior Mission Analyst

Covington, LA

$110K - $130K/hr

STK Utilization: Use AGI's Systems Tool Kit (STK), including ODTK, to model, analyze, and simulate ... A review of this may have omitted some of the marginal functions of the position that are ...

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All JobsWeekday Insurance Utilization Review JobsWeekday Insurance Utilization Review Jobs in Mandeville, LA

Weekday Insurance Utilization Review information

See Mandeville, LA salary details

$14

$28

$48

How much do weekday insurance utilization review jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for weekday insurance utilization review in Mandeville, LA is $28.75, according to ZipRecruiter salary data. Most workers in this role earn between $20.14 and $36.59 per hour, depending on experience, location, and employer.

What is the difference between Weekday Insurance Utilization Review vs Weekday Claims Processor?

AspectWeekday Insurance Utilization ReviewWeekday Claims Processor
Primary RoleAssessing medical necessity and appropriateness of servicesProcessing and reviewing insurance claims for payment
CredentialsOften requires healthcare or insurance certificationsTypically requires insurance or administrative experience
Work EnvironmentHealthcare settings, insurance companiesInsurance companies, healthcare offices
FocusMedical review and authorizationClaims data entry and verification

Weekday Insurance Utilization Review focuses on evaluating medical necessity, while Weekday Claims Processors handle the administrative processing of insurance claims. Both roles are essential in the insurance industry but serve different functions related to claims management and healthcare authorization.

Weekday Insurance Utilization Review jobs near you

Medical Administrator

PEOPLE TECHNOLOGY AND PROCESSES LLC

Stennis Space Center, MS

Full-time

Re-posted 7 days ago

Job description

Position title: Medical Administrator

Location: Stennis Space Center, Mississippi

Clearance required: SECRET

Responsibilities include (but are not limited to):

  • Plan, manage, develop, and maintain a medical records program.
  • Develop and implement policies and procedures for processing medico-legal documents, insurance and correspondence requests, and for the documentation, storage, and retrieval of medical records information in accordance with Federal, State, and local statutes.
  • Advise management and staff on medical records procedures and problems and provide solutions.
  • Advise staff members or research investigators on methods for recording and retrieving health care data for special studies and perform data retrieval.
  • Coordinate with appropriate personnel to manage, supervise, and perform administrative work related to the admission, treatment, transfer, and discharge of patients.
  • Design, conduct, and test an in-service education program for medical records employees, medical staff, students, and other healthcare personnel.
  • Plan, organize, implement, and test the hospital's medical records utilization review, quality assurance, and risk management programs.
  • Advise on the design, development, and evaluation of automated systems to meet the technological needs for information required to manage resources.
  • Plan for, justify, test, and advise on the use of computer technology for collecting healthcare information, statistical data, and managing a medical records program.
  • Plan, organize, and evaluate the facility's case mix and systems for resource allocation.
  • Review and analyze information from data systems and provide recommendations for more efficient use of resources.
  • Make projections on the growth of the medical records system and implement design changes to accommodate program expansion.
  • Must possess comprehensive knowledge of medical records management and administrative principles, practices, and procedures necessary to plan, manage, and maintain a medical records program.
  • Demonstrated ability to develop and implement policies and procedures for processing medico-legal documents, insurance requests, and correspondence in compliance with Federal, State, and local statutes.
  • Proven experience in program and project management, including the ability to develop detailed plans, establish objectives, and manage short- and long-range planning activities.
  • Familiarity with government and agency budget systems and an acute awareness of the cost of medical equipment, supplies, and services.
  • Experience in designing, conducting, and testing in-service education programs for medical records employees and other healthcare personnel.
  • Ability to plan, organize, implement, and test a facility's medical records utilization review, quality assurance, and risk management programs.
  • Experience advising on the design, development, and evaluation of automated systems and computer technology for managing healthcare information.
  • Must possess knowledge of legal principles, regulations, and standards for the control and use of medical records, including handling subpoenas and assessing risk.
  • Demonstrated ability to review and analyze data from information systems and provide recommendations for the efficient use of resources.
  • Experience serving on hospital committees and contributing to policy decisions impacting medical records management.

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