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Utilization Management Assistant Jobs Near Me

Advanced Drainage Systems

Manager IT PMO

Hilliard, OH · On-site

Acknowledge interdependencies among programs, take action to alleviate or resolve bottlenecks, and advocate for the effective utilization of resources. * Budget Management: Assist with developing and ...

Brookfield Properties

Assistant Property Manager

Columbus, OH · On-site

$17.75 - $24.50/hr

Supports and ensures timely input, proper use and full utilization of on-site PC-based property management software systems including assistance in training of new associates and ongoing training of ...

Quality Moments

Authorization Coordinator

Columbus, OH · On-site

$20 - $22/hr

Verify insurance eligibility and benefits as needed. * Assist with appeals and reconsideration ... Experience with prior authorizations, utilization management, or healthcare scheduling.

Advanced Drainage Systems

Manager IT PMO

Hilliard, OH

$93K - $110K/yr

Acknowledge interdependencies among programs, take action to alleviate or resolve bottlenecks, and advocate for the effective utilization of resources. * Budget Management: Assist with developing and ...

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How much do utilization management assistant jobs pay per year?

As of Jul 15, 2026, the average yearly pay for utilization management assistant in the United States is $48,396.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,000.00 and $48,500.00 per year, depending on experience, location, and employer.
What cities are hiring for Utilization Management Assistant jobs? Cities with the most Utilization Management Assistant job openings:
What states have the most Utilization Management Assistant jobs? States with the most job openings for Utilization Management Assistant jobs include:
What are the most commonly searched types of Utilization Management jobs? The most popular types of Utilization Management jobs are:
Utilization Management Assistant jobs near you
A map of the United States highlighting the number of Utilization Management Assistant job openings by state according to ZipRecruiter. The image is accompanied by a detailed chart listing the number of Utilization Management Assistant job openings in each state, with California having the most at 2 and Hawaii the least at 0.

Family Practice Physician Outpatient Only Practitioner - Physicians Only Apply - Perm

ESR Healthcare

Columbus, OH

$215K - $344K/yr

Full-time, Part-time

Posted 27 days ago

Job description

Medical Doctors Only Apply. A Family Practice Physician Outpatient Only Practitioner practice is seeking a qualified physician for Columbus, OH. This and other physician jobs brought to you by ExactMD.

55-233 Physician / Family Practice: Medical Director / Columbus, OH sm


55-233 Physician / Family Practice: Medical Director / Columbus, OH

Allied Specialty -

State Ohio

Physican Speciality Pediatrics: Medical Director

Sub Specialty -

Position Type Permanent

Recruiter 258

Internal ID JJJ9

Description

Physician / Family Practice: Medical Director / Columbus, OH

Assist the Chief Medical Director to direct & coordinate the medical management, quality improvement and credentialing functions for the business unit.

Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective implementation of performance improvement initiatives for capitated providers.

Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.

Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. Oversees the activities of physician advisors. Utilizes the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies.

Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care. Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.

Develops alliances with the provider community through the development and implementation of the medical management programs. As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues. Represents the business unit at appropriate state committees and other ad hoc committees.

Participating and chairing committees, meeting with provider groups, help developing policies.

Education/Experience:

Medical Doctor or Doctor of Osteopathy, board certified preferable in a primary care specialty (Internal Medicine, Family Practice, Pediatrics or Emergency Medicine).

The candidate must be an actively practicing physician.

Need 3-5 or more years in practice experience, prefer 2-4 years in FT/PT medical director or associate medical director positions.

Previous experience within a managed care organization is preferred.

Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is preferred.

Experience treating or managing care for a culturally diverse population preferred.

License/Certifications:

Board Certification through American Board Medical Specialties.

Current state medical license without restrictions.

Salary:

$215,400 - $344,700

Community:

Columbus, Ohio.

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