As of October 01, 2026, the average salary for a Medical Utilization Review Director in the United States is $167,302 per year, which breaks down to an hourly rate of $80.
However, a Medical Utilization Review Director's salary can vary significantly. Here’s a look at the typical salary range:
Medical Utilization Review Director Salaries by Percentile
| Annual Salary |
Monthly Pay |
Weekly Pay |
Hourly Wage |
|
|---|---|---|---|---|
| 75th Percentile | $182,712 | $15,226 | $3,514 | $88 |
| Average | $167,302 | $13,942 | $3,217 | $80 |
| 25th Percentile | $148,526 | $12,377 | $2,856 | $71 |
A Medical Utilization Review Director's salary isn't a fixed number. It's shaped by several important factors. Below, we'll explore how your years of experience, geographic location and company size can directly affect your earning potential.
Experience is a primary driver of a Medical Utilization Review Director's salary. As you build your skills and take on more complex tasks, your compensation generally increases. Here's how the average salary grows at different career stages:
| Levels | Salary |
|---|---|
| Entry Level Medical Utilization Review Director | $155,812 |
| Intermediate Level Medical Utilization Review Director | $157,494 |
| Senior Level Medical Utilization Review Director | $159,736 |
| Specialist Level Medical Utilization Review Director | $163,098 |
| Expert Level Medical Utilization Review Director | $167,302 |
Medical Utilization Review Director salary potential scales significantly with company size. Data shows that Enterprise companies (5,000+ employees) pay the highest average salary at around $180,541. While startup companies pay approximate $153,147.
| Company Size | Employees | Average Salary |
|---|---|---|
| Startup | 1~50 | $153,147 |
| Growth Stage | 51~500 | $161,893 |
| Established | 501~5000 | $174,378 |
| Enterprise | 5000+ | $180,541 |
Understanding how a Medical Utilization Review Director's annual salary breaks down can help with budgeting. Below, you can see the average hourly rate, weekly pay, and monthly pay for this role. Use the buttons to switch between different pay periods.
| Annual Salary | Monthly Pay | Weekly Pay | Hourly Wage | |
|---|---|---|---|---|
| 75th Percentile | $182,712 | $15,226 | $3,514 | $88 |
| Average | $167,302 | $13,942 | $3,217 | $80 |
| 25th Percentile | $148,526 | $12,377 | $2,856 | $71 |
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A Medical Utilization Review Director's earning potential can vary widely depending on several factors, including location, industry, experience, education, and the specific employer. According to the latest salary data by Salary.com, a Medical Utilization Review Director earns the most in San Jose, CA, where the annual salary of a Medical Utilization Review Director is $211,018.
The highest pay for Medical Utilization Review Director is $196,742.
The lowest pay for Medical Utilization Review Director is $131,431.
Directs the team responsible for evaluating proposed and/or delivered healthcare services to determine if the services meet established health plan coverage guidelines. Receives, reviews, and acts on pre-authorization requests from service providers for medical procedures, treatments, admissions, and medications. Reviews patient and clinical information to ensure compliance with established utilization review guidelines. Refers more complex requests and those that need clinical review to a medical reviewer. Requires a bachelor's degree. Typically reports to senior management. Manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function.
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