Medical Utilization Review Manager Salary in the United States

FAQ about Medical Utilization Review Manager

1. Where can a Medical Utilization Review Manager earn the most?

A Medical Utilization Review Manager'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 Manager earns the most in San Jose, CA, where the annual salary of a Medical Utilization Review Manager is $152,532.

2. What is the highest pay for Medical Utilization Review Manager?

The highest pay for Medical Utilization Review Manager is $148,216.

3. What is the lowest pay for Medical Utilization Review Manager?

The lowest pay for Medical Utilization Review Manager is $94,127.

4. What are the responsibilities of Medical Utilization Review Manager?

Manages 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 a director. Manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes.