Salary for
Utilization Management Director in the United States

How much does a Utilization Management Director earn in the United States? The average Utilization Management Director salary in the United States is $119,730 as of March 28, 2019, but the range typically falls between $105,466 and $136,846. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. With more online, real-time compensation data than any other website, Salary.com helps you determine your exact pay target.  View Cost of Living in Major Cities

Job Description

Leads and directs the utilization review staff and function for a healthcare facility. Determines policies and procedures that incorporate best practices and ensure effective utilization reviews. Manages and monitors both concurrent reviews to ensure that the patient is getting the right care in a timely and cost-effective way and retrospective reviews after treatment has been completed. Provides analysis and reports of significant utilization trends, patterns, and impacts to resources. Consults with physicians and other professionals to develop improved utilization of effective and appropriate services. Requires a master's degree. Typically reports to top management. Typically requires Registered Nurse(RN). 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. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. Typically requires 5+ years of managerial experience.

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Salary range for a Utilization Management Director
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Average Base Salary

Core compensation

 
 
 
105466
136846
119730

Average Total Compensation

Includes bonus, healthcare, and retirement

 
 
 
110597
149546
128562
These charts show the average base salary (core compensation), as well as the average total compensation for the job of Utilization Management Director in the United States. The base salary for Utilization Management Director ranges from $105,466 to $136,846 with the average base salary of $119,730. The total compensation, which includes bonus, health and retirement, can vary anywhere from $110,597 to $149,546 with the average total compensation of $128,562.
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105466
136846
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Career Path for this job

  1. Down a level:

    Medical Claims Review Manager

    5 + years experience
    Bachelor's Degree

  2. This Job:

    Utilization Management Director


    Master's Degree

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Job Openings for Utilization Management Director