Companies that use utilization management include Humana, Prime Therapeutics, UnitedHealth Group, Evolent Health, Highmark, LHC Group, Guidehouse, and several other companies.
| Rank | Company | % of all skills | Job openings |
|---|---|---|---|
| 1 | Humana | 16% | 10,258 |
| 2 | Prime Therapeutics | 11% | 1,013 |
| 3 | UnitedHealth Group | 10% | 8,473 |
| 4 | Evolent Health | 10% | 1,195 |
| 5 | Highmark | 6% | 6,155 |
| 6 | LHC Group | 6% | 2,679 |
| 7 | Guidehouse | 4% | 3,489 |
| 8 | Kaiser Permanente | 4% | 4,382 |
| 9 | CVS Health | 4% | 19,740 |
| 10 | Cambia Health Solutions | 4% | 265 |
What companies use Utilization Management the most?
1. Humana
Zippia score 4.8
How Humana uses Utilization Management:
- Develop, maintain and assure compliance with corporate policies and procedures for utilization management and support case management.
- Chaired and Co-chaired local Quality Management, Utilization Management, Peer Review and Credentialing committees.
- out to members, utilization management to make sure members needs are met and help them achieve an optimal wellness state.
Most common skills for Humana:
- CMS
- Medicare
- Customer Service
- Outbound Calls
- Medicaid
- HIPAA
2. Prime Therapeutics
Zippia score 4.8
Most common skills for Prime Therapeutics:
- SAS
- Hippa
- End-To-End Testing
- Medicare
- HIPAA
- Outbound Calls
3. UnitedHealth Group
Zippia score 4.6
Most common skills for UnitedHealth Group:
- HIPAA
- Medicaid
- Elasticsearch
- Customer Service
- SAS
- Process Improvement
4. Evolent Health
Zippia score 4.6
How Evolent Health uses Utilization Management:
- Provide administrative and clinical leadership support to utilization management nurses and technicians.
Most common skills for Evolent Health:
- Maven
- Patient Education
- SQL Server
- VBA
- Extract Data
- Visio
5. Highmark
Zippia score 4.5
How Highmark uses Utilization Management:
- Achieved two-year URAC accreditation and full compliance under NCQA utilization management standards.
- Performed utilization management for commercial insurance.
Most common skills for Highmark:
- Strong Analytical
- Customer Service
- Medicare
- PL/SQL
- Process Improvement
- Test Cases
6. LHC Group
Zippia score 4.2
Most common skills for LHC Group:
- Home Health
- Patient Satisfaction
- CMS
- Healthcare Professionals
- Addie
- Balance Sheet Accounts
8. Kaiser Permanente
Zippia score 4.7
How Kaiser Permanente uses Utilization Management:
- Performed regression analysis via Minitab to quantify the impact of appointment access and utilization management on member/patient satisfaction.
Most common skills for Kaiser Permanente:
- Patients
- Customer Service
- Patient Care
- HIPAA
- Process Improvement
- HR
9. CVS Health
Zippia score 4.6
Most common skills for CVS Health:
- Customer Service
- Patients
- CVS
- Inventory Management
- HIPAA
- Computer System
10. Cambia Health Solutions
Zippia score 3.9
Most common skills for Cambia Health Solutions:
- PowerPoint
- Business Objectives
- Web Application
- Shared Services
- Medicare
- Healthcare
11. Blue Cross & Blue Shield
Zippia score 4.3
Most common skills for Blue Cross & Blue Shield:
- Customer Service
- Medicare
- HIPAA
- CPT
- Medicaid
- Insurance Claims
12. Centene
Zippia score 4.5
How Centene uses Utilization Management:
- Present: Centene Corporation, Manager of Medical Management/Utilization Management.
- Facilitated on-going communication between case management staff, utilization management staff and contracted providers.
- Triaged new member referrals and triggers from physical health and Utilization Management department.
Most common skills for Centene:
- Medicaid
- CMS
- NCQA
- Process Improvement
- Quality Standards
- PowerPoint
13. Sanofi US
Zippia score 4.3
Most common skills for Sanofi US:
- Diabetes
- GLP
- Travel Arrangements
- FDA
- Clinical Trials
- Patients
14. Tenet Healthcare
Zippia score 4.5
Most common skills for Tenet Healthcare:
- Patients
- Medicaid
- Hospital Policies
- Customer Service
- Business Development
- Credit Balances
15. Monte Nido
Zippia score 3.7
Most common skills for Monte Nido:
- Eating Disorders
- Network Infrastructure
- Group Therapy
16. Molina Healthcare
Zippia score 4.4
Most common skills for Molina Healthcare:
- Medicaid
- HIPAA
- HR
- Quality Customer Service
- Medicare
- HEDIS
18. Select Medical
Zippia score 4.8
Most common skills for Select Medical:
- Business Relationships
- MDS
- Patients
- PTA
- Speech Therapy
- Patient Accounts
19. Department Of Military Affairs
Zippia score 4.4
Most common skills for Department Of Military Affairs:
- Direct Support
- Defense Travel System
- Financial Statements
- OSHA
- Mortgage Loans
- ArcGIS
Other skills
- UAT companies
- UI companies
- US Army companies
- US Customs companies
- USAF companies
- USDA companies
- USPS companies
- Ultrasound companies
- Undergraduate Courses companies
- Underwriting Guidelines companies
- Underwriting Process companies
- Unified Communications companies
- Unity companies
- Unix companies
- Unload Trailers companies
- Unload Trucks companies
- Unscheduled Maintenance companies
- Urgent Care companies
- User Acceptance companies
- User Experience companies
- User Interface companies
- User Research companies
- User Stories companies
- Utilization Management companies
Updated December 28, 2023