Utilization Reviewer salary in United States

Average Yearly Salary of Utilization Reviewer in United States is approximately 70,106 USD (70,094 USD). Data is for 2025 and indicates a pre-tax value. The salary itself depends on multiple factors such as seniority, job performance, certifications, experience or any other bonuses. The value indicated is an average amount based on records we have in database. Real values may vary. The data is for orientational purposes.

What does Utilization Reviewer do?

A utilization reviewer is a professional responsible for evaluating and assessing the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They work in healthcare organizations such as hospitals, insurance companies, or managed care organizations. The primary goal of a utilization reviewer is to ensure that the healthcare services being utilized by patients are necessary, cost-effective, and aligned with established guidelines and protocols. Utilization reviewers review medical records, analyze treatment plans, and consult with healthcare providers to determine if the services rendered meet the required standards. They may also collaborate with insurance companies to verify coverage and assist in making decisions regarding claims and reimbursement.

Skills: Utilization Reviewer, Healthcare, Medical Necessity, Cost-Effectiveness, Treatment Evaluation, Insurance Coverage.
Job industry: Healthcare

How much does Utilization Reviewer make?

Difference in salary year over year or average salary increase is approximately 4 %


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Salary comparison to National average

Is Utilization Reviewer a well paid job?

Yes, our data shows that Utilization Reviewer is a well paid job. With years and experience the salary might increase even further, resulting in higher satisfaction.

What is considered a high salary for Utilization Reviewer?

High salary for Utilization Reviewer would be somewhere between 77,117 USD and 101,654 USD. However this is an estimation based on Gaussian Distribution.

How much can you save working as Utilization Reviewer in United States?

Living in United States the approximate monthly expenses are: 2,280 USD. This amount covers basic needs such as food, housing, clothing, healthcare and education costs for a single person. No luxury expenses such as traveling, leisure, hobbies are included in the estimation.

Estimated Yearly Salary: 70,106 USD
Estimated Monthly Salary: 5,842 USD
Estimated Weekly Salary: 1,348 USD per week
Estimated Hourly Salary: 34 USD per hour
By working as Utilization Reviewer a person can save up to 3,561 USD per month or 42,734 USD yearly. Values are pre-tax.

NOTE: These values are estimates and are averaged for the whole country. Furthermore the value is likely exaggerated as no other expenses are taken into account in the projection. Unessential expenses are very subjective and are difficult to assess. Most likely the previously estimated number is significantly lower for majority of people. Expenses in different cities across the country may vary. Above values accuracy is low and is based on limited set of data obtained.

For more information regarding expenses in United States, see costs of living in United States.

Salary comparison to region and neighbouring coutries

Country's neighbours are: Canada, Mexico.
To make it easier for comparison a conversion from local currency to USD has been made (conversion rates may vary).

Estimated Yearly Salary for Utilization Reviewer

Last revision of data: 2025-01-04

Salary increase per years of experience

Based on data available the salary increase per years of experience is as following

0 years (beginner) equals base salary

1 to 5 years of experience yields +12% salary increase

6 to 10 years of experience yields +25% salary increase

11 to 15 years of experience yields +16% salary increase

16 to 25 years of experience yields +9% salary increase

more than 25 years of experience yields +10% salary increase

NOTE: Details based on limited set of data. Percentages may vary. The salary increase over years of experience can vary widely based on factors such as job industry, job role, location, company size, and individual performance. To gain even larger increase in salary one is advised to switch jobs and / or employer.

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Data as of 2025

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