Welcome to Utilization Manager Job Opportunities at Ladders

Choose from a comprehensive collection of Utilization Manager jobs that pay more than $100,000 a year. Our list includes positions in healthcare policy, insurance, and clinical resources management.

Why Choose a Career as a Utilization Manager?

As a Utilization Manager, you will have the opportunity to make a significant impact on healthcare settings by ensuring the effective use of resources and improving patient care. Your role includes evaluating the appropriateness of care, auditing patient records, coordinating with physicians and staffing.

Qualifications for Utilization Manager Jobs

Typical qualifications for these roles include a nursing degree, excellent organizational skills, understanding of medical terminologies and procedures, and strong communication skills. Experience with healthcare databases and patient management systems is also a plus.

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$87K - $142K *

Empower healthcare quality by leading a dedicated Utilization Management team to excel in delivering efficient, effective, and compliant care while fostering a collaborative environment that enhances...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $133K *

Empower quality healthcare delivery by leading a dedicated UM team. Oversee operations, ensure compliance, and inspire excellence in patient care while fostering a culture of collaboration and continu...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $142K *

Transform healthcare outcomes by leading a Utilization Management team. Ensure quality, cost-effective care delivery while supporting your team’s growth and excellence in clinical practices. Drive eff...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $142K *

Unlock your potential by leading a dynamic team in Utilization Management. Supervise coordinated care activities to enhance health outcomes and ensure compliance in a hybrid work environment, fosterin...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $142K *

Advance team success by leading Utilization Management operations, ensuring delivery of quality care through effective supervision, coordination, and communication across multiple programs while foste...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $142K *

Oversee a dynamic Utilization Management team to enhance care delivery, ensure compliance, and drive quality outcomes across programs, while fostering a culture of improvement and supporting clinical...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $142K *

Optimize team performance and healthcare quality by leading Utilization Management efforts. Drive compliance with clinical guidelines and improve patient outcomes while mentoring a dedicated team to e...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $142K *

Shape the future of healthcare by leading a Utilization Management team to deliver quality, cost-effective care. Supervise staff, coordinate activities, and ensure compliance while fostering a culture...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $142K *

Lead and oversee a team in utilization management, ensuring high-quality, cost-effective care delivery through various programs. Collaborate with staff to enhance processes and support clinical practi...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $142K *

Lead the charge in shaping effective care delivery through oversight of utilization management. Supervise a dynamic team to drive quality outcomes, streamline processes, and enhance patient experience...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$118K - $132K *

Lead the Utilization Management team, overseeing operations for inpatient, outpatient, and long-term services. Innovate programs for quality and cost-effectiveness while ensuring compliance with regul...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $145K *

Drive operational excellence by leading a team of patient navigators in managing non-clinical services for high-risk populations, ensuring seamless care transitions and effective service delivery in a...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $145K *

Oversee the daily operations of non-clinical patient navigation services, ensuring efficient workflows, timely access to care, and high-quality service delivery while leading a team to support high-ri...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$71K - $97K *

Champion coordinated care by leveraging clinical nursing expertise to facilitate medical service determinations, ensuring optimal post-acute support for members. Collaborate with providers for effecti...

US-AnywhereRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Unlock your potential in a vital operations role that enhances client care coordination, ensures timely execution, and fosters meaningful communication with clients and families, all while supporting...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Lead the charge in optimizing patient care access by managing pre-authorization requests and concurrent reviews, combining clinical expertise and relationship management to streamline processes and en...

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$94K - $293K *

Collaborate with clients to optimize network strategies, enhance provider performance, and address utilization challenges in complex healthcare environments. Leverage data insights to drive recommenda...

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$87K - $293K *

Analyze network strategy and provider performance to enhance client outcomes. Leverage expertise in Medicaid environments to advise on access, utilization, and network design while managing engagement...

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$94K - $293K *

Shape client networks by advising on strategy, performance, and sustainability. Leverage expertise in healthcare economics and analytics to deliver insights, manage teams, and enhance network access w...

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$94K - $293K *

Shape healthcare outcomes by advising clients on network strategy, performance, and utilization challenges. Embrace leadership in complex consulting engagements while fostering trusted relationships t...

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$87K - $293K *

Unlock potential by leading client engagements in network strategy, utilization, and provider performance. Manage teams and deliver insights to enhance healthcare access and sustainability in challeng...

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$94K - $270K *

Unlock client success by leveraging your expertise in network strategy, performance analytics, and provider sustainability. Engage in high-level consulting, delivering insights that improve healthcare...

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$87K - $253K *

Join a team that's dedicated to enhancing healthcare delivery by advising clients on network strategies and provider performance. Leverage your expertise to support impactful decisions and improve cli...

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$94K - $293K *

Lead the charge in advising clients on network strategy, performance, and access in complex environments. Utilize your expertise to manage teams, build relationships, and deliver impactful solutions t...

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$87K - $235K *

Engage clients in network performance and utilization solutions, guiding strategies for provider sustainability in complex environments. Leverage your expertise to enhance network access and build end...

Reposted today

  •   5 - 7 years exp.  •   Healthcare

Frequently Asked Questions (FAQ)

  • What is a Utilization Manager?question toggle

    A Utilization Manager is a healthcare professional who is responsible for ensuring that all health and medical services, procedures and facilities are being used in a cost-effective way in the healthcare setting.

  • What are the typical duties of a Utilization Manager?question toggle

    Utilization Managers typically review patient services to determine efficiency and necessity, work to enhance the cost-effectiveness of health management strategies, and determine if a case or treatment plan is clinically appropriate based on a patient’s needs and overall health.

  • What qualifications do I need for a Utilization Manager job?question toggle

    Most Utilization Manager positions require a degree in nursing and relevant experience in a clinical setting. You should also have a good understanding of medical terminologies and procedures.