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.
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.
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.
Manager, Utilization Management
$113K - $119K *
Champion operational excellence by leading Utilization Management programs, focusing on prior authorizations, inpatient reviews, and post-care management while collaborating with multidisciplinary tea...
3 weeks ago
Supervisor, Utilization Management (RN)
$75K - $135K *
Contribute to a high-performing clinical review team by supervising utilization management operations, resolving complex care issues, ensuring compliance with standards, and driving quality improvemen...
1 week ago
$100K - $130K *
Transform daily security operations by managing workflows, incidents, and vulnerability remediation. Collaborate with teams to enhance processes, drive efficient handoffs, and ensure compliance for pr...
Reposted 4 weeks ago
$85K - $117K *
Drive client implementations by managing cross-functional teams, ensuring timely and budget-compliant project execution, while identifying process improvement opportunities and fostering strong intern...
Reposted today
$80K - $110K *
Contribute to the success of multiple clinical research sites by leading operations, ensuring compliance with regulations, and fostering team development to enhance patient care and operational excell...
1 week ago
$134K - $175K *
Transform the future of risk management by analyzing claims trends, optimizing processes, and collaborating with diverse teams to enhance insurance functions as the organization scales in a dynamic en...
2 weeks ago
$134K - $167K *
Lead the charge in enhancing healthcare services by overseeing utilization management programs, ensuring compliance, and driving performance improvements through data-driven initiatives and cross-func...
2 weeks ago
$90K - $120K *
Shape the future of IT capacity management by ensuring resources meet business demand in a regulated environment. Collaborate with teams to optimize performance, manage risks, and align strategies for...
3 weeks ago
$90K - $100K *
Drive end-to-end contingent workforce operations, enhancing client satisfaction and managing relationships with stakeholders. Leverage your staffing experience to elevate program success and explore n...
4 days ago
$80K - $120K *
Unlock potential by driving business development efforts in strategic markets, collaborating with leadership and teams to enhance client relationships and marketing initiatives. Utilize expertise in t...
6 days ago
$80K - $120K *
Grow your career with a focus on business development, driving revenue and profit growth through strategic client partnerships and innovative marketing initiatives in the power/energy sector...
6 days ago
Manager Clinical Monitoring Operations
$100K - $130K *
Empower your career with a leadership role overseeing clinical study monitoring, ensuring compliance and quality across global studies. Drive team performance, optimize resources, and collaborate cros...
1 week ago
$90K - $130K *
Transform project dynamics by overseeing complex Cyber Infrastructure initiatives, managing teams and finances, and innovating solutions to ensure seamless operations within NIAID and NIH environments...
1 week ago
Utilization Management Nurse Lead
$94K - $130K *
Lead efforts to ensure optimal utilization management by analyzing data, guiding teams, and shaping quality outcomes, while collaborating with stakeholders to drive improvements in care and compliance...
1 week ago
$110K - $130K *
Lead the charge in executing complex configurations for HealthRules systems, guiding a distributed team to meet project goals, ensuring successful implementations that resolve client business challeng...
1 week ago
$50K - $114K *
Unlock potential by leading client analytics setups to create impactful reporting for health systems, enhancing revenue cycle efficiency through data processes, and driving implementation improvements...
1 week ago
Utility Account Manager- Transmission/Distribution
$128K - $213K *
Drive sales operations by engaging key accounts and managing strategic initiatives. Utilize your commercial expertise to navigate complex challenges and achieve business objectives while influencing t...
Reposted 2 days ago
$90K - $130K *
Elevate your career by leading a team of distribution representatives, driving sales strategies, fostering partnerships, and ensuring growth in a dynamic environment focused on achieving targets and d...
3 weeks ago
Configuration Manager (Senior)
$86K - $138K *
Lead the charge in managing configuration processes for MODES III systems, ensuring proper documentation and compliance. Utilize your expertise to support military family policies in this critical, re...
Reposted 1 week ago
$80K - $120K *
Shape the future of healthcare by strategically guiding health system clients through their journey, maximizing platform adoption, and ensuring their long-term satisfaction and success while driving r...
1 week ago
$156K - $168K *
Join a team that champions proactive incident management, ensuring swift resolution for critical escalated incidents while leading communication and collaboration across technical and support teams to...
4 days ago
Clinical Pharmacist - Utilization Management Archimedes
$100K - $130K *
Champion clinical excellence by managing specialty medication strategies, conducting peer consultations, and developing impactful clinical policies that enhance cost management across pharmacy and med...
Reposted 3 weeks ago
$100K - $110K *
Shape organizational transformation by leading change initiatives, developing strategies, and collaborating with federal leaders. Drive success in program execution while implementing best practices i...
5 days ago
REMOTE Vendor Management Manager, CMS
$82K - $95K *
Empower your career by leading vendor management initiatives. Oversee processes for selecting, monitoring, and auditing third-party vendors to enhance compliance and operational efficiency in a dynami...
4 days ago
$80K - $120K *
Unlock potential by driving actionable insights and high-quality support for real estate transactions. Collaborate with clients to analyze data, develop financial models, and deliver key recommendatio...
2 weeks ago
What is a Utilization Manager?
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?
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?
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.