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.
Supervisor Utilization Management
$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...
4 weeks ago
Supervisor Utilization Management
$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...
4 weeks ago
Supervisor Utilization Management
$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...
4 weeks ago
Supervisor Utilization Management
$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...
4 weeks ago
Supervisor Utilization Management
$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...
4 weeks ago
Supervisor Utilization Management
$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...
4 weeks ago
Supervisor Utilization Management
$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...
4 weeks ago
Supervisor Utilization Management
$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...
4 weeks ago
Supervisor Utilization Management
$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...
4 weeks ago
Supervisor Utilization Management
$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...
4 weeks ago
Director of Utilization Management
$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
Utilization Management Supervisor, Non-Clinical
$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 2 weeks ago
Utilization Management Supervisor, Non-Clinical
$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
Utilization Management Registered Nurse
$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...
Reposted 1 week ago
Utilization Management Manager- Remote
$85K - $110K *
Drive patient access to care as a key leader in utilization management, overseeing prior authorizations and concurrent reviews, while collaborating with clinical teams to ensure compliance and operati...
Reposted 2 days ago
Utilization Management Manager- Remote
$80K - $100K *
Manage the authorization process, ensuring timely patient access to care by building relationships, navigating payer requirements, and collaborating across teams to enhance patient transitions and mai...
Reposted 2 days ago
$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...
4 days ago
Utilization Management Manager Full Time
$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...
6 days ago
Health - Network Performance / Utilization Manager
$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 2 days ago
Health - Network Performance / Utilization Manager
$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 2 days ago
Health - Network Performance / Utilization Manager
$87K - $235K *
Advise clients on network strategy and provider performance while managing teams to improve outcomes and access across Medicaid and financially challenged environments. Build trusted relationships, le...
Reposted 2 days ago
Health - Network Performance / Utilization Manager
$87K - $293K *
Shape the future of network performance by advising clients on strategy and utilization. Leverage your expertise in analytics and provider economics to drive performance improvements in Medicaid and u...
Reposted 2 days ago
Health - Network Performance / Utilization Manager
$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 2 days ago
Health - Network Performance / Utilization Manager
$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 2 days ago
Health - Network Performance / Utilization Manager
$87K - $293K *
Grow your career by leveraging your expertise in network performance and provider strategy. Join a dynamic team focused on advising clients to enhance utilization and achieve sustainable outcomes in c...
Reposted 2 days 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.