Utilization Managers help organizations make informed, consistent decisions about how services and resources are used. In healthcare, they often oversee utilization review, care coordination, and processes that support appropriate, evidence-based care. Explore vetted Utilization Manager opportunities on Ladders, including positions with salaries of $100,000 or more.
Responsibilities vary by employer and industry. Healthcare Utilization Managers may lead teams that review care requests, assess cases against clinical guidelines and organizational policies, monitor service utilization, and coordinate with clinicians, insurers, and other stakeholders. They may also track performance measures, identify workflow improvements, and help ensure regulatory and documentation requirements are met.
Employers commonly seek experience in utilization management, utilization review, case management, or healthcare operations. Helpful qualifications may include a nursing or other relevant clinical background, familiarity with clinical criteria and payer processes, leadership experience, and strong analytical, communication, and problem-solving skills. Requirements differ by role, so review each job description for specific credentials and experience.
Utilization Managers work across health plans, hospitals, health systems, and other healthcare organizations. Depending on the employer, roles may focus on clinical review, care management, quality, compliance, or team leadership. Search current openings to compare responsibilities, work arrangements, and compensation, and find a position aligned with your experience and career goals.
Ladders features vetted professional opportunities with salaries of $100,000 or more. Browse Utilization Manager jobs to discover senior-level openings and explore opportunities to make an impact on healthcare delivery and organizational performance.
Supervisor, Utilization Management
$75K - $135K *
Shape healthcare delivery by supervising a utilization management team, ensuring quality adherence to standards. Drive process improvements while mentoring staff in effective care management strategie...
3 weeks ago
Director Utilization Management
$110K - $130K *
Join a team that's dedicated to optimizing healthcare delivery through strategic leadership in Utilization Management. Drive excellence in clinical care and operational outcomes while ensuring complia...
2 weeks ago
Revenue Cycle Managed Services - Utilization Management (UM) / Utilization Review (UR) Lead
$110K - $130K *
Lead the charge in optimizing utilization management operations, enhancing efficiency, and driving performance improvements. Collaborate with clinical and operational teams to ensure timely reviews an...
2 weeks ago
$92K - $138K *
Join our team to lead the Virtual Utilization Management Program, ensuring clinical excellence and operational efficiency. Collaborate with diverse healthcare professionals to enhance patient care and...
3 weeks ago
Virtual Utilization Review Supervisor
$84K - $126K *
Lead the charge in enhancing patient care through effective utilization review, ensuring quality and compliance while collaborating with healthcare teams to optimize clinical outcomes and financial pe...
Yesterday
$80K - $95K *
Elevate operational efficiency by guiding Field Engineering teams across locations, resolving complex issues, and ensuring seamless support for hardware and software upgrades while managing resources...
Yesterday
$80K - $95K *
Lead the charge in providing strategic direction and support across multiple locations, ensuring effective problem resolution and resource allocation while enhancing client and team collaboration...
Yesterday
$80K - $95K *
Manage client relationships and drive revenue growth through strategic account planning, contract renewals, and performance analysis. Collaborate with teams to ensure client satisfaction and successfu...
Reposted 2 days ago
$75K - $95K *
Shape the future of clinical research data integrity by leading a dedicated team. Drive operational excellence, ensure compliance, and foster cross-functional partnerships to enhance data quality and...
4 days ago
$95K - $115K *
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...
Reposted 4 weeks ago
Manager, Implementation Management
$102K - $140K *
Shape the future of customer success by leading implementation strategies, fostering cross-functional partnerships, and driving scalable processes for new customer rollouts in a dynamic B2B SaaS envir...
4 days ago
$100K - $120K *
Lead the charge in optimizing claims management by leveraging technology and analytics. Oversee a high-performing team, ensuring operational effectiveness and compliance across multiple lines of busin...
2 weeks ago
$110K - $150K *
Join a dynamic team to lead energy efficiency programs, manage cross-functional teams, and develop strategic plans that exceed client expectations while driving sustainability initiatives and fosterin...
Reposted 1 week ago
$110K - $130K *
Manage data management operations to ensure high-quality clinical trial services, driving process improvements and team development while maintaining data integrity and adherence to timelines and regu...
Today
$142K - $160K *
Champion privacy compliance in the Neurology therapeutic area, providing expert guidance on data protection, contract negotiation, and training. Collaborate with cross-functional teams to ensure adher...
Yesterday
$95K - $115K *
Drive service excellence by leading a team of Supervisors and Technicians, enhancing technical support, and implementing continuous improvement initiatives to optimize performance and customer satisfa...
1 week ago
$92K - $138K *
Lead client provisioning operations in Revenue Cycle Management, ensuring secure and efficient access throughout the user lifecycle. Collaborate with cross-functional teams to enhance service delivery...
2 weeks ago
$135K - $165K *
Pioneer operational excellence in Design leadership, managing workflows, prioritizing projects, and developing talent. Collaborate cross-functionally to enhance Design integration in AI-driven product...
5 days ago
$95K - $115K *
Shape your career by managing client relationships and driving AI solutions in the automotive sector. Leverage your expertise in conversational AI and marketing automation to enhance performance metri...
Yesterday
Utilization Management Physician Reviewer
$174K - $374K *
Contribute to effective healthcare delivery by making timely, evidence-based utilization management decisions. Collaborate with care teams to ensure patients receive appropriate services while adherin...
1 week ago
$78K - $106K *
Transform client payment policies by ensuring accuracy and compliance. Engage with internal and external teams to manage medical policy updates, conduct analyses, and enhance client relationships whil...
1 week ago
Utilization Management Nurse Consultant
$54K - $116K *
Join our team to utilize your nursing expertise in improving patient outcomes through effective utilization management. You'll apply clinical judgment for care coordination and enhance healthcare qual...
Reposted 3 days ago
Utilization Management Nurse Consultant
$108K - $116K *
Advance your career by leveraging your clinical expertise in a dynamic, collaborative environment. Join a team focused on ensuring high-quality healthcare services through effective utilization manage...
1 week ago
Utilization Management Nurse Consultant
$66K - $142K *
Join a team that's dedicated to optimizing healthcare services through effective utilization management. Leverage your clinical expertise to assess and coordinate care, ensuring members receive approp...
1 week ago
Utilization Management Nurse Consultant
$54K - $116K *
Support healthcare services by leveraging clinical expertise to assess, plan, and coordinate care for members. Collaborate with providers to ensure effective treatment and promote quality utilization...
1 week ago
What does a Utilization Manager do?
A Utilization Manager oversees processes for reviewing and managing the use of services and resources. In healthcare, this can include leading utilization review, supporting care coordination, monitoring performance, and ensuring decisions follow applicable clinical guidelines and policies.
What qualifications are commonly required for Utilization Manager jobs?
Qualifications vary by employer. Many roles ask for experience in utilization management, utilization review, case management, or healthcare operations. Some may require a clinical credential, relevant degree, leadership experience, or knowledge of payer and regulatory requirements.
Where do Utilization Managers work?
Utilization Managers may work for health plans, hospitals, health systems, and other healthcare organizations. Their focus can include clinical review, care management, quality, compliance, or team leadership.
How can I find Utilization Manager jobs paying $100,000 or more?
Browse Utilization Manager listings on Ladders, where professional jobs are vetted and pay $100,000 or more. Review each listing for salary details, qualifications, responsibilities, and work arrangement.