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.
$80K - $95K *
Drive operational excellence in referral management by leading a dynamic team, optimizing processes, and enhancing patient access across multiple service lines. Collaborate cross-functionally to ensur...
1 week ago
$80K - $90K *
Take ownership of client relationships by managing inquiries, ensuring invoicing accuracy, and driving client success through proactive engagement and support. Collaborate with internal teams to enhan...
4 days ago
Manager, Professional Services
$110K - $130K *
Oversee daily operations to drive customer satisfaction and financial success. Lead skilled teams in service, installation, and support. Ensure long-term operational effectiveness while meeting corpor...
Reposted 4 weeks ago
Manager, Value Chain Analytics
$130K - $140K *
Lead the charge in transforming data into strategic insights, driving analytics initiatives and developing advanced solutions that empower decision-making across the value chain using modern BI tools...
2 days ago
$79K - $91K *
Transform healthcare delivery by leading the RN UM Team, ensuring timely care decisions and maintaining documentation quality while fostering a culture of clinical excellence and accountability...
Reposted yesterday
$100K - $120K *
Lead the development and execution of capture strategies, enhancing business growth through market analysis, proposal management, and cross-functional collaboration. Drive organizational success by ex...
1 week ago
$101K - $154K *
Shape product strategy and commercialization efforts, ensuring alignment with market trends and customer needs. Drive product development, marketing initiatives, and cross-functional collaboration to...
1 week ago
$95K - $115K *
Join a dynamic global accounting team as you manage international audits, enhance month-end close processes, and drive improvements in accounting operations. Take ownership of complex projects while c...
1 week ago
$85K - $100K *
Elevate your career by leading cross-functional projects, ensuring timely deliverables and driving process improvements through collaboration and expert project management methodologies...
4 weeks ago
Client Delivery Manager - Revenue Cycle (REMOTE)
$80K - $95K *
Champion operational excellence by managing client accounts, translating performance data into actionable insights, and fostering strong relationships to align expectations with capabilities. Drive co...
1 week ago
Configuration Management (CfM) Analyst
$96K - $148K *
Unlock potential by managing configuration data integrity and processes. Collaborate with teams to design workflows in ServiceNow, ensuring accurate configuration management while driving continuous i...
6 days ago
Project Manager - Implementation
$90K - $110K *
Join a team that's redefining financial advisory through innovative AI solutions. As a Project Manager, you'll lead complex implementations, enhance client engagement, and collaborate on cutting-edge...
3 weeks ago
$100K - $120K *
Lead the charge in managing a team of data analysts to develop complex reports, analyze data, and provide technical guidance, ensuring effective communication with clients and senior management while...
Yesterday
Senior Manager, Clinical Conduct
$90K - $110K *
Empower cross-functional teams to drive the Future of Medicine initiatives, ensuring scalable processes and compliance while enhancing patient safety and experience through strategic planning and exec...
1 week ago
$111K - $178K *
Shape the future of patient access by leading initiatives that enhance treatment journeys, reduce barriers, and improve outcomes. Collaborate with stakeholders to provide expert guidance and support...
Today
$110K - $130K *
Oversee multiple electric distribution line projects, ensuring safety, quality, and efficiency. Act as the primary liaison between project stakeholders and manage contractor activities to meet perform...
3 weeks ago
Sr. Website Optimization Manager
$81K - $125K *
Transform website performance and user engagement by leading innovative optimization strategies, conversion tests, and collaborative projects. Drive measurable improvements across multiple web propert...
Reposted 1 week ago
Senior Manager - Diagnosis-Related Group (DRG) Data Analyst
$120K - $125K *
Analyze health care data to drive insights and support business decisions, collaborating with stakeholders to enhance product quality and trends. Utilize strong analytical skills in a fast-paced envir...
Reposted 4 weeks ago
$103K - $128K *
Shape the future of healthcare by driving risk adjustment solutions that enhance interoperability, improve documentation accuracy, and ensure compliance across Medicare, Medicaid, and ACA programs thr...
Reposted 1 week ago
$103K - $128K *
Join us to lead product strategy and development, driving innovation and performance in healthcare solutions. Collaborate cross-functionally to align business needs with customer expectations and ensu...
3 weeks ago
Manager, Executive Administration
$102K - $152K *
Transform executive support by leading a dynamic team of EAs, enhancing processes, and driving strategic initiatives that align with company goals while fostering a collaborative culture...
5 days ago
$90K - $189K *
Architect comprehensive testing strategies and oversee automation efforts for a vital supply chain management system. Lead a team to ensure effective test cycles and enhance capabilities, delivering a...
Reposted 1 week ago
Organizational Change Management Manager
$110K - $130K *
Shape and lead organizational change management strategies to ensure effective adoption of new initiatives. Engage with stakeholders, analyze impacts, and deliver tailored communications to support or...
3 weeks ago
$93K - $123K *
Join a team that's dedicated to enhancing patient safety and compliance through effective case management. This role involves coordinating complex healthcare cases, collaborating with stakeholders, an...
3 days ago
Copay Program Manager - Patient Services - A
$90K - $110K *
Shape the future of client relations as a Program Manager, overseeing program execution, financial oversight, and stakeholder collaboration to drive operational excellence and innovative solutions whi...
Reposted 3 weeks 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.