Explore Utilization Manager Jobs

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.

What Does a Utilization Manager Do?

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.

Common Skills and Qualifications

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 Manager Career Opportunities

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.

Find Utilization Manager Jobs on Ladders

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.

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$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...

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1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $90K *

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4 days ago

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$110K - $130K *

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$130K - $140K *

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2 days ago

  •   5 - 7 years exp.  •   Healthcare

$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...

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Reposted yesterday

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$100K - $120K *

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$85K - $100K *

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4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

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1 week ago

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6 days ago

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$90K - $110K *

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$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...

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Yesterday

  •   8 - 10 years exp.  •   Finance & Insurance

$90K - $110K *

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1 week ago

  •   5 - 7 years exp.  •   Healthcare

$111K - $178K *

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Today

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$110K - $130K *

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3 weeks ago

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$81K - $125K *

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Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$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...

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Reposted 4 weeks ago

  •   5 - 7 years exp.  •   Business Services

$103K - $128K *

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Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$103K - $128K *

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3 weeks ago

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$102K - $152K *

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3 weeks ago

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$93K - $123K *

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3 days ago

  •   5 - 7 years exp.  •   Information Technology

$90K - $110K *

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Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

Frequently Asked Questions (FAQ)

  • What does a Utilization Manager do?question toggle

    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?question toggle

    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?question toggle

    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?question toggle

    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.