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.
$67K - $101K *
Accelerate progress at National and Regional accounts through relationship management, strategic collaboration, and driving revenue growth. Foster partnerships by understanding customer needs and link...
Reposted 1 week ago
$100K - $125K *
Empower team performance by driving data-driven people operations and strategic partnerships. Collaborate across departments to enhance the employee experience and organizational effectiveness in a hi...
2 weeks ago
Claims Operations Manager - Refund Management
$73K - $125K *
Join a high-impact team to lead the modernization of our refund processing system, ensuring compliance and enhancing operational efficiency through innovative solutions and data-driven strategies...
2 weeks ago
$90K - $120K *
Support seamless communication between IT and clients, driving project success and technology delivery while monitoring client initiatives and resolving issues to ensure satisfaction and performance o...
2 weeks ago
IT Asset Management Program Manager
$90K - $130K *
Champion the IT Asset Management Program by leading planning, execution, and continuous improvement efforts to ensure alignment with organizational goals and compliance standards, while engaging stake...
3 days ago
Renewal Account Manager (Partner Business)
$90K - $120K *
Optimize partner retention and revenue through strategic renewal negotiations, engage stakeholders, and manage complex contracts to ensure alignment with business objectives and drive successful outco...
1 week ago
$118K - $159K *
Engage in dynamic program management by orchestrating large-scale hackathons, driving collaboration between government and industry partners to foster innovation and achieve impactful mission outcomes...
1 week ago
$88K - $99K *
Analyze business needs with us to define and document requirements, connect stakeholders with development teams, and ensure alignment between technical solutions and organizational goals across multip...
1 week ago
$90K - $120K *
Join a team that's pivotal in managing technical aspects of large-scale litigation support projects. Drive innovative solutions, support complex case requirements, and lead teams to deliver high-quali...
6 days ago
Product Manager, Medicare Enrollment & Benefits
$132K - $141K *
Shape the future of healthcare technology by leading product management for Medicare FFS enrollment operations, ensuring compliance with CMS regulations while enhancing benefit design capabilities wit...
Reposted 1 week ago
Manager Implementation Project Management Ops
$93K - $115K *
Support a team of Implementation Project Managers to drive successful product launches. Foster collaboration, oversee project management processes, and cultivate relationships with internal and extern...
Reposted 2 weeks ago
5286 - Maintenance Coordinator
$67K - $96K *
Support our Critical Facilities Operations team by coordinating maintenance, tracking tasks, and optimizing preventative processes to ensure operational excellence 24/7 across multiple sites. Partner...
1 week ago
Manager, Business Consultant (IC)
$54K - $159K *
Help us drive business results by designing financial and analytics models. You'll guide internal teams and share best practices to enhance PBM initiatives, taking ownership of simultaneous projects t...
6 days ago
Program Manager - Data Linkage Services
$85K - $141K *
Join a team that's leading Data Linkage Services for a federally funded research program. Ensure quality outcomes, manage resources, and interface with government stakeholders in this essential progra...
2 weeks ago
Client Account Manager | United States
$500K+*
Elevate your career by managing multiple client accounts and driving strategic success for various medical and legal practices. Your organizational and communication skills will help ensure effective...
Reposted 3 days ago
$70K - $95K *
Contribute to successful service implementations by managing projects, fostering cross-functional collaboration, and ensuring timely delivery. Enhance outcomes through effective communication and gove...
4 weeks ago
$87K - $131K *
Accelerate incident response in high-impact environments by leading timely restoration efforts. Collaborate with diverse teams and stakeholders while ensuring effective communication during critical s...
1 week ago
$140K - $160K *
Drive impactful technology solutions by leading complex service delivery, managing key relationships, and providing strategic business counsel. Collaborate globally to ensure optimal customer value th...
4 weeks ago
$110K - $147K *
Drive the strategic optimization and integration of our financial tech stack, providing essential support for application administration. Collaborate across teams to enhance internal controls, process...
5 days ago
$70K - $95K *
Champion the successful onboarding of healthcare clients into GPOs by coordinating contracts, supply chain integration, and stakeholder engagement, ensuring measurable savings and operational efficien...
5 days ago
Medicaid Systems Transition Manager
$147K - $199K *
Partner with us to advance Medicaid systems through effective transitions, ensuring compliance and integration while managing multi-supplier projects. Join a team dedicated to impactful work and drive...
3 weeks ago
$95K - $171K *
Empower client success by leading complex implementations of Adobe solutions. Collaborate with teams to drive value, ensuring project delivery aligns with objectives while building strong client relat...
3 weeks ago
Program Manager, Provider Services
$90K - $120K *
Shape the future of healthcare by bridging provider networks with nephrology practices. This role empowers collaboration and drives success in Value-Based Care initiatives while requiring excellent co...
3 weeks ago
$170K - $200K *
Join a team that's pioneering financial strategy and innovation while leading global inventory accounting and COGS management. Drive transformations, mentor a talented team, and ensure compliance with...
Reposted today
$73K - $113K *
Oversee project management and staff performance to enhance client services, ensuring effective operations and quality improvements within healthcare-related programs. Collaborate with teams to implem...
4 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.