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.
Product Manager, CX & Support Operations
$80K - $110K *
Help us shape the Support RevOps roadmap, optimizing case management and integrations to enhance agent efficiency and customer experience while partner with our leadership teams for strategic improvem...
Yesterday
Client Success Manager (SUD - Revenue Cycle Management)
$75K - $95K *
Transform client relationships in the SUD/behavioral health sector, ensuring effective onboarding and ongoing engagement. Leverage your RCM expertise to enhance service delivery, client satisfaction...
Reposted 1 week ago
$90K - $120K *
Join a team that's committed to enhancing exposure data management by leveraging analytics. You will oversee data quality and work collaboratively across departments to strengthen risk assessments and...
1 week ago
$77K - $132K *
Join a team that's responsible for global payroll operations, ensuring accuracy and compliance across multiple regions. You'll manage processes, direct reporting, and support audits while enhancing pa...
1 week ago
$86K - $141K *
Accelerate progress at client relationship management, driving revenue growth through strategic account plans and exceptional service delivery to enhance customer satisfaction and retention while work...
2 weeks ago
$90K - $120K *
Join our team to lead core accounting operations, ensuring accurate financial reporting. Balance hands-on execution with leadership to influence business decisions and drive process improvements.Your...
Today
Configuration Management / Documentation Specialist
$75K - $95K *
Manage configuration management processes to ensure compliance and traceability across Air Force IT systems. Collaborate with cross-functional teams to maintain documentation, support CI/CD pipelines...
2 weeks ago
Customer Portfolio Manager (CPM)
$119K - $199K *
Lead the charge in managing customer portfolios and driving profitability while nurturing relationships, orchestrating contract fulfillment, and ensuring high customer satisfaction across the Gas Powe...
2 weeks ago
Manager, Physical Security Systems
$90K - $130K *
Lead and optimize enterprise security technologies, ensuring reliable and standardized performance across multiple sites. Drive system architecture, oversee project delivery, and collaborate with vari...
4 weeks ago
Vice President, TPA Operations
$156K - $290K *
Lead the charge in operational excellence by overseeing quality activities across all organizational levels. Spearhead process improvements and project management to enhance performance and ensure tim...
1 week ago
$90K - $130K *
Oversee the delivery of complex Client Lifecycle Management projects, ensuring adherence to budget, scope, quality, and timelines. Collaborate with teams to manage risks and produce comprehensive repo...
2 weeks ago
$90K - $130K *
Lead the charge in managing high-impact projects within our Client Lifecycle Management practice. Drive project success through strategic planning, risk management, and team collaboration to ensure ti...
2 weeks ago
$89K - $105K *
Manage the facilities organization, ensuring operational excellence, tenant satisfaction, and adherence to safety standards through effective leadership and strategic oversight of budgets, vendors, an...
3 weeks ago
Product Management Director - Agentforce Operations Private Cloud Edition
$197K - $313K *
Transform back-office operations by leading the strategy and execution of a secure, compliant SaaS product for private cloud deployment, ensuring collaboration and automation for enhanced business pro...
2 weeks ago
$90K - $130K *
Accelerate the success of our enterprise infrastructure by managing design, implementation, and maintenance efforts across critical components. Lead a dynamic team to ensure optimal performance and se...
2 weeks ago
Sr. Manager, Population Health
$132K - $166K *
Transform population health strategies as a Senior Manager! Lead clinical teams, oversee program execution, and drive innovation in clinical outcomes for strategic growth. Make a significant impact wi...
Reposted 1 week ago
Epic Professional Billing Systems Analyst - Remote
$72K - $130K *
Join our Revenue Cycle IT Support Team to optimize Epic Professional Billing systems, ensuring efficient data flow, troubleshooting issues, and enhancing processes. Collaborate with stakeholders while...
Today
$85K - $141K *
Build effective project management practices to drive the success of a multi-cloud data platform. Oversee project execution, coordinate teams, manage schedules, and ensure compliance with federal regu...
2 weeks ago
Manager, Contact Center Operations
$70K - $95K *
Transform your career by leading contact center operations, enhancing processes, and driving team performance to achieve service excellence and customer satisfaction. Play a pivotal role in strategy i...
3 weeks ago
Product Manager, CMS Integrations
$132K - $141K *
Manage the CMS integration strategy and API roadmap, ensuring compliance with federal mandates. Collaborate with cross-functional teams to drive product requirements that enhance data exchange capabil...
Reposted 1 week ago
Program Manager, Insurance Software Implementation
$110K - $160K *
Manage SaaS implementation programs by leading a cross-functional team, ensuring timely delivery, quality, and client satisfaction. Act as a player/coach to drive efficient project execution, promotin...
2 weeks ago
$70K - $95K *
Partner with us to enhance operational efficiency and service excellence by leading process improvements and managing cross-functional projects. Support team success through streamlined workflows and...
Reposted 1 week ago
$111K - $150K *
Champion a transformative approach in healthcare by driving operational efficiency and enhancing patient experiences through innovative insurance verification and automation strategies. Collaborate wi...
Reposted 2 weeks ago
$95K - $105K *
Make your mark at a growing operations team where you'll drive compliance decisions, balancing security, user experience, and operational excellence while utilizing AI insights to enhance efficiency a...
1 week ago
$140K - $185K *
Lead a dynamic Infrastructure team to enhance cloud and on-premises architectures, fostering modernization and operational excellence while driving automation and reliability within Microsoft Azure en...
6 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.