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.
$93K - $159K *
Champion client success by ensuring seamless technology delivery, driving engagement in implementation, and enabling optimal product adoption. Leverage your technical expertise and leadership skills t...
Reposted 2 days ago
Principal Product Manager, Usage & Billing
$158K - $279K *
Transform the monetization landscape by leading the strategy and execution of a comprehensive platform. Drive alignment across teams, ensuring accurate measurement and billing processes while enhancin...
Reposted 3 days ago
$90K - $110K *
Join a team that's driving innovation in oncology by managing projects to advance approved imaging agents and late-stage products, enhancing lives through strategic planning, execution, and collaborat...
6 days ago
Senior Manager VSA Accounting & Reporting
$105K - $149K *
Drive success by overseeing U.S. Statutory and GAAP accounting, financial reporting, and regulatory compliance for diverse portfolios. Lead a team, manage audits, and implement efficient controls whil...
1 week ago
System Analyst Revenue Cycle III
$118K - $177K *
Lead the charge in optimizing Revenue Cycle applications, implementing strategic solutions in Patient Accounting and related systems to enhance operational efficiency and financial performance in heal...
2 weeks ago
$160K - $180K *
Drive excellence in risk analytics by leading the team to establish pricing methodologies, engage with executive leadership on portfolio health, and architect our data foundation to enhance decision-m...
6 days ago
$87K - $157K *
Join a team that's driving impactful financial strategies in healthcare. Lead analytical efforts and collaborate with business leaders to optimize planning, forecasting, and operational accountability...
2 weeks ago
Senior Manager, FP&A Risk Adjustment
$165K - $178K *
Champion the future of healthcare finance by leading FP&A for Risk Adjustment. Manage a dynamic team, drive financial insights, and enhance reporting processes to support strategic decision-making at...
4 weeks ago
$110K - $130K *
Drive product innovation by designing AI-enabled workflows that simplify complex insurance operations, ensuring user trust and operational efficiency through close collaboration with engineering and g...
6 days ago
Manager, Patient Billing Cash & Corp Accounting (Remote Considered)
$90K - $110K *
Transform your career by leading cash reconciliation efforts for healthcare revenue operations, ensuring compliance, accuracy, and efficient financial management across multiple entities with a focus...
Today
Salesforce System Administrator
$80K - $95K *
Join a dynamic team as a Salesforce Administrator to manage and enhance the Salesforce environment, ensuring optimal functionality for reporting, compliance, and user experience through technical expe...
2 weeks ago
Multi-Channel Campaign Manager
$85K - $148K *
Unlock the potential of impactful marketing as you lead multi-channel campaigns from strategy to execution. Collaborate cross-functionally to ensure flawless launches that drive awareness and demand...
Reposted 1 week ago
Client Success Manager (SUD - Revenue Cycle Management)
$80K - $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
Medical Director - Specialized UM
$210K - $250K *
Transform your career by leading quality improvement initiatives and healthcare oversight for a diverse population. Drive engagement with healthcare providers to ensure high standards of care delivery...
4 days ago
$90K - $120K *
Drive change management excellence in a large-scale federal mission, overseeing change governance, guiding cross-functional teams, and ensuring compliance with ITIL processes for effective technical t...
Reposted 2 weeks ago
Staff Application Security Specialist
$110K - $130K *
Pioneer secure software development as an Application Security Manager, embedding security in CI/CD pipelines and AI-assisted tools. Collaborate with teams to enhance security practices and automate w...
Reposted 3 days ago
$95K - $115K *
Empower a high-performing team of service technicians to deliver exceptional support for data center projects, ensuring effective project management, collaboration, and customer satisfaction throughou...
5 days ago
Account Manager, Medically Integrated Dispensing
$83K - $138K *
Take ownership of key customer accounts by driving satisfaction and growth through strategic planning and support. Collaborate with teams to address client needs, improve pharmacy operations, and ensu...
2 weeks ago
$100K - $115K *
Lead client implementations of advanced healthcare data solutions, focusing on Coordination of Benefits. Mentor a team, ensuring high-quality, efficient delivery, and foster client satisfaction throug...
2 weeks ago
Manager, Facility Finance and Administration
$92K - $139K *
Contribute to strategic financial management at repair facilities, leveraging data to drive insights, improve metrics, and enhance budgeting. Collaborate with operations to optimize financial processe...
3 weeks ago
$90K - $110K *
Transform financial reporting by leading a dedicated accounting team. Oversee the month-end close process, enhance accuracy, and ensure compliance with accounting principles while collaborating with c...
4 days ago
$75K - $90K *
Drive revenue growth by building client relationships and uncovering new opportunities. Collaborate cross-functionally, serve as a trusted advisor, and monitor account health to enhance customer satis...
3 days ago
$130K - $195K *
Drive project success by managing delivery, quality, and stakeholder relationships while ensuring team motivation and project control within cost and time constraints...
Reposted 2 weeks ago
$95K - $115K *
Lead revenue performance in a dynamic environment, driving improvements across reimbursement processes, managing multi-level teams, and enhancing operational workflows. Shape strategic initiatives tha...
4 days ago
Epic Revenue Cycle Implementation Project Manager
$145K - $185K *
Lead impactful Epic revenue cycle implementations, managing diverse projects to enhance healthcare performance. Collaborate with stakeholders to deliver solutions aligned with best practices, driving...
Reposted 2 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.