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.
$95K - $115K *
Transform client relationships by managing pharmaceutical programs, overseeing staff, and ensuring operational excellence. Collaborate with stakeholders to enhance program performance while adhering t...
Today
$97K - $121K *
Lead a dynamic IT help desk team, ensuring exceptional support and compliance with federal standards. Oversee operations, enhance customer satisfaction, and drive continuous improvement in technical s...
2 weeks ago
Senior Product Manager, Epic Optimization
$101K - $152K *
Champion innovative solutions by leveraging Epic expertise to enhance operational efficiency and drive strategic initiatives across healthcare environments, ensuring high-performance standards and cli...
1 week ago
$100K - $120K *
Optimize the supply chain operations from planning to delivery while leading a dedicated team. Collaborate with diverse functions, manage logistics, and enhance customer satisfaction through innovativ...
4 weeks ago
$100K - $120K *
Transform customer service operations by leading a high-performing team to enhance scheduling efficiency, improve service quality, and drive continuous improvement across contact-center metrics and wo...
Yesterday
$81K - $110K *
Lead the transformation of patient care by enhancing utilization review processes, ensuring quality documentation, and collaborating with healthcare teams to optimize clinical outcomes and financial p...
Yesterday
Manager, Benefits Service Delivery
$100K - $120K *
Drive operational excellence by leading a team focused on data analysis and reporting. Oversee the development of reporting tools, ensure data integrity, and identify process optimization opportunitie...
6 days ago
$80K - $95K *
Drive revenue cycle operations by managing processes from entry to adjudication. Lead teams, implement efficiencies, and ensure compliance while optimizing cash collections and performance metrics for...
Reposted yesterday
$128K - $188K *
Join a team that's dedicated to enhancing operational capabilities and delivering high-quality servicing experiences. Collaborate across functions to drive scalable solutions and ensure agents are equ...
Today
$130K - $155K *
Join a dynamic team as a key partner in revenue operations, collaborating with sales leadership to drive growth, manage forecasting, and enhance business strategies across multiple units. Embrace inno...
1 week ago
Project Manager II, Facilities Management
$106K - $160K *
Innovate project management strategies for design and construction initiatives, ensuring timely delivery and budget adherence. Collaborate with stakeholders to enhance facility development and maintai...
1 week ago
$110K - $130K *
Transform product strategy in Chemical & Workplace Safety by leading initiatives from discovery to delivery. Collaborate across teams to balance customer needs and business goals, driving measurable o...
3 weeks ago
$80K - $95K *
Accelerate progress at a dynamic tech firm by managing a diverse portfolio of SMB and mid-market accounts. Build strategic relationships, drive customer growth, and enhance cloud engagement through da...
1 week ago
$80K - $95K *
Optimize customer relationships by managing a diverse portfolio of SMB and mid-market accounts, driving growth through strategic engagement and collaboration with internal teams to enhance cloud solut...
2 weeks ago
$100K - $125K *
Accelerate progress at our financial reporting function by leading compliance, ensuring accurate statements, and mentoring a skilled team. Drive technical accounting excellence and support executive d...
1 week ago
Manager - CX Microsoft Engineering
$150K - $225K *
Lead the charge in mentoring a high-performing software development team, driving technical vision and process improvements while ensuring alignment with organizational goals and fostering collaborati...
4 days ago
Project Manager - Access Service Line
$90K - $105K *
Drive strategic success in large-scale electrical transmission projects by overseeing estimating, pre-construction, and execution phases, ensuring seamless coordination across multiple companies and e...
Yesterday
$105K - $120K *
Join a team that's driving successful ERP and CRM software implementations. Lead projects, coordinate teams, and ensure timely delivery while achieving sales and profit targets. Collaborate with stake...
2 weeks ago
Internal Audit Manager (REMOTE)
$100K - $120K *
Transform global operations as an Internal Audit Manager, driving financial and compliance audits. Collaborate with teams worldwide, ensuring robust controls and process improvements while thriving in...
3 weeks ago
$110K - $130K *
Join a team that's driving strategic growth through partnerships with GSIs, MSPs, and VARs. This role combines relationship building, market strategy, and sales leadership to generate revenue and opti...
Reposted 2 weeks ago
$110K - $120K *
Join a dynamic team as you oversee IT operations, user lifecycle management, and security for a growing organization. This hands-on role allows you to set standards and processes while serving as the...
2 weeks ago
Senior Manager Order Administration
$110K - $130K *
Lead a dynamic team in managing customer orders, ensuring accuracy and timely delivery while enhancing interdepartmental collaboration and customer satisfaction across Sales and Service Delivery opera...
2 weeks ago
Senior Quality Operations Specialist, CAP & Monitoring
$74K - $98K *
Elevate quality operations by leading corrective action plans (CAPs) for regulatory compliance. Collaborate with cross-functional teams to drive accountability, resolve barriers, and ensure sustained...
3 weeks ago
Manager, Quality Assurance (LTSS)
$104K - $143K *
Join a dynamic team to lead Quality Assurance efforts in Long-Term Services and Supports. Oversee compliance, collaborate with external partners, and drive operational excellence while ensuring adhere...
1 week ago
Client Success Manager, Payer Retrieval
$108K - $130K *
Unlock your potential by leading customer projects, ensuring seamless communication, and driving success in healthcare solutions. Collaborate with diverse teams to enhance client satisfaction and oper...
1 week 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.