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.
Technical Delivery Manager (Healthcare)
$114K - $149K *
Transform your career by overseeing healthcare technology projects, ensuring alignment with business objectives, and leading diverse teams to deliver high-quality solutions on time and within budget...
Reposted 4 days ago
$80K - $95K *
Transform your career by providing operational leadership for remote teams managing Release of Information services. Drive excellence, ensure compliance, and foster relationships while traveling to de...
2 weeks ago
Program Manager - EMR Modernization
$103K - $112K *
Lead the modernization of rural healthcare by managing a $30M EMR initiative. Support over 70 organizations in implementing next-gen electronic medical records through project management and technical...
1 week ago
$100K - $120K *
Accelerate progress at large-scale software projects, ensuring end-to-end delivery, stakeholder engagement, and governance. Shape project outcomes by managing resources, budgets, and communication wit...
6 days ago
$77K - $96K *
Optimize payment integrity operations by analyzing claims, resolving issues, and coordinating across teams to enhance processes and ensure compliance in a fast-paced healthcare environment with a focu...
Yesterday
$124K - $135K *
Deliver impactful IT projects by managing the full lifecycle from inception to closure. Collaborate with stakeholders and cross-functional teams to ensure successful execution on time and within budge...
Yesterday
340B Implementation Administrator - Verity Solutions - Remote
$87K - $146K *
Join and lead the onboarding of SaaS projects, managing key stakeholders while serving as a technical expert. Develop customer relationships, ensure smooth implementation, and drive project success th...
3 days ago
Physical Therapy Utilization Review Advisor
$80K - $88K *
Transform physical therapy services through expert utilization review, ensuring quality care and adherence to guidelines while collaborating with providers to optimize outcomes and enhance patient rec...
Reposted 6 days ago
$69K - $100K *
Optimize the global revenue enablement framework by overseeing governance, administration, and effective learning pathways, ensuring resources are scalable, organized, and user-friendly for sellers an...
1 week ago
Manager, Payment Integrity-COB/TTL Vended Programs
$87K - $157K *
Champion strategic initiatives to combat fraud, waste, and abuse in healthcare. Lead analysis, develop compliance plans, and ensure adherence to state and federal requirements while fostering team col...
Today
$100K - $130K *
Lead the charge in driving AI initiatives for claims operations, collaborating with stakeholders to enhance efficiency and client service. Own the product backlog and ensure alignment with measurable...
Reposted 4 weeks ago
$90K - $110K *
Analyze and streamline sales compensation processes, ensuring accurate, timely commission calculations while collaborating cross-functionally to enhance operational efficiency and compliance...
2 weeks ago
$200K - $250K *
Champion the enterprise architecture strategy across diverse business capabilities, driving seamless integration, innovation, and collaboration in a multi-member insurance environment to enhance scala...
Reposted 3 days ago
Technical Support Escalations Manager
$108K - $148K *
Lead the charge in customer escalation management during critical incidents, ensuring timely communication and effective coordination between customers and technical teams to maintain operational stab...
3 days ago
$70K - $95K *
Shape client relationships and drive retention strategies while managing key accounts. Collaborate cross-functionally to enhance operational efficiency and deliver valuable insights to ensure client s...
3 weeks ago
Principal Integration Manager, NGC
$130K - $160K *
Contribute to the success of a high-stakes government program by owning execution and alignment across stakeholders, ensuring timely delivery of commitments and fostering growth in a dynamic environme...
1 week ago
Product Manager, Authorizations (Remote)
$110K - $130K *
Elevate healthcare solutions by leading product strategies for prior authorization workflows. Collaborate across teams to streamline interoperability and enhance compliance for a smoother provider-pay...
Reposted 3 days ago
$120K - $150K *
Grow your career with a leading ingredient manufacturer, driving strategic account management and fostering deep customer relationships while achieving sales goals and overseeing complex account plann...
Reposted 3 weeks ago
Program Manager IV (Gold Card Program)
$87K - $157K *
Optimize large-scale, cross-functional initiatives for regulatory Gold Card programs, ensuring effective planning, compliance, and performance tracking across multiple markets and teams while driving...
Reposted 2 weeks ago
$100K - $120K *
Champion effective configuration management by overseeing CMDB and AMS processes for a diverse IT infrastructure. Ensure accurate data integration and support enterprise asset management using ITIL pr...
1 week ago
$105K - $165K *
Manage program performance by overseeing task integration and ensuring timely project delivery across various technical initiatives, including cloud modernization, while maintaining high-quality stand...
2 weeks ago
$110K - $130K *
Lead the implementation of SAP PS, ensuring effective solutions for an A&D customer. Partner with teams globally, manage projects, and drive system enhancements for optimal performance and successful...
2 weeks ago
Data Analyst, Specialty Care Programmatic Support
$80K - $95K *
Join a team that's shaping specialty care programs by analyzing data, developing dashboards, and providing critical insights to enhance decision-making within the Veterans Health Administration...
4 days ago
CAS Clinical Service Manager, CAS- New Jersey
$130K - $140K *
Transform your career by leading regional clinical support initiatives while enhancing patient care. Collaborate with teams and drive strategic execution to achieve business goals in ablation solution...
Reposted 2 weeks ago
$85K - $105K *
Join a team that's redefining outbound sales by managing AI-powered agents. Optimize performance, refine outreach strategies, and blend manual prospecting with innovation in this unique role that merg...
3 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.