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.
OT Transformation Security Manager (Remote)
$94K - $293K *
Champion Operational Technology security to analyze and mitigate cyber threats. Drive strategic initiatives in critical infrastructure while delivering intelligence and insights to senior stakeholders...
3 days ago
$132K - $220K *
Shape customer engagement strategies by quantifying and communicating value delivered through innovative software solutions while driving retention, expansion, and overall customer success in a collab...
2 weeks ago
Manager, Software Engineering, Salesforce
$220K - $240K *
Transform healthcare technology by leading cross-functional teams, driving agile delivery, ensuring project alignment, and fostering talent development while achieving exceptional software performance...
1 week ago
Manager, Software Engineering, Salesforce
$190K - $210K *
Champion the development of high-performing engineering teams while driving technical strategy and agile delivery. Ensure alignment across departments, optimize operations, and maintain quality standa...
1 week ago
$96K - $120K *
Join as a vital operational partner, shaping governance and strategy within product development. Drive excellence in SDLC processes and integrate tools to support organizational growth and efficiency...
Reposted 4 days ago
$82K - $111K *
Engage with clients as a trusted advisor, managing relationships and ensuring success with operational initiatives. Foster collaboration across teams to drive client satisfaction and promote Cotiviti...
Yesterday
Clinical Support Auditor (IKC)
$78K - $119K *
Optimize clinical documentation accuracy and quality by leveraging your nursing expertise. Engage with healthcare teams to enhance practices and educate providers on documentation for improved outcome...
Reposted 3 weeks ago
Clinical Support Auditor (IKC)
$78K - $119K *
Transform clinical outcomes by guiding and educating healthcare providers on documentation practices. Collaborate with practitioners to enhance accuracy and compliance, ensuring high-quality documenta...
Reposted 3 weeks ago
Physician Coding Operations Manager
$85K - $141K *
Manage Physician Multispecialty Coding teams, oversee projects, ensure workflow documentation and training, and prepare reports to track metrics for leadership, driving excellence in coding operations...
Yesterday
$100K *
Inspire a data-driven customer support team, overseeing daily operations, coaching agents, and driving performance metrics to enhance service quality and team development in a transformative support e...
2 weeks ago
$110K - $130K *
Lead comprehensive quality assurance initiatives to enhance service delivery and operational performance across IT services, ensuring compliance with standards and improving customer satisfaction on a...
1 week ago
Client Success Manager (Revenue Cycle Management)
$90K - $110K *
Partner with us to ensure exceptional client engagement by managing the entire client lifecycle in revenue cycle management, driving success through effective liaison between operational teams and cli...
Reposted 1 week ago
Sr. Manager Care Management LTSS
$102K - $190K *
Lead a high-performing LTSS team in HCBS services, overseeing care management for long-term care members to achieve optimal healthcare outcomes while ensuring compliance and enhancing member experienc...
3 days ago
$64K - $100K *
Join a team that's dedicated to ensuring IT security across diverse platforms. You'll manage access requests, provide troubleshooting support, and help shape security processes. Your expertise will pl...
5 days ago
Care Supervisor, Programs- STA
$128K - $160K *
Lead the charge in enhancing pharmacy programs by driving operations, nurturing partnerships, and delivering exceptional patient care while ensuring compliance and continuous improvement in a fast-pac...
Reposted 3 weeks ago
$100K - $130K *
Empower healthcare innovation by leading the management and strategy of Epic applications. Leverage expertise in electronic health record systems to enhance organizational efficiency and drive impactf...
4 weeks ago
$107K - $128K *
Shape the future of healthcare finance by leading accounting functions, ensuring compliance, and delivering insightful financial analysis to drive informed decision-making and operational excellence...
2 weeks ago
$80K - $95K *
Champion the delivery of enterprise technology initiatives by coordinating cross-functional teams and managing project lifecycles, ensuring alignment with business objectives while navigating risks an...
1 week ago
Project Manager OptumRx BCSD - Remote
$72K - $130K *
Unlock potential by driving project success through effective management, fostering teamwork, and implementing quality standards. Enjoy the flexibility of remote work while addressing complex challeng...
Today
Service Director - Application Managed Services
$125K - $150K *
Lead the charge in enhancing IT service delivery by managing quality and optimizing client engagement. Leverage your expertise to implement best practices, drive continuous improvement, and elevate cl...
6 days ago
$130K - $160K *
Transform the future of electrical cost estimation by developing accurate, detailed estimates for diverse projects. Collaborate with teams to optimize costs while ensuring thorough analysis and alignm...
Reposted 2 weeks ago
Cardiac Device Associate Operations Manager
$95K - $105K *
Transform operational leadership in a dynamic environment by driving team performance, ensuring quality standards, and enhancing client satisfaction through strategic oversight and mentoring...
4 weeks ago
Engagement Manager - Managed Services
$110K - $130K *
Engage clients through the Managed Services lifecycle, driving retention and satisfaction. Foster strong relationships, manage delivery timelines, and enhance communication to ensure seamless project...
6 days ago
Site Security Manager - Northern VA (VAXCOM)
$88K - $154K *
Unlock potential by leading a dynamic team of security professionals, ensuring the safety of critical operations and personnel in a high-stakes environment while exceeding operational efficiency and c...
Reposted 2 weeks ago
$84K - $140K *
Collaborate to enhance patient reimbursement services within a designated territory. Engage with healthcare providers and coordinate educational initiatives while navigating complex insurance landscap...
Today
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.