Explore Utilization Manager Jobs

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.

What Does a Utilization Manager Do?

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.

Common Skills and Qualifications

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 Manager Career Opportunities

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.

Find Utilization Manager Jobs on Ladders

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.

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1
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$110K - $130K *

Take ownership of data-driven insights as you partner with leadership to enhance revenue processes, optimize performance metrics, and drive growth strategies across global regions in this crucial oper...

CanadaRemote

Reposted yesterday

  •   5 - 7 years exp.  •   Staffing

$80K - $95K *

Drive exceptional client experiences as you oversee onboarding, project management, and product configuration. Collaborate with cross-functional teams to ensure smooth transitions and continuous impro...

Nebraska, USRemote

Yesterday

  •   Less than 5 years exp.  •   Enterprise Technology

$120K - $145K *

Champion the development of clinical operations by managing a network of providers, establishing policies, and enhancing quality programs. Collaborate with leadership to ensure operational excellence...

United StatesRemote

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Partner with us to drive transformative healthcare solutions by managing key accounts, fostering relationships, and ensuring measurable outcomes. Your expertise will enhance provider partnerships and...

United StatesRemote

4 days ago

  •   8 - 10 years exp.  •   Healthcare

$115K - $125K *

Shape the future of pharmaceutical account management by cultivating strategic relationships, driving retention, and identifying growth opportunities. Collaborate cross-functionally to deliver excepti...

Spartanburg, SCRemote

4 days ago

  •   5 - 7 years exp.  •   Information Technology

$130K - $150K *

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Indiana, USRemote

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $115K *

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4 weeks ago

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$110K - $130K *

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Montreal, QCRemote

6 days ago

  •   Less than 5 years exp.  •   Enterprise Technology

$110K - $130K *

Analyze cloud cost optimization challenges, partnering with customers to enhance FinOps services. Work closely with sales and product teams, utilizing deep Azure expertise to drive actionable insights...

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Reposted 1 week ago

  •   Less than 5 years exp.  •   Enterprise Technology

$100K - $150K *

Unlock potential by translating complex business needs into precise HRP configurations. Collaborate cross-functionally to ensure compliance and enhance operational efficiency while driving continuous...

California, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

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Mount Pleasant, PARemote

2 weeks ago

  •   8 - 10 years exp.  •   Manufacturing & Automotive

$105K - $125K *

Join a team that's dedicated to leading impactful projects in a dynamic environment. As a Project Manager, you'll coordinate efforts across multidisciplinary teams, ensuring alignment and delivering h...

Washington DC, USRemote

1 week ago

  •   5 - 7 years exp.  •   Consumer Technology

$113K - $197K *

Drive automation and AI initiatives in claims operations, enhancing efficiency and accuracy. Lead a team to optimize workflows, manage vendor performance, and ensure compliance while delivering measur...

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1 week ago

  •   5 - 7 years exp.  •   Healthcare

$170K - $200K *

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1 week ago

  •   11 - 15 years exp.  •   Finance & Insurance

$140K - $170K *

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2 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$90K - $110K *

Join a team that's dedicated to delivering exceptional project implementations and enhancements for restaurant brands. Lead cross-functional efforts, ensuring customer satisfaction while managing time...

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Yesterday

  •   Less than 5 years exp.  •   Hospitality & Recreation

$110K - $130K *

Lead the development and execution of change management strategies to drive successful organizational transformation initiatives across multiple construction projects, ensuring stakeholder engagement...

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1 week ago

  •   5 - 7 years exp.  •   Real Estate & Construction

$90K - $110K *

Empower your career by driving project delivery and managing Agile teams. Utilize AI tools to enhance decision-making, anticipate risks, and ensure timely outcomes. Collaborate with stakeholders to ma...

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3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$120K - $145K *

Drive impactful program management by leading cross-functional initiatives, ensuring alignment with strategic goals, and delivering measurable results in a dynamic environment. Collaborate effectively...

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6 days ago

  •   8 - 10 years exp.  •   Enterprise Technology

$100K - $120K *

Lead the charge in optimizing our Information Systems operations, ensuring seamless support for hardware and software. Manage a dedicated team while enhancing productivity through AI tools and maintai...

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4 days ago

  •   5 - 7 years exp.  •   Energy & Utilities

$75K - $112K *

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2 weeks ago

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$120K - $150K *

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5 days ago

  •   5 - 7 years exp.  •   Enterprise Technology

$120K - $130K *

Elevate cross-functional collaboration by managing complex initiatives, ensuring readiness, and driving execution visibility. Foster alignment among teams to achieve business outcomes with predictabil...

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3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$130K - $150K *

Optimize healthcare revenue cycle processes by leading Epic transformation initiatives. Drive improvements in patient access, financial clearance, and digital engagement, collaborating with stakeholde...

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Yesterday

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$148K - $163K *

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Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

Frequently Asked Questions (FAQ)

  • What does a Utilization Manager do?question toggle

    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?question toggle

    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?question toggle

    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?question toggle

    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.