Welcome to Utilization Manager Job Opportunities at Ladders

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.

Why Choose a Career as a Utilization Manager?

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.

Qualifications for Utilization Manager Jobs

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.

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1
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$92K - $153K *

Champion patient care by navigating reimbursement challenges in a dynamic environment. Engage with healthcare providers and deliver tailored training on reimbursement processes to enhance customer sat...

US-AnywhereRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$76K - $127K *

Grow your career by supporting patients with reimbursement challenges and enhancing their experience through education and collaboration with clinical teams. This role demands independence, communicat...

US-AnywhereRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$80K - $133K *

Lead initiatives to support reimbursement services, education, and claims assistance for healthcare providers. Collaborate with internal teams and interface with clients to ensure patient reimbursemen...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $133K *

Advance patient reimbursement services by educating healthcare offices and managing territory interactions. Drive improvements in benefit investigations, prior authorizations, and enhance provider ini...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$92K - $153K *

Shape the future of patient support services by managing reimbursement challenges, educating healthcare offices, and fostering relationships with providers while ensuring optimal patient experiences i...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $133K *

Partner with us to navigate patient reimbursement and support services. In this client-facing role, you will educate physician offices, handle reimbursement challenges, and collaboratively work with i...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$76K - $127K *

Drive patient access innovation by supporting reimbursement for specialized drugs. Collaborate with healthcare teams, educate on reimbursement processes, and enhance client relationships in a dynamic...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$92K - $153K *

Support patient reimbursement challenges by providing education and assistance. Collaborate with healthcare professionals, manage cases, and ensure compliance with insurance guidelines while maintaini...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Lead and enhance the Care Management team by overseeing daily operations, ensuring compliance, and optimizing care processes. Develop staff through mentorship and performance evaluation while driving...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Join a team that's dedicated to ensuring top-tier product quality through agile processes and collaborative efforts. Lead multiple QA teams, mentoring while driving innovation and excellence in testin...

US-AnywhereRemote

Today

  •   8 - 10 years exp.  •   Healthcare

$100K - $130K *

Lead the charge in seamlessly integrating newly acquired businesses. Drive alignment with financial, operational, and cultural standards while ensuring effective leadership support and risk management...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Business Services

$140K - $170K *

Deliver strategic leadership and mentorship to enhance program delivery and regional growth, ensuring high-quality services are achieved consistently while managing performance metrics and client rela...

US-AnywhereRemote

Reposted 3 weeks ago

  •   8 - 10 years exp.  •   Business Services

$140K - $165K *

Develop and oversee project initiatives by managing award lifecycles, ensuring compliance, and supporting transitions. Coordinate technical inputs and stakeholder engagement to achieve health system g...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$130K - $160K *

Help us deploy and optimize our education technology platform to ensure student access, drive customer satisfaction through effective implementation, and collaborate cross-functionally to support stra...

US-AnywhereRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$103K - $181K *

Join a team that drives successful coordination of technical interfaces across utilities and systems. Help ensure alignment and prevent conflicts in large federal and industrial projects, enhancing pr...

US-AnywhereRemote

3 days ago

  •   5 - 7 years exp.  •   Energy & Utilities

$80K - $95K *

Accelerate progress at client satisfaction by serving as a strategic advisor, fostering key relationships, and driving improvements to optimize revenue cycle outcomes. Engage cross-functionally to enh...

US-AnywhereRemote

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$112K - $193K *

Optimize client service through strategic implementation of payment models, managing operations, ensuring compliance, and fostering relationships within multidisciplinary teams to drive quality and pe...

US-AnywhereRemote

3 days ago

  •   8 - 10 years exp.  •   Healthcare

$95K - $115K *

Deliver exceptional technical advisory support to enterprise clients, ensuring robust implementations of low-code solutions while enhancing client relationships and driving system performance. Collabo...

US-AnywhereRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$150K - $175K *

Unlock potential by leading strategic tax advisory initiatives, mentoring teams, and implementing innovative solutions to enhance business outcomes while scaling the firm's capabilities and technical...

US-AnywhereRemote

Yesterday

  •   5 - 7 years exp.  •   Legal & Accounting

$80K - $95K *

Empower innovation by analyzing workflows and implementing Epic solutions. Collaborate with teams to translate department needs into functional requirements while supporting training and system enhanc...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$108K - $130K *

Empower organizational growth by architecting and optimizing IT Service Management processes. Collaborate with stakeholders to enhance efficiency and service delivery, ensuring alignment with business...

US-AnywhereRemote

2 weeks ago

  •   8 - 10 years exp.  •   Information Technology

$70K - $95K *

Manage and grow key customer accounts by building relationships and driving retention. As a trusted partner, you'll collaborate with internal teams to ensure customer success and identify expansion op...

US-AnywhereRemote

3 weeks ago

  •   Less than 5 years exp.  •   Information Technology

$110K - $130K *

Innovate in global cybersecurity by leading a high-performing IAM team, driving service excellence, compliance, and risk reduction while enhancing user experience and operational stability across the...

US-AnywhereRemote

Reposted 4 days ago

  •   8 - 10 years exp.  •   Information Technology

$79K - $112K *

Drive excellence in space planning and office transformations nationwide. Oversee project budgets, manage diverse teams, and enhance employee movement, ensuring a seamless integration of workplace des...

US-AnywhereRemote

5 days ago

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

$118K - $161K *

Engage in transformative leadership within revenue cycle operations, enhancing patient access and financial performance through innovative strategies, team collaboration, and cross-functional expertis...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

Frequently Asked Questions (FAQ)

  • What is a Utilization Manager?question toggle

    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?question toggle

    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?question toggle

    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.