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.
$130K - $165K *
Lead clinical data management efforts by overseeing project timelines, ensuring quality deliverables, and facilitating communication among stakeholders. Drive data integrity and compliance while mento...
1 week ago
Vice President, Reporting and Data Analytics
$202K - $250K *
Champion data-driven decision-making by leading the development of integrated analytics and reporting strategies. Drive operational efficiency and financial performance through innovative data solutio...
Yesterday
Manager, Distributed Medical Education
$80K - $99K *
Join a team that's shaping the future of medical education by providing strategic leadership and operational management for regional education initiatives, enhancing partnerships, and ensuring high-qu...
6 days ago
Senior Manager, Discovery Operations
$120K - $145K *
Shape the future of discovery operations by leveraging your legal expertise and leadership skills to enhance service delivery and team performance, ensuring top-quality results and efficient workflows...
Reposted 3 weeks ago
Revenue Operations Manager, Sales Ops
$120K - $145K *
Reimagine revenue operations by leading the design and execution of systems and processes that enhance sales performance. Collaborate cross-functionally to optimize workflows, improve data visibility...
3 weeks ago
Manager, Compliance Risk Adjustment
$87K - $157K *
Join a team that's dedicated to managing external audits for Risk Adjustment processes. Oversee audit deliverables, collaborate with stakeholders, and ensure compliance while driving continuous improv...
3 weeks ago
$100K - $120K *
Accelerate your career by driving operational excellence and strategic improvements. Collaborate with leadership and cross-functional teams to enhance customer experiences and optimize processes in a...
4 days ago
Manager, Media/Communications Strategies
$66K - $99K *
Drive university-level external communications, focusing on media relations, digital graphics, and social media strategy. Supervise a team to ensure cohesive brand messaging and enhance institutional...
2 weeks ago
$110K - $130K *
Drive product innovation by designing AI-enabled workflows that simplify complex insurance operations, ensuring user trust and operational efficiency through close collaboration with engineering and g...
Reposted 3 weeks ago
$160K - $180K *
Join us to lead our accounting operations, ensuring accuracy and scalability. Drive financial reporting, audits, and team development while applying your technical expertise in a dynamic, multi-channe...
2 weeks ago
Manager, Corp Accounting & Patient Billing Cash (Remote Considered)
$95K - $115K *
Transform your career by leading cash reconciliation efforts for healthcare revenue operations, ensuring compliance, accuracy, and efficient financial management across multiple entities with a focus...
Reposted 3 weeks ago
$111K - $148K *
Lead and optimize the MISR reporting cycle, ensuring accuracy and timely insights while managing a team of analysts. Collaborate across departments to enhance reporting processes and drive modernizati...
Yesterday
Manager, Clinical Documentation Integrity - Telecommute
$91K - $163K *
Advance your career by leading clinical documentation improvement initiatives, overseeing staff training, and collaborating with healthcare teams to enhance documentation accuracy and compliance in in...
1 week ago
Client Success Manager (SUD - Revenue Cycle Management)
$80K - $95K *
Transform client relationships in the SUD/behavioral health sector, ensuring effective onboarding and ongoing engagement. Leverage your RCM expertise to enhance service delivery, client satisfaction...
Reposted 3 weeks ago
$90K - $110K *
Drive enterprise-wide compliance projects to secure sustainability certifications. Lead cross-functional teams, manage schedules, and ensure audit readiness in mission-critical environments, deliverin...
3 weeks ago
Manager, Data Quality Assurance (Remote)
$100K - $120K *
Champion data integrity by implementing comprehensive quality controls and metrics. Collaborate with cross-functional teams to optimize data governance and enhance usability across the enterprise. Dri...
3 weeks ago
Senior Manager - APR DRG Concept Development Analyst
$100K - $125K *
Transform healthcare analytics by leading the development of APR-DRG audit criteria. Collaborate with cross-functional teams to enhance payment integrity through data-driven insights and innovative so...
1 week ago
$100K - $120K *
Join a dynamic team to manage comprehensive leave programs, ensuring compliance and supporting benefits administration. Leverage your expertise in FMLA and state-specific leaves while enhancing employ...
2 weeks ago
$90K - $110K *
Accelerate business growth by leading proposal management efforts, ensuring compliance and responsiveness while guiding teams towards developing compelling proposals across various sectors. Drive exce...
Reposted 3 weeks ago
Senior Manager - Technical Implementation & Value Realization
$135K - $150K *
Advance your career by leading complex enterprise implementations, driving customer adoption, and ensuring measurable value realization. Collaborate with cross-functional teams to operationalize solut...
2 weeks ago
Senior EPIC Optimization Specialist
$95K - $115K *
Join us in optimizing Epic scheduling templates and workflows to enhance patient access and provider capacity. Collaborate with clinical leaders to drive improvements and manage complex scheduling ini...
2 days ago
Healthcare Tech Manager - Epic Professional Billing
$130K - $150K *
Shape impactful healthcare solutions by leveraging your Epic Professional Billing expertise. Collaborate with diverse teams to optimize systems, enhance workflows, and drive meaningful results for cli...
2 weeks ago
Senior Performance Management Advisor
$103K - $197K *
Empower talent development by designing and implementing performance management solutions that align with business strategies, ensuring accountability and fostering growth across diverse employee popu...
4 days ago
$100K - $120K *
Lead the charge in driving revenue performance across assigned regions by optimizing reimbursement processes, reducing denials, and enhancing cash flow, while fostering team development and ensuring c...
4 weeks ago
Manager, Provider Performance Engagement-Must Reside in OHIO!
$83K - $132K *
Lead provider performance engagement initiatives to enhance health outcomes and cost efficiency. Collaborate with partners to implement tailored plans, assess results, and drive continuous improvement...
Reposted yesterday
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.