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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$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...

Bridgewater, NJRemote

1 week ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

Yesterday

  •   11 - 15 years exp.  •   Healthcare

$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...

Kingston, ONRemote

6 days ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$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...

United StatesRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Legal & Accounting

$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...

United StatesRemote

3 weeks ago

  •   8 - 10 years exp.  •   Legal & Accounting

$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...

Missouri, USRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

United StatesRemote

4 days ago

  •   5 - 7 years exp.  •   Manufacturing & Automotive

$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...

Omaha, NERemote

2 weeks ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$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...

United StatesRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

United StatesRemote

2 weeks ago

  •   8 - 10 years exp.  •   Information Technology

$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...

Livonia, MIRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

Colorado, USRemote

Yesterday

  •   5 - 7 years exp.  •   Telecommunications & Hardware

$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...

Chandler, AZRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$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...

Dallas, TXRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

Texas, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Information Technology

$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...

United StatesRemote

3 weeks ago

  •   8 - 10 years exp.  •   Education, Government & Non-Profit

$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...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Business Services

$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...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Information Technology

$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...

Rockville, MDRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Information Technology

$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...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$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...

Virginia Beach, VARemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$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...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Business Services

$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...

San Antonio, TXRemote

4 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

United StatesRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

Ohio, USRemote

Reposted yesterday

  •   5 - 7 years exp.  •   Healthcare

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.