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.
Manager, Transformation, Remote
$100K - $120K *
Elevate value-based care initiatives by analyzing and scaling delivery of insights to enhance partner EHR workflows, substantially impacting transformation projects across analytics, operations, and i...
Reposted 4 days ago
Utilization Management Clinical Consultant - Work From Home Louisiana-4
$54K - $116K *
Innovate in healthcare service assessment by examining necessity and quality. Collaborate with providers to optimize resource utilization, ensuring effective care delivery through evidence-based guide...
Yesterday
$70K - $126K *
Join a team that's committed to ensuring quality credentialing for providers. Utilize your analytical skills and experience in a collaborative environment to streamline processes and enhance provider...
Today
$100K - $115K *
Lead cross-functional projects from inception to completion, ensuring client satisfaction, managing risks, and driving profitability. Collaborate with various stakeholders to deliver solutions on time...
3 days ago
$110K - $130K *
Help us drive impactful programmatic media campaigns by managing strategic execution across platforms, ensuring optimization and flawless delivery while collaborating with internal teams to enhance cl...
2 weeks ago
$63K - $114K *
Join a team that's dedicated to ensuring effective care coordination, providing supervision, education, and guidance to optimize member services and compliance while fostering team performance and con...
3 days ago
Manager, Yardi Help Desk (Remote-US)
$80K - $95K *
Accelerate progress at a dynamic help desk by leading a team focused on supporting Yardi Senior Housing products. This role requires overseeing operations, ensuring timely resolutions, and improving u...
2 weeks ago
$67K - $106K *
Drive financial accuracy and compliance while managing day-to-day accounting tasks, preparing reconciliations, assisting with audits, and optimizing financial operations within a collaborative team en...
2 days ago
Power Platform Techno-Functional Analyst
$113K - $188K *
Join a team that's redefining client solutions with Microsoft Power Platform expertise, delivering custom-built applications and automating business processes while collaborating with stakeholders to...
3 days ago
Risk Management Principal - Spending Account Card Program Counter Fraud & Financial Integrity
$166K - $229K *
Lead the charge in establishing a robust fraud risk management framework for a critical spending program. This role encompasses strategy, oversight, audits, and controls to mitigate financial and oper...
4 days ago
$110K - $130K *
Contribute to successful customer engagements by managing complex enterprise projects, ensuring timely delivery, and optimizing processes through AI initiatives while collaborating closely with stakeh...
3 days ago
Senior Manager, Payment Integrity - Vended Audit Programs
$107K - $199K *
Support cost recovery initiatives by managing vendor relationships, analyzing performance, and driving collaboration with health plans. Leverage your 6+ years of finance experience to identify savings...
Today
$132K - $141K *
Reimagine healthcare payer operations by driving AI strategies and product vision across claims, member management, and benefit configuration, ensuring innovative capabilities deliver measurable value...
Yesterday
$132K - $141K *
Join a team that's driving the modernization of healthcare claims administration by leading the development of a new web-based interface. You'll manage product strategy, collaborate across functions...
3 weeks ago
$90K - $120K *
Accelerate dealership success by providing expert insights to enhance operations and maximize product utilization, working closely with Account Managers and dealership teams to drive performance impro...
3 weeks ago
$129K - $188K *
Lead robust security operations in a 24/7 SOC, driving AI-driven threat detection and incident management to enhance security posture and team development in a highly regulated environment...
Reposted 3 weeks ago
Operations & Performance Manager, Lead Generation
$100K - $120K *
Join a team that's dedicated to optimizing lead generation technology and performance. Lead the analysis, improvement, and integration of demand generation campaigns, focusing on data-driven decision...
Reposted 2 weeks ago
$80K - $95K *
Drive impactful disability claims management by leading a dynamic remote team. Shape success with your expertise and strategic oversight in investigations, ensuring compliance and timely resolutions i...
3 days ago
Compliance Manager, Governance and Enablement
$100K - $115K *
Join us to lead and integrate Compliance and Privacy initiatives, ensuring strategic governance and operational effectiveness across business units while managing risks and fostering accountability in...
Today
$70K - $95K *
Take ownership of the Digital Asset Management system, ensuring effective governance and administration. Collaborate with cross-functional teams to drive asset utilization and implement scalable workf...
3 weeks ago
US -Manager, Customer Support (Senior Care)
$90K - $105K *
Pioneer a world-class customer support experience by leading a dedicated team, driving process improvements, and mentoring staff to ensure exceptional service quality while fostering a culture of cont...
1 week ago
Sr. Financial Planning & Analysis Manager
$113K - $170K *
Empower growth by leading strategic finance initiatives, managing P&L, and enhancing forecasting processes. Collaborate with senior leadership to deliver insights that align financial outcomes with bu...
Reposted 4 weeks ago
$95K - $115K *
Transform clinical data management by collaborating with cross-functional teams to ensure high-quality data capture and timely resolution of queries throughout the lifecycle of phase 1-4 studies, cont...
Today
$90K - $130K *
Shape the future of healthcare technology by driving product strategy, managing its lifecycle, and collaborating cross-functionally to ensure successful product launches and market alignment...
Reposted 3 weeks ago
$130K - $150K *
Partner with us to enhance state government finance and administration projects, delivering expert project management, compliance, and IV&V leadership to ensure client success in a dynamic team enviro...
3 weeks ago
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.