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.
$100K - $120K *
Optimize project management by overseeing multiple Workday projects through effective client engagement, risk evaluation, and team leadership while ensuring all deliverables meet quality standards and...
Today
Operations Manager Project Management Select
$90K - $110K *
Shape the future of comprehensive project management by leading a skilled team, driving performance metrics, and ensuring exceptional service in high-net-worth claims through effective training and op...
2 weeks ago
Manager I, Customer Success Manager
$134K - $173K *
Drive impactful customer success within our Scaled team by leading, coaching, and inspiring members to optimize client engagement and satisfaction, ensuring measurable value and improving operational...
6 days ago
$167K - $268K *
Drive transformative strategies in contact center technology, integrating advanced AI and modernizing platforms to enhance operational efficiency and user experience across multiple channels for milli...
3 weeks ago
$100K - $120K *
Manage customer implementations by establishing strategies, building relationships, and leading cross-functional teams to drive engagement success and align organizational goals with measurable outcom...
4 days ago
Director, Integrated Demand Programs
$150K - $180K *
Unlock potential by driving integrated demand strategies and revenue impact. Lead global, multi-channel campaigns to optimize performance throughout the customer journey, leveraging AI to enhance mark...
2 weeks ago
Senior Client Delivery Project Manager (Debit) - Remote
$84K - $108K *
Drive project success by leading cross-functional teams in delivering complex client initiatives. Utilize PMI methodologies to oversee project lifecycles, ensure stakeholder alignment, and facilitate...
6 days ago
Retention & Lifecycle Manager - IM8
$120K - $150K *
Join a team that empowers retention strategies at a global scale, overseeing subscriber P&L and leveraging AI-driven insights to maximize NRR, loyalty, and lifecycle experiences, shaping a generationa...
Reposted yesterday
$80K - $95K *
Drive impactful projects to enhance patient experience, service quality, and operational efficiency through effective collaboration, data analysis, and continuous improvement strategies while managing...
2 weeks ago
Cloud Operations Admin (Health & Benefits) (Remote)
$80K - $95K *
Drive successful operations in cloud-based and hybrid environments, collaborating with teams across the organization to enhance infrastructure performance, optimize costs, and ensure compliance with s...
3 days ago
$89K - $150K *
Empower a versatile workforce by managing employee assignments, optimizing crew effectiveness, and ensuring training compliance. Oversee a dynamic team, facilitate business needs, and drive productivi...
1 week ago
Program Manager (MMISR - MST hours)
$90K - $120K *
Optimize program management within IT by enhancing policies, workflows, and governance frameworks while driving value from solutions and ensuring compliance across practices and controls...
3 weeks ago
$69K - $94K *
Champion the implementation and management of client campaigns, coordinating cross-functional teams to ensure timely delivery and performance enhancement while fostering collaboration and addressing c...
3 weeks ago
Senior Mainframe Storage and Backup Administrator
$116K - $194K *
Empower enterprise-level mainframe storage and backup environments with your expertise. Oversee and optimize storage solutions, ensuring high availability and performance across critical systems while...
Today
Senior Manager, Technical Support
$105K - $145K *
Lead the global technical support function, enhancing service quality and efficiency through metrics-driven management, team development, and AI tools. Drive improvement initiatives to positively impa...
2 weeks ago
$79K - $103K *
Lead the charge in optimizing imaging and surgical workflows by diagnosing issues and implementing solutions. Collaborate with customers to enhance clinical processes, ensuring seamless operations and...
3 weeks ago
Technical Deployment Enablement Manager
$92K - $154K *
Drive complex projects from inception to completion, collaborating with cross-functional teams and stakeholders to ensure alignment with strategic goals, while utilizing advanced project management me...
Reposted 3 days ago
Manager, Clinical Care Services- CISC
$83K - $142K *
Unlock potential by managing clinical staff and enhancing care quality through strategic oversight, mentorship, and continuous improvement initiatives in a dynamic healthcare environment...
5 days ago
Director of Delivery Management
$150K - $180K *
Support the success of cloud engagements by leading delivery outcomes, overseeing program execution, and managing a high-performing team to ensure client satisfaction and business growth across multip...
1 week ago
Advisor, Finance Systems & Process Automation
$108K - $135K *
Optimize finance transformation and automation strategies. Partner with Finance and Operations to enhance processes, ensuring compliance and operational excellence while driving efficiency in pharmacy...
3 weeks ago
Manager, Global Risk Management
$105K - $165K *
Lead the risk management function, optimizing insurance strategies while empowering physician-led groups to thrive through innovation and clinical independence. Collaborate with stakeholders to analyz...
2 weeks ago
Manager, Enterprise Provider Based Clinics
$100K - $120K *
Manage and lead a team focused on financial compliance analyses to support decision-making across the health system. Enhance reporting processes while ensuring adherence to CMS regulations and optimiz...
4 days ago
$110K - $130K *
Lead the charge in managing project delivery teams to ensure successful execution and client satisfaction. Drive effective collaboration, resource allocation, and communication while monitoring budget...
1 week ago
Reporting and Analytics Capability Manager, PBM Pricing Capability - Remote
$91K - $163K *
Drive the analytics strategy for reporting in a dynamic healthcare environment, collaborating cross-functionally to maximize data value and ensure compliance while implementing innovative solutions an...
1 week ago
Care Manager (UM/UR) - Remote, Idaho Licensed
$64K - $102K *
Collaborate with the clinical team to manage mental health and substance abuse services, ensuring quality care through monitoring, data analysis, and effective discharge planning while advocating for...
Today
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.