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.
Senior Care Manager RN - STAR/ CHIP
$75K - $135K *
Join a team that's dedicated to enhancing member care through personalized management and coordination. This role involves developing care plans, collaborating with providers, and ensuring quality hea...
Reposted today
$137K - $254K *
Lead and empower a team in Organizational Change Management and testing, ensuring effective project delivery across finance systems. Collaborate with stakeholders to drive data accuracy and system int...
2 weeks ago
$80K - $95K *
Elevate financial integrity by leading accounting operations, ensuring compliance, and driving efficiency across departments. Collaborate with teams to deliver accurate financial reporting and support...
6 days ago
$124K - $155K *
Lead the successful execution of projects by managing teams, fostering collaboration, and ensuring adherence to methodologies. Drive talent development and build strong relationships across functions...
Today
$124K - $155K *
Oversee project management operations, ensuring adherence to methodologies while fostering team development and collaboration. Drive successful project outcomes through strong leadership and relations...
3 weeks ago
Program Manager, Insurance Software Implementation
$125K - $165K *
Join a team that's redefining insurance technology delivery by leading SaaS implementation programs. This hands-on role combines project management with team leadership to ensure successful client out...
Yesterday
Manager, Clinical Data Management
$140K - $170K *
Lead and innovate in clinical data management, overseeing projects and teams while ensuring quality deliverables and client satisfaction. Mentor staff, manage budgets, and enhance operational efficien...
1 week ago
Manager, Client Delivery Experience (CDE PMO) - Remote
$105K - $163K *
Champion client success by leading project teams to deliver high-quality card processing solutions. Drive enhancements, manage complex implementations, and ensure client satisfaction through effective...
3 weeks ago
Manager, Fiscal Operations Advisory
$97K - $200K *
Advance your career by leading public sector consulting projects, mentoring staff, and driving financial solutions for local governments. Join a dynamic team dedicated to community success and profess...
3 weeks ago
$100K - $120K *
Drive strategic oversight of enterprise-wide RAC audit activities, ensuring compliance and operational excellence. Collaborate with leadership to enhance audit processes, minimize financial risk, and...
1 week ago
$124K - $174K *
Lead the charge in transforming data into actionable insights that enhance Marketing and Sales strategies. Drive customer relevancy through market analysis, persona development, and innovative researc...
4 days ago
$120K - $150K *
Lead the charge in product innovation by managing the full lifecycle from ideation to launch. Collaborate with cross-functional teams to align technical and business goals, ensuring successful product...
1 week ago
$92K - $153K *
Join a team that's driving innovation in ServiceNow implementations. You'll lead projects, engage stakeholders, and translate complex requirements into effective solutions, collaborating closely with...
3 weeks ago
$135K - $180K *
Unlock potential by managing key relationships with insurance partners, overseeing operations, and ensuring compliance in a dynamic, team-focused environment. Thrive in a collaborative setting that dr...
4 weeks ago
$110K - $130K *
Lead the charge in driving AI initiatives for claims operations, collaborating with stakeholders to enhance efficiency and client service. Own the product backlog and ensure alignment with measurable...
Reposted 5 days ago
$120K - $145K *
Lead the charge in defining and executing a comprehensive value stream vision, driving cross-industry adoption through innovative workflows and AI-enabled experiences, while collaborating with industr...
4 days ago
$95K - $105K *
Drive operational excellence as an Operations Analyst, balancing compliance and user experience. Leverage AI tools to analyze data, identify fraud patterns, and suggest process improvements while coll...
2 weeks ago
$95K - $115K *
Drive successful public-sector construction projects by managing scope, schedule, and budget while fostering strong client relationships and ensuring quality delivery from inception to closeout...
1 week ago
Policy Administration & Contact Center Manager
$85K - $130K *
Drive team performance and enhance customer experience by overseeing policy administration and contact center operations. Collaborate on goals, manage staffing, and ensure compliance with regulations...
1 week ago
$90K - $115K *
Drive operational excellence by providing Tier 2 and Tier 3 support for identity, credential, and access management issues, ensuring seamless user experiences and effective resolution of complex chall...
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Sr. Director, Revenue Cycle Management
$138K - $231K *
Lead revenue cycle operations for a multi-site Center of Excellence, driving performance improvements, managing budgets, and mentoring teams to enhance billing accuracy and cash collections while ensu...
6 days ago
PROGRAM MANAGER (IDRE) - Remote
$80K - $95K *
Empower your career by leading a remote team in managing healthcare operations and compliance for a Federal IDRE program. Drive performance, enhance quality, and ensure regulatory adherence while fost...
1 week ago
$132K - $220K *
Drive customer success by quantifying and communicating the value of software solutions. Collaborate with sales teams to develop business cases, conduct ROI analyses, and enhance customer engagement...
1 week ago
$75K - $135K *
Optimize care management by developing personalized plans, coordinating services, and educating members and families to ensure high-quality healthcare outcomes. Collaborate with providers and monitor...
Today
$75K - $135K *
Join a dynamic team to assess and implement personalized care plans, ensuring quality healthcare outcomes. Collaborate with members, families, and providers while managing care activities and addressi...
6 days ago
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.