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, Health System Account (Greater Los Angeles and Orange County)
$125K - $145K *
Engage in driving sales success as you manage a dedicated health systems territory, collaborate with teams, and deploy strategic initiatives to meet annual revenue goals...
2 weeks ago
Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH)
$80K - $95K *
Advance your career by guiding a team in processing medical claims. Ensure compliance with laws and standards while identifying process improvements to enhance performance and quality in medical neces...
Reposted 1 week ago
Integration Manager – M&A (Florida)
$100K - $130K *
Lead the charge in managing M&A integration projects, aligning strategies across teams to ensure successful transitions and transformation initiatives that meet organizational goals and drive efficien...
1 week ago
$130K - $175K *
Join a dynamic team driving financial strategy and modeling for a fast-growing payments company. Collaborate with executives to steer critical decisions that maximize value, optimize growth, and navig...
5 days ago
$90K - $110K *
Transform data management and reporting processes to drive effective decision-making. You will oversee data integrity, analytics, and compliance, ensuring effective tracking for project success and en...
Today
$80K - $95K *
Manage the activities of a collections team, driving cash flow and productivity through effective training, oversight, and implementation of strategies to improve A/R performance and resolution of com...
Reposted yesterday
$70K - $95K *
Champion healthcare revenue cycle performance by leading A/R operations, ensuring compliant billing and collections. Optimize cash flow, mentor a team, and collaborate cross-departmentally to reduce d...
3 weeks ago
Remote Regional Healthcare Senior Finance Manager - Surgery - TUS
$110K - $130K *
Join a team that influences enterprise strategy and drives impactful financial performance across a complex healthcare region, collaborating closely with leadership to enhance budgeting, analysis, and...
2 weeks ago
Learning Experience Manager - Emergency Response/T1
$97K - $145K *
Transform the learning landscape by designing and expanding training programs. Lead a team to create a positive learning environment and ensure effective onboarding and skill development for all team...
3 weeks ago
Senior Manager, WMS SW Development & Modernization
$132K - $220K *
Drive software modernization and engineering excellence by leading multiple teams focused on enterprise applications. Oversee the development strategies and guide transformation initiatives while coll...
1 week ago
Care Manager RN - UM (Full-Time) Weekends (Remote)
$68K - $105K *
Advance healthcare quality by implementing utilization management strategies. Analyze data for provider enhancement and member satisfaction, while promoting efficient care delivery through collaborati...
Reposted 1 week ago
Program Analyst - Data Center Delivery
$80K - $110K *
Unlock potential by supporting data center programs through clear documentation, reliable reporting, and effective process management. Collaborate with project teams to drive operational success and e...
4 weeks ago
$72K - $117K *
Reimagine your career by executing audits and providing expertise across various projects. Collaborate within a team or independently to ensure compliance and drive improvements while managing stakeho...
Reposted 1 week ago
$110K - $130K *
Accelerate your career by owning the AI and automation tooling roadmap, driving multifaceted initiatives that enhance operational efficiency. Collaborate with leadership to deliver impactful solutions...
Reposted 3 days ago
Program Manager, Provider Program
$110K - $130K *
Architect scalable provider programs by turning individual relationships into streamlined systems. Oversee the complete lifecycle, maintain compliance, and manage flagship programs while collaborating...
2 weeks ago
$72K - $143K *
Join a team that's dedicated to improving patient care through comprehensive management of medical and behavioral health needs. Collaborate with providers and members to create actionable care plans t...
3 weeks ago
$95K - $110K *
Engage as a Technical Project Manager to lead teams in delivering high-quality telecom initiatives. Foster collaboration across workstreams, optimize delivery processes, and manage stakeholder communi...
2 weeks ago
MHI Talent Solutions | Business Systems Manager
$110K - $130K *
Empower businesses by optimizing enterprise applications and systems architecture. Partner with executives to drive NetSuite solutions and integrations, leading a diverse array of projects across mult...
2 weeks ago
Aviation Maintenance Controller, Aircraft
$79K - $113K *
Innovate the air transport sector by overseeing aircraft maintenance operations. Ensure compliance, safety, and efficiency in logistics to support vital organ transplant missions. Collaborate with pil...
2 weeks ago
$120K - $150K *
Elevate your career by leading a dynamic engineering team to develop innovative cloud-based solutions that enhance patient care. Drive technical excellence while mentoring talent and collaborating clo...
4 weeks ago
Manager, Salesforce Revenue Cloud
$100K - $130K *
Lead the charge in optimizing our Revenue Cloud instance, enhancing quoting and billing processes while collaborating with key stakeholders to ensure compliance and streamline workflows. Drive innovat...
3 weeks ago
Operational Dashboard Developer
$100K - $120K *
Unlock potential by developing and modifying information systems using MS Power BI. Collaborate with clients to analyze needs, create business models, and enhance organizational strategies while guidi...
1 week ago
Manager of Regional Consulting
$235K - $285K *
Champion transformative consulting sales in the financial services sector, driving team success and client outcomes. Lead engagements from pre-sales through delivery while nurturing executive relation...
1 week ago
$110K - $130K *
Engage with customers to maximize value from FinOps solutions, fostering collaboration across teams to enhance customer success and adaptability in cloud cost management, while advocating for their ne...
4 days ago
Portfolio Manager - Central/North Florida
$104K - $120K *
Grow and expand PD therapy usage by managing physician relationships and driving local contract execution. Lead strategy and market initiatives while nurturing cross-functional collaboration and ensur...
Reposted 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.