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.
Marketing Communications Program Manager
$92K - $138K *
Join a dynamic team as a Communication Manager to enhance media visibility, build strategic relationships, and drive impactful communications in the healthcare sector. Leverage your creativity and exp...
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CAS Clinical Service Manager, CAS- New Jersey
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Transform your career by leading regional clinical support initiatives while enhancing patient care. Collaborate with teams and drive strategic execution to achieve business goals in ablation solution...
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$110K - $130K *
Accelerate your career by driving enterprise sales, building strategic relationships, and managing the full sales cycle. This role demands a proactive approach to identify opportunities and deliver im...
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$110K - $130K *
Join a team that's driving growth by developing strategic relationships and delivering innovative software solutions to the financial services industry. Enhance client satisfaction and create opportun...
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$100K - $120K *
Join a team that's dedicated to providing exceptional technical support and maintaining robust IT infrastructure. Collaborate with IT professionals to enhance system performance and ensure seamless op...
5 days ago
$110K - $130K *
Join a team that's transforming operations, driving cross-functional efficiency, and enhancing strategic planning. This high-impact role bridges strategy and execution, boosting clarity and structure...
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$80K - $95K *
Drive revenue growth by managing mid-market customer accounts, enhancing relationships, and identifying upsell opportunities. Collaborate with cross-functional teams to ensure customer success and max...
1 week ago
$85K - $100K *
Help us optimize Epic applications by leading projects, troubleshooting issues, and ensuring seamless integration. Collaborate with teams to enhance workflows and provide expert support, all while mai...
6 days ago
$90K - $110K *
Drive the administration and enhancement of Nagios XI monitoring systems, ensuring optimal performance and coverage across diverse environments. Collaborate with IT teams to identify gaps and implemen...
4 days ago
$82K - $111K *
Serve as the primary client liaison, driving satisfaction and retention while fostering partnerships and implementing effective client strategies for healthcare products. Collaborate cross-functionall...
1 month ago
$80K - $110K *
Lead the charge in managing multiple deployment projects, ensuring customer satisfaction and timely delivery. Collaborate with teams to define goals, mitigate risks, and leverage Fortra products for o...
3 weeks ago
Provider Operations Manager - Credentialing
$73K - $115K *
Grow your career with a dynamic team focused on optimizing provider operations. Lead credentialing initiatives, implement AI solutions, and enhance workflows while ensuring compliance and operational...
Yesterday
$92K - $179K *
Transform operations by leading a dynamic Scheduling Analyst team, enhancing workflow efficiency, and driving strategic improvements across departments. Collaborate with internal and external partners...
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Privacy Program Optimization Manager - PrivacyPro
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Elevate customer engagement by optimizing privacy program performance across a diverse portfolio. Ensure proactive intervention and support for healthcare privacy teams, driving compliance and enhanci...
5 days ago
$87K - $120K *
Champion business process excellence by bridging stakeholders and IT teams, driving Salesforce solutions, and optimizing workflows to enhance operational efficiency and user experience across the orga...
1 week ago
$100K *
Inspire a data-driven customer support team, overseeing daily operations, coaching agents, and driving performance metrics to enhance service quality and team development in a transformative support e...
Reposted 3 weeks ago
Operations Standards Manager (Remote)
$80K - $95K *
Drive operational excellence by developing and maintaining standards, ensuring consistency across markets, and collaborating with cross-functional teams to enhance processes and documentation for opti...
1 week ago
Client Success Manager (Revenue Cycle Management)
$90K - $110K *
Partner with us to ensure exceptional client engagement by managing the entire client lifecycle in revenue cycle management, driving success through effective liaison between operational teams and cli...
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Transaction Management Director - Healthcare
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Shape the future of healthcare real estate by leading a dynamic transaction management team. Oversee negotiations, staff development, and strategic planning to drive client success and enhance operati...
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Join a dynamic team as a Dynatrace Administrator, optimizing environments and automating incident responses. Leverage your expertise to enhance performance monitoring and ensure seamless integration w...
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Senior Care Management Business Consultant
$100K - $120K *
Shape the future of healthcare operations by leading transformative initiatives that enhance care management effectiveness, streamline workflows, and drive measurable outcomes across clinical programs...
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Customer Operations Manager, Gainsight
$99K - $124K *
Unlock potential by driving the creation and maintenance of Gainsight CSP content, ensuring seamless integration across marketing and RevOps. Lead quality assurance, collaborative workflows, and repor...
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$106K - $197K *
Elevate your career by managing complex revenue accounting activities, leading process improvements, and collaborating across teams to enhance scalability and efficiency in a dynamic environment focus...
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$80K - $95K *
Lead the charge in strategic growth and relationship development for a portfolio of EPE clients. Drive business development, uncover opportunities, and enhance client engagement to expand EPE’s footpr...
3 weeks 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.