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.
$80K - $90K *
Lead the charge in managing comprehensive accounting functions for self-insurance groups, ensuring accurate financial reporting, compliance with regulations, and effective budget management while coll...
1 week ago
System Director IT Project Management - Information Systems Applications - FT - Day
$125K - $150K *
Join us to lead strategic initiatives in project and service management, enhancing portfolio visibility and governance across Information Systems. Drive operational excellence and foster collaboration...
3 weeks ago
$125K - $140K *
Unlock your potential as a Program Manager, leading complex cybersecurity initiatives. Drive project success by coordinating resources, managing timelines, and ensuring the protection of sensitive dat...
2 weeks ago
Transcend: Manager, Plan Workstream-Duration Based
$102K - $177K *
Champion the transformation of supply chain processes by leading the Plan Workstream for a global ERP initiative. Collaborate with cross-functional teams to ensure effective deployment and adoption of...
Yesterday
$78K - $119K *
Lead a dynamic team of analysts to drive strategic insights and operational excellence across Revenue Operations. Collaborate with stakeholders, navigate complex challenges, and enhance analytical cap...
Reposted 3 days ago
$110K - $120K *
Optimize business processes by analyzing workflows, gathering requirements, and supporting automation initiatives. Collaborate with senior analysts to enhance efficiency and drive strategic improvemen...
Yesterday
Change Data Management Specialist
$83K - $101K *
Join a team that's dedicated to optimizing change management processes. Leverage your expertise in document releases and support engineering teams while utilizing tools like Jira and MSTeams to enhanc...
4 days ago
$134K - $211K *
Lead strategic client relationships by leveraging analytics solutions to drive growth and innovation. Collaborate across teams to deliver tailored solutions, negotiate complex deals, and advocate for...
1 week ago
$100K - $120K *
Drive exceptional customer experiences by leading Support and Professional Services teams. Optimize operations through data-driven strategies and AI innovations, ensuring timely, high-quality service...
3 weeks ago
Territory Manager, Ventilation
$65K - $200K *
Optimize sales performance by managing customer relationships, achieving quotas, and developing strategic plans in the assigned territory. Collaborate with EMS markets to promote innovative ventilator...
1 week ago
$110K - $140K *
Pioneer GxP compliance in digital quality management, ensuring software and AI products meet regulatory standards. Collaborate with stakeholders to enhance quality processes and support audits, drivin...
1 week ago
$80K - $95K *
Drive customer success by managing key accounts, ensuring satisfaction, and expanding revenue through upselling. Collaborate with internal teams to align customer needs with solutions, while leveragin...
1 week ago
$80K - $90K *
Transform payroll operations by leading a dynamic team, ensuring compliance and accuracy across multi-state payroll processes while driving continuous improvement and operational excellence in a fast...
1 week ago
$87K - $161K *
Empower healthcare delivery by overseeing complex care plans focused on behavioral health needs. Collaborate with care management teams to enhance member outcomes through expert guidance and personali...
4 days ago
$150K - $180K *
Shape the future of billing operations by leading a team to enhance accuracy, timeliness, and efficiency. Drive process improvements, manage complex accounts, and collaborate across functions to resol...
6 days ago
$115K - $173K *
Lead the charge in developing and implementing advanced risk segmentation strategies, leveraging statistical methodologies and machine learning to optimize financial returns and enhance model performa...
1 week ago
Senior Technical Account Manager
$110K - $130K *
Engage with complex customer accounts as a trusted advisor, driving adoption and optimization of solutions. Leverage technical expertise and strategic account management to enhance customer satisfacti...
2 weeks ago
Senior Technical Account Manager
$110K - $130K *
Transform customer relationships by providing expert technical support and advocacy. Engage with key accounts to resolve complex issues, ensuring their success and satisfaction with our technology and...
3 weeks ago
$80K - $95K *
Champion strategic growth by managing major law enforcement accounts, driving revenue, and fostering relationships with key stakeholders. Collaborate cross-functionally to ensure successful outcomes a...
1 week ago
$72K - $120K *
Empower your career by managing reimbursement support in a dynamic environment. Collaborate with healthcare providers to navigate patient reimbursement challenges, ensuring optimal service delivery an...
1 week ago
$80K - $133K *
Join a team that's dedicated to enhancing patient access by managing reimbursement challenges. This role involves educating healthcare providers, coordinating support services, and ensuring optimal pa...
1 week ago
$92K - $153K *
Join the charge in optimizing patient reimbursement services while managing interactions between providers and manufacturer representatives. Deliver education and support across a defined territory wh...
Reposted 4 weeks ago
Senior Technical Account Manager
$110K - $130K *
Empower customer success by managing strategic accounts, driving solution adoption, and ensuring long-term value realization. Act as a trusted advisor, aligning customer goals with internal resources...
3 weeks ago
$110K - $130K *
The Network Optimization Manager is responsible for designing, deploying, and maintaining network optimization models to enhance logistics operations. This role involves analyzing complex systems, dev...
Reposted 4 days ago
SAP Funds Management and General Ledger (FM GL)
$90K - $189K *
Join a dynamic team where you'll leverage SAP FM/GL expertise to architect solutions that support U.S. military logistics. Collaborate in a SAFe Agile environment, driving innovation and seamless inte...
Reposted 1 week 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.