Explore Utilization Manager Jobs

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.

What Does a Utilization Manager Do?

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.

Common Skills and Qualifications

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 Manager Career Opportunities

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.

Find Utilization Manager Jobs on Ladders

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.

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$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

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3 weeks ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$125K - $140K *

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2 weeks ago

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$102K - $177K *

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Raritan, NJRemote

Yesterday

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$78K - $119K *

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Reposted 3 days ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $120K *

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Yesterday

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$83K - $101K *

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4 days ago

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$134K - $211K *

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1 week ago

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$100K - $120K *

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3 weeks ago

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$65K - $200K *

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1 week ago

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$110K - $140K *

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1 week ago

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$80K - $90K *

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4 days ago

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$150K - $180K *

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6 days ago

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1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$110K - $130K *

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2 weeks ago

  •   8 - 10 years exp.  •   Enterprise Technology

$110K - $130K *

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3 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$80K - $95K *

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1 week ago

  •   Less than 5 years exp.  •   Enterprise Technology

$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...

Tennessee, USRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

Georgia, USRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

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Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$110K - $130K *

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3 weeks ago

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Reposted 4 days ago

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$90K - $189K *

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Reposted 1 week ago

  •   8 - 10 years exp.  •   Information Technology

Frequently Asked Questions (FAQ)

  • What does a Utilization Manager do?question toggle

    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?question toggle

    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?question toggle

    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?question toggle

    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.