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.
Senior Product Manager - Utilization Management
$118K - $236K *
Transform product management in Utilization Management by aligning business needs with tech delivery, optimizing workflows across Commercial, Medicare, and Medicaid, and leading cross-functional colla...
6 days ago
Manager, Revenue Cycle Management
$120K - $135K *
Develop and lead comprehensive Revenue Cycle Management, overseeing the entire billing process, vendor contracts, and risk adjustment, while collaborating with Clinical, Finance, and Data teams for op...
2 weeks ago
$115K - $150K *
Help us drive critical healthcare initiatives with Veterans, ensuring successful planning and execution of transformation programs. This role demands strong organizational skills and collaboration acr...
1 week ago
$75K - $95K *
Drive impactful feasibility assessments across clinical studies by evaluating protocols and site capabilities. Collaborate with cross-functional teams to optimize recruitment strategies and ensure dat...
2 weeks ago
Remote Application Performance Monitoring Manager (VA ESOM)
$157K - $167K *
Lead the charge in enterprise monitoring operations to ensure optimal performance and reliability of critical applications. Guide teams in enhancing instrumentation and observability across vast netwo...
1 week ago
$90K - $100K *
Lead the charge in delivering exceptional client implementations by managing sophisticated project plans, overseeing technical deliverables, and fostering cross-functional collaboration for a seamless...
Reposted 6 days ago
$85K - $106K *
Lead a high-performing Enrollment team to enhance operational excellence, drive process improvements, and ensure a seamless member experience in health insurance services...
4 weeks ago
$100K - $120K *
Lead the charge in managing Field Services teams to ensure operational success, client satisfaction, and adherence to safety standards, while implementing policies and mentoring staff in a defined geo...
2 weeks ago
Director, Virtual Utilization Review
$101K - $145K *
Transform client partnerships and operational efficiency by leading innovative multi-client utilization review initiatives. Drive strategic oversight, change management, and analytics to enhance perfo...
Reposted yesterday
$72K - $100K *
Join a team that's dedicated to optimizing core business systems. As an Application Administrator, you'll support finance and HR technologies, resolve issues, and enhance configurations ensuring effic...
1 week ago
Veradigm Outcome Executive (VOE)
$163K - $216K *
Empower your career by strategically managing C-suite relationships across large pharma accounts. Drive retention and expansion while leveraging deep industry knowledge and collaboration to achieve me...
1 week ago
$110K - $130K *
Lead the charge in engineering management, ensuring high-quality project delivery through technical oversight, team development, and strategic collaboration while fostering client relationships and op...
3 days ago
Manager, Utilization Management - Vanderbilt Clarksville Hospital (RN required) - REMOTE
$85K - $100K *
Shape operational excellence in Utilization Management by leading a dedicated team, implementing effective processes, and enhancing collaboration across departments to support enterprise growth and im...
1 week ago
$110K - $130K *
Drive the analysis and development of data products, enhance client satisfaction, and lead a team to tackle technical challenges while improving processes and adopting emerging technologies to benefit...
6 days ago
$115K - $145K *
Drive integration excellence as a key leader, enhancing customer success through high-quality, scalable software solutions while managing a team of experts and fostering collaboration, innovation, and...
Reposted 2 days ago
$90K - $130K *
Contribute to U.S. Government cyber incident response by leading requirements management, facilitating stakeholder collaboration, and ensuring technology integration aligns with mission objectives and...
3 weeks ago
$87K - $125K *
Lead the charge in optimizing business processes by leveraging stakeholder insights and innovative solutions. As a key manager, you will guide your team to deliver substantial value across various org...
6 days ago
$120K - $150K *
Join a remote-first team driving success through strategic client relationships. Own engagement processes, foster collaboration, and ensure satisfaction, all while working with innovative technology t...
Reposted yesterday
Implementation Manager (Distribution)
$90K - $120K *
Pioneer in transforming logistics through AI. Lead implementation teams to optimize customer workflows and drive adoption of innovative technology solutions for B2B distribution. Collaborate and execu...
Reposted 4 weeks ago
Project UM Audit & Documentation Director
$100K - $120K *
Unlock potential by leading clinical documentation oversight in multiple facilities. Collaborate with healthcare teams to enhance compliance, optimize reimbursement processes, and ensure the highest s...
2 weeks ago
$90K - $130K *
Transform customer relations as a Technical Account Manager, ensuring success with our solutions. Collaborate across teams, resolve complex issues, and enhance customer experiences with our premier se...
3 weeks ago
$90K - $120K *
Join a team that's dedicated to driving excellence through strategic client relationships, ensuring customer satisfaction, and maximizing the value of solutions while navigating complex technical chal...
3 weeks ago
Manager, Escalation Management
$120K - $150K *
Transform customer experiences by leading our dedicated Escalation Management Team. Drive operational excellence, lead a high-performance group, and enhance our SaaS support services to ensure critica...
3 weeks ago
$80K - $100K *
Champion the seamless integration of EDI projects in a dynamic, client-facing role. Lead multiple projects while ensuring accurate data flow and resolving issues promptly. Work to enhance client satis...
3 days ago
$95K - $120K *
Lead the charge in overseeing operations of Long-Term Disability claims, ensuring top-notch client experiences while coaching and developing your team towards strategic goals and performance improveme...
1 week 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.