Welcome to Utilization Manager Job Opportunities at Ladders

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.

Why Choose a Career as a Utilization Manager?

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.

Qualifications for Utilization Manager Jobs

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.

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$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...

US-AnywhereRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

US-AnywhereRemote

1 week ago

  •   11 - 15 years exp.  •   Information Technology

$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...

US-AnywhereRemote

Reposted 6 days ago

  •   Less than 5 years exp.  •   Enterprise Technology

$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...

US-AnywhereRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Energy & Utilities

$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...

US-AnywhereRemote

Reposted yesterday

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

US-AnywhereRemote

1 week ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$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...

US-AnywhereRemote

3 days ago

  •   5 - 7 years exp.  •   Energy & Utilities

$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...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$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...

US-AnywhereRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

Reposted 2 days ago

  •   5 - 7 years exp.  •   Information Technology

$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...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$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...

US-AnywhereRemote

6 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

US-AnywhereRemote

Reposted yesterday

  •   Less than 5 years exp.  •   Business Services

$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...

US-AnywhereRemote

Reposted 4 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$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...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Technical Services

$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...

US-AnywhereRemote

3 weeks ago

  •   Less than 5 years exp.  •   Technical Services

$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...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$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...

US-AnywhereRemote

3 days ago

  •   5 - 7 years exp.  •   Business Services

$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...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

Frequently Asked Questions (FAQ)

  • What is a Utilization Manager?question toggle

    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?question toggle

    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?question toggle

    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.