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.
$90K - $120K *
Grow your career with us as you take ownership of ICF development for clinical trials. Collaborate with cross-functional teams, ensuring compliance and quality in innovative healthcare research proces...
Reposted 1 week ago
Utilization Management (UM) - Pre-Service (Remote | California RN / LVN | Pacific Time Schedule)
$77K - $116K *
Transform care delivery by reviewing prior authorization requests for medical necessity and ensuring quality outcomes in a dynamic, remote Utilization Management team focused on patient-centric soluti...
2 weeks ago
$90K - $130K *
Elevate your career by leading a team of distribution representatives, driving sales strategies, fostering partnerships, and ensuring growth in a dynamic environment focused on achieving targets and d...
1 week ago
$145K - $195K *
Take ownership of the support operations strategy to enhance complex workflows, implement AI-driven tools, and drive cross-functional collaboration, ensuring an effective support experience aligned wi...
2 weeks ago
Clinical Pharmacist - Utilization Management Archimedes
$100K - $130K *
Champion clinical excellence by managing specialty medication strategies, conducting peer consultations, and developing impactful clinical policies that enhance cost management across pharmacy and med...
Reposted 6 days ago
$80K - $120K *
Unlock potential by driving actionable insights and high-quality support for real estate transactions. Collaborate with clients to analyze data, develop financial models, and deliver key recommendatio...
Yesterday
Case Manager - Patient Services - Healthcare
$83K - $112K *
Drive patient care access by managing complex authorization journeys while collaborating with various stakeholders to ensure timely communication, accuracy, and support. Your expertise will streamline...
4 weeks ago
Utility Integration Program Manager
$115K - $135K *
Accelerate progress at our implementation services by managing complex utility integrations, ensuring on-time delivery, and fostering strong client partnerships to enhance EnergyHub’s platform capabil...
3 weeks ago
$75K - $95K *
Champion effective facility data management, ensuring accuracy, compliance, and efficiency. Collaborate with IT and operations to enhance data systems, support decision-making, and drive continuous im...
4 weeks ago
System Manager Productivity Performance Improvement
$90K - $120K *
Lead the development and implementation of productivity strategies across healthcare facilities, leveraging analytics to enhance operational effectiveness and financial outcomes while collaborating wi...
2 weeks ago
$110K - $120K *
Elevate global hardware reliability by managing the RMA operations, leading teams, and collaborating with vendors to improve processes, minimize customer impact, and drive efficiency across data cente...
2 weeks ago
Project Manager, UM Appeals Implementations
$70K - $95K *
Develop project plans and manage healthcare implementation initiatives, ensuring timely delivery and quality outcomes. Collaborate across teams to optimize processes and meet client needs in a remote...
4 weeks ago
Manager Implementation Services - Data Solutions
$90K - $130K *
Lead the charge in enhancing archival services by managing project teams, developing methodologies, and fostering client relationships, ensuring exceptional delivery and professional growth in a dynam...
Reposted 6 days ago
Director, Virtual Utilization Review
$120K - $150K *
Transform client partnerships and operational efficiency by leading innovative multi-client utilization review initiatives. Drive strategic oversight, change management, and analytics to enhance perfo...
3 days ago
Manager, Enterprise Vulnerability Management
$153K - $172K *
Shape the future of vulnerability management by leading a dynamic team to enhance enterprise security, optimize processes, and drive risk assessments across multiple platforms in a fast-paced, collabo...
3 weeks ago
$90K - $120K *
Join our team to oversee the end-to-end management of mid-market and enterprise implementations. You'll ensure project timelines are met, lead customer strategies, and coordinate across teams to drive...
6 days ago
$90K - $120K *
Manage and drive the technical quality of third-party integrations, ensuring seamless operations and compliance while mentoring teams to optimize performance and develop innovative reporting solutions...
3 weeks ago
$75K - $95K *
Manage and optimize enterprise tools across cloud environments, ensuring reliable service delivery and collaboration. Strengthen operational foundations through effective administration and continuous...
1 week ago
$144K - $200K *
Lead the charge in developing analytics for Pricing & Supply teams. Drive insights that enhance competitive pricing, marketplace dynamics, and vendor performance while mentoring a team of analysts for...
4 weeks ago
Workflow Operations Manager - Labeling
$90K - $130K *
Elevate operational excellence by leading LLM Labeling and Workflow Ops, driving automation and strategic initiatives for optimal data and process management while collaborating with cross-functional...
Today
$90K - $130K *
Accelerate progress at cybersecurity initiatives by leading cross-functional projects, managing risks, and ensuring effective collaboration among diverse teams to meet defined business outcomes while...
Reposted 1 week ago
Manager, Clinical Quality Operations
$90K - $100K *
Champion excellence in clinical operations by managing field practitioners, ensuring compliance and quality care, and driving operational success in a dynamic healthcare environment. Lead innovative t...
Today
$100K - $130K *
Empower a dynamic team of engineers by leading substation utility projects, fostering collaboration with multidisciplinary stakeholders, and ensuring compliance with industry standards for safety, qua...
3 weeks ago
$115K - $173K *
Optimize tax compliance processes by managing global filings, coordinating audits, and enhancing efficiencies within the tax function. Collaborate with cross-functional teams to drive strategic tax in...
3 weeks ago
Manager, Epic Professional Billing - Remote
$91K - $163K *
Manage day-to-day Epic Professional Billing services, leading a team and ensuring client success. Collaborate with stakeholders to optimize operations and enhance technology delivery while driving con...
Yesterday
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.