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.
Manager, Software Engineering & Development
$160K - $180K *
Shape the future of our enterprise AI platform by leading a cross-functional team of engineers. You will drive talent development, enhance engineering practices, and foster a culture of high performan...
1 week ago
Manager, Software Engineering & Development
$160K - $180K *
Elevate your career by leading a cross-functional team to develop and enhance AI-enabled software solutions. Embrace hands-on leadership while fostering a high-performance culture that champions speed...
1 week ago
Manager, Software Engineering & Development
$160K - $180K *
Develop and lead a high-performing engineering team focused on innovative AI solutions. This hands-on role empowers growth and excellence in software practices, ensuring timely and reliable delivery o...
1 week ago
Manager, Software Engineering & Development
$160K - $180K *
Lead the charge in empowering a cross-functional engineering team to innovate production-grade AI software solutions. Drive team development, optimize engineering practices, and partner with stakehold...
1 week ago
International Patient Classification Product Owner Clinical and Economic Research
$143K - $196K *
Lead the development of international healthcare payment systems, collaborating with diverse teams to enhance patient classification methodologies, ensuring integration and quality outcomes in value-b...
3 days ago
Project Manager, Business Implementation
$80K - $120K *
Drive impactful project implementations in the Travel Management sector. As a key leader, manage end-to-end projects, ensuring best practices and effective communication to deliver exceptional custome...
Today
IT Product Manager - Workforce Solutions
$120K - $165K *
Transform your career by leading the evolution of Workday and innovative solutions that enhance talent acquisition and workforce management. Collaborate with cross-functional teams to deliver scalable...
2 weeks ago
$80K - $95K *
Transform client relationships in a fast-paced environment by proactively managing communications and anticipating needs to drive successful campaign execution and content delivery for a growing proje...
2 weeks ago
$80K - $95K *
Join a team that's transforming client engagement in a fast-paced environment. As an Account Manager, you'll proactively manage client relationships, ensuring timely delivery of compelling marketing c...
2 weeks ago
Project Manager (Professional Services)
$80K - $100K *
Engage with customers by leading project management efforts for successful implementation of multiple projects. Manage timelines, resources, and deliverables to ensure customer satisfaction and alignm...
1 week ago
Manager, Artificial Intelligence
$120K - $150K *
Make your mark at the forefront of AI innovation, guiding high-impact projects and mentorship within a dynamic team to deliver actionable data solutions that transform client strategies and workflows...
1 week ago
$75K - $96K *
Empower financial institutions by managing risk and fraud programs, building relationships, and guiding risk mitigation strategies. Collaborate with stakeholders to enhance service quality and drive o...
2 weeks ago
Sr. Workday Applications Analyst
$68K - $123K *
Transform healthcare benefits management by leveraging your expertise in Workday. Collaborate across teams to enhance system functionality, troubleshoot issues, and ensure seamless operational support...
3 weeks ago
$120K - $125K *
Manage the quoting and pricing strategy to drive competitiveness and profitability. Lead cross-functional teams, ensuring operational excellence and compliance. Develop talent while establishing gover...
2 days ago
$90K - $120K *
Shape the future of healthcare operations by leading remote patient monitoring initiatives. Oversee cross-functional teams to enhance patient enrollment, optimize workflows, and ensure financial healt...
4 weeks ago
$90K - $120K *
Engineer solutions by leveraging your Epic expertise to guide healthcare advancements. Collaborate with clients while managing multiple projects to enhance their use of MyChart and drive operational s...
2 weeks ago
Senior Manager, U.S. Commercial Training Pharmacy Automation
$100K - $130K *
Advance commercial training for the US market, ensuring relevance and effectiveness. Collaborate with sales leaders to enhance onboarding, coaching, and capability-building programs that drive measura...
2 weeks ago
Rendering Optimization Manager
$90K - $120K *
Seeking a dynamic leader to drive operational excellence and continuous improvement in rendering and processing operations. Collaborate with plant leadership to enhance performance and deliver sustain...
5 days ago
IT Engineer - Contact Center (Cloud)
$90K - $120K *
Lead the charge in designing and supporting innovative contact center platforms, ensuring seamless communication and operational efficiency while aligning technology initiatives with business goals an...
Reposted 5 days ago
Senior Workday Analyst - Benefits
$96K - $161K *
Join a team that empowers global HR initiatives by enhancing Workday functionality and processes. You'll collaborate with stakeholders to create efficient solutions that drive performance in a thrivin...
Yesterday
Annuity Relationship Manager Operations (Central Time Zone)
$93K - $139K *
Champion key business initiatives while providing high-level executive support to the Sales VP. Lead cross-functional projects, enhance operational efficiency, and develop collaborative relationships...
2 weeks ago
Manager, Payment Integrity- Readmission
$87K - $157K *
Champion Payment Integrity initiatives by leading teams to enhance readmission reviews, ensuring compliance and accuracy. Collaborate cross-functionally to drive results, optimize practices, and maint...
3 days ago
$120K - $150K *
Engage in shaping privacy strategies and team culture as a Senior Manager. Lead a high-performing team, drive client initiatives, and foster collaboration in a fully remote setting. Embrace continuous...
6 days ago
$85K - $97K *
Pioneer effective project management by leading financial services programs, overseeing teams, ensuring quality assurance, and enhancing client collaboration while navigating complexities of developme...
Reposted 1 week ago
$110K - $175K *
Elevate your career by managing innovative IT projects, leading Agile teams, and collaborating with stakeholders to enhance system solutions. Drive client satisfaction through effective project delive...
4 days 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.