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.
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.
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 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.
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.
$70K - $140K *
Lead the charge in enhancing our Partner ecosystem by managing relationships and driving growth initiatives. Oversee onboarding, operations, and support for System Integrators while implementing autom...
Reposted 3 weeks ago
$103K - $123K *
Drive growth by managing a sales territory, building relationships, and generating premium. Leverage existing partnerships while prospecting new agencies to achieve targets and expand market presence...
6 days ago
Oracle EBS UMX Business Analyst
$75K - $158K *
Empower the future of government software as an Oracle EBS UMX Functional Analyst. Collaborate cross-functionally to enhance user management solutions and deliver efficient implementations in a vibran...
Reposted 1 week ago
$99K - $172K *
Join a team that's driving payroll excellence across multiple countries. Lead a dedicated payroll team, ensuring compliance and accuracy for 1,000+ employees while collaborating with various departmen...
2 weeks ago
$98K - $164K *
Champion client success by leading post-sale implementations and ensuring ongoing account performance. Collaborate with cross-functional teams to translate client needs into actionable insights, drivi...
5 days ago
Sr. Manager, Applications Development
$184K - $231K *
Lead the charge in transforming application development, overseeing teams and systems that drive core business functions. Collaborate to modernize platforms, ensuring seamless integrations and high-qu...
1 week ago
$150K - $200K *
Unlock potential by defining and guiding enterprise architecture, integrating cloud, infrastructure, and security to support business priorities. Lead modernization efforts and influence cross-functio...
4 days ago
Clinical Risk Manager, C&F Stop Loss
$71K - $134K *
Unlock potential by leading clinical risk management efforts, leveraging advanced nursing expertise to assess complex medical data, mentor team members, and drive strategic underwriting decisions in a...
6 days ago
Network Contract Manager - Remote PA
$72K - $130K *
Transform provider networks by developing competitive, stable systems that enhance cost performance and trend management while fostering strong business relationships and ensuring network adequacy...
3 days ago
Field Access Manager - New Orleans
$117K - $184K *
Join a team that's dedicated to enhancing patient access by providing expert guidance on healthcare processes. Collaborate cross-functionally to address access barriers and ensure compliance while sup...
1 week ago
Director, Funded Billing & Collections
$110K - $130K *
Drive operational excellence at a leading healthcare organization by leading funded medical accounts receivable. Build a high-performing collections team, enhance cash flow, and ensure compliance whil...
1 week ago
$110K - $130K *
Join a team that's dedicated to enhancing healthcare reporting through Epic tools. Collaborate with stakeholders to gather requirements, design reports, and provide support, ensuring successful projec...
1 week ago
Access and Reimbursement Manager (N Illinois/Wisconsin/Minneapolis)
$101K - $162K *
Drive patient access initiatives by managing case pull-through processes, collaborating with healthcare providers and pharmacies, and developing strategies to enhance treatment access while ensuring c...
1 week ago
$80K - $100K *
Transform your career by managing program budgets, enhancing workflows, and ensuring financial accuracy. Collaborate across teams to drive efficiency and support sustainability initiatives in a dynami...
1 week ago
$135K - $160K *
Lead cross-functional programs to enhance a high-performance cloud platform. Drive strategic initiatives, mentor teams, and improve engineering productivity while collaborating closely with software e...
1 week ago
$95K - $115K *
Unlock effective patient access by driving reimbursement initiatives and educational support for healthcare providers. Collaborate across teams to navigate payer complexities and facilitate timely the...
Reposted 3 weeks ago
Security and Compliance Manager
$115K - $135K *
Empower progress at the forefront of cybersecurity by managing security operations, ensuring compliance, and mitigating risks. Collaborate with teams to enhance security measures and protect sensitive...
3 days ago
$67K - $99K *
Unlock network potential by strategizing capacity plans for multi-gig services. Collaborate with engineering teams to optimize network architecture and manage projects that enhance residential and bus...
Yesterday
$90K - $110K *
Join a dynamic team to enhance financial management practices and support critical operations. Collaborate across levels to drive process improvements and deliver impactful financial insights in a fas...
1 week ago
$100K - $120K *
Unlock your potential by leading the delivery of innovative solutions for retail clients. Collaborate with cross-functional teams to ensure timely, high-quality project execution that drives customer...
3 weeks ago
Senior Project Manager - U.S. Healthcare Programs
$110K - $130K *
Lead complex healthcare project initiatives, ensuring successful implementation and operational readiness while maintaining high standards of governance. Foster strong partnerships with clients, manag...
Reposted 3 weeks ago
NPI Materials Manager, Compute, Storage & Networking Platforms
$220K - $240K *
Drive your career by managing end-to-end materials for NPI programs, ensuring timely hardware availability for engineering tests and qualifications. Collaborate across teams to streamline processes an...
3 days ago
Payment Integrity Program Manager
$73K - $120K *
Drive the success of inpatient Payment Integrity programs by overseeing audits, ensuring compliance, and enhancing quality across teams and vendors. Collaborate with stakeholders to optimize processes...
3 weeks ago
Senior Manager VSA Accounting & Reporting
$105K - $149K *
Drive innovation and strategic initiatives while leading cross-functional teams to achieve impactful outcomes in a dynamic environment. Collaborate with diverse stakeholders to enhance operational eff...
Reposted 3 weeks ago
$105K - $130K *
Elevate patient care by managing clinical support for monitoring systems. Lead diverse teams to enhance customer relationships and ensure effective product utilization post-implementation, driving cli...
4 days ago
What does a Utilization Manager do?
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?
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?
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?
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.