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.
ERP Functional Trainer - Finance
$90K - $110K *
Drive the development and delivery of engaging training for SAP S/4 Finance and Materials Management. Collaborate with stakeholders to enhance user adoption and ensure effective finance processes acro...
2 weeks ago
Manager, State Management - P&C Insurance
$110K - $130K *
Innovate product strategies for multiple states, optimizing P&L performance through data-driven analysis, collaboration with cross-functional teams, and strategic recommendations to enhance market com...
3 days ago
$93K - $137K *
Shape the future of cruise service delivery by managing operations, ensuring compliance, and delivering high-quality customer experiences while driving continuous improvements across diverse hospitali...
Reposted 3 weeks ago
$74K - $100K *
Join a team that's shaping the future of IT procurement by leading strategic sourcing initiatives, optimizing vendor relationships, and driving innovation across IT categories like software and cloud...
2 weeks ago
$66K - $100K *
Transform healthcare denials management by analyzing data and creating metrics, tracking trends, and identifying root causes. Collaborate across departments to enhance processes and ensure timely resp...
3 weeks ago
$70K - $145K *
Unlock potential by leading diverse construction projects, ensuring safety, quality, and adherence to budget and schedule. Drive results through collaboration, oversight, and effective management to a...
1 week ago
Workforce Management (WFM) Lead Analyst
$90K - $110K *
Empower your career by owning WFM operations, transforming complex data into actionable insights, and collaborating across units to optimize service levels and drive strategic decisions for operationa...
Reposted 4 days ago
Value Realization Manager, Customer Onboarding
$73K - $147K *
Transform customer experiences by guiding onboarding, ensuring solution adoption, and assessing business outcomes. Leverage insights to enhance product value and strengthen client relationships throug...
3 days ago
Product Manager VSS - Service Upgrades
$110K - $130K *
Advance market strategies by leveraging customer insights to enhance remanufactured products and services. Drive sales growth through effective positioning, tools, and value propositions in North Amer...
Reposted 2 weeks ago
$110K - $130K *
Drive excellence by establishing a Vendor Management Office to enhance governance, performance, and alignment of Managed Services Providers. Collaborate cross-functionally to ensure compliance, mitiga...
1 week ago
Project Manager - Modern Data Center
$100K - $140K *
Lead the charge in project management, driving technical initiatives from inception to delivery while enhancing PMO processes and ensuring client satisfaction within a dynamic, growing data center env...
4 days ago
Project Manager, Data Collection Delivery
$88K - $105K *
Drive project execution and delivery for client-facing data collection initiatives. Lead teams, ensure client satisfaction, manage financials, and communicate progress effectively while thriving in dy...
2 weeks ago
$70K - $94K *
Drive efficient space optimization and occupancy planning by analyzing real estate needs, collaborating with stakeholders, and enhancing utilization strategies to meet organizational goals and improve...
Reposted 5 days ago
Channel Manager, Public Sector
$147K - $184K *
Transform public sector channel partnerships by driving go-to-market strategies, accelerating revenue growth, and managing high-impact co-sell deals. Collaborate with sales teams and partners to enhan...
2 weeks ago
$222K - $300K *
Optimize performance across regional PACE programs by driving strategic growth, overseeing financial and operational goals, and ensuring compliance while fostering collaborative relationships with sta...
4 weeks ago
Senior Director, Prior Authorization Governance
$148K - $274K *
Innovate your career by leading extensive Prior Authorization governance strategy across diverse populations. Drive enterprise decision-making and improve operational efficiency through strategic coll...
1 week ago
$90K - $110K *
Help us empower customer success through strategic relationship management, ensuring clients achieve business outcomes. Leverage your expertise in banking solutions to engage stakeholders, drive renew...
2 weeks ago
$114K - $252K *
Transform your career by leading the support and management of Microsoft 365 environments. Collaborate with cross-functional teams to deliver exceptional service for SharePoint, Teams, and Power Platf...
6 days ago
$80K - $95K *
Engage in dynamic operations management of the Patient Benefit Advising team, enhancing patient access by providing financial counseling services. This role drives departmental objectives and optimize...
1 week ago
Marketing Analyst, Ancillary Insurance Benefits
$75K - $90K *
Optimize the client service experience by executing RFPs for diverse ancillary products. Collaborate with brokers and internal teams, ensuring high-quality deliverables while continuously improving pr...
Reposted 4 days ago
Manager - IT Applications- Enterprise Imaging & Cardiology
$110K - $130K *
Drive your career by managing IT applications to enhance clinical and operational systems. Lead cross-functional teams, ensure system performance, and foster stakeholder relationships for effective so...
Reposted 1 week ago
Actuarial Analyst III, Value-Based Contract Analytics (Remote)
$85K - $100K *
Unlock your potential by delivering impactful healthcare analyses that enhance cost strategies and support value-based programs. Collaborate with diverse teams to present insights, drive decision-maki...
5 days ago
$100K - $120K *
Unlock new opportunities as a pivotal partner, providing expert post-implementation support while driving client engagement, data confidence, and effective communication across multiple teams to enhan...
6 days ago
Regional Manager, Alternate Care
$72K - $250K *
Elevate your career by driving sales of life-saving defibrillation technologies across varied healthcare markets while collaborating with key distributors and facilitating impactful training initiativ...
1 week ago
Care Manager - BH (Onsite, PA, Hollidaysburg)
$64K - $102K *
Join us to drive the improvement of mental health treatment through effective care management and utilization review. Collaborate with care teams to enhance patient outcomes in both inpatient and outp...
Reposted 4 weeks 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.