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.
$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
$110K - $175K *
Lead the charge in delivering innovative technology solutions through Agile methodologies. You'll manage project lifecycle, foster client relationships, and drive team performance, ensuring successful...
4 days ago
$98K - $163K *
Join a team that's transforming enterprise application delivery through innovative designs and solutions. Leverage your expertise in F5 BIG-IP technologies while supporting mission-critical applicatio...
2 weeks ago
Epic Tapestry Analyst (Managed Care Operations) - Remote
$90K - $120K *
Innovate within our healthcare application teams by leveraging your expertise to streamline workflows, enhance operational efficiency, and ensure successful implementation of Epic Tapestry solutions f...
2 weeks ago
$80K - $120K *
Champion customer success by enhancing engagement and retention across multiple RCM clients. Build strong relationships with key stakeholders, ensuring optimal resource coordination and driving improv...
3 weeks ago
$85K - $110K *
Lead the charge in enhancing clinic safety and improving clinical outcomes through expert coaching, audits, and compliance oversight while fostering teamwork and accountability in a dynamic healthcare...
2 weeks ago
$80K - $110K *
Discover a dynamic role where you'll drive client success through effective campaign management, foster relationships, and leverage your marketing expertise to achieve outstanding results in a collabo...
3 weeks ago
Product Management Director , Missionforce Operations (Private Cloud Edition)
$197K - $313K *
Lead the charge in defining and executing the strategic vision for a Private Cloud SaaS platform, navigating compliance and security for highly regulated environments while ensuring seamless collabora...
Yesterday
$80K - $110K *
Execute the daily configuration and operations of systems, encompassing comprehensive management in clinical technology to enhance performance and support users effectively in a fast-paced environment...
6 days ago
Project Manager / Senior Program Analyst – Research Portfolio Management & Operations
$90K - $120K *
Lead strategic research portfolio management and operational coordination to modernize VA research initiatives, enhancing processes and documentation standards while supporting key stakeholders and ex...
4 days ago
Clinical Program Manager, Care Navigation, US Remote
$90K - $120K *
Transform the delivery of care by designing, leading, and operationalizing a new care navigation program. You will build a clinical team and innovate workflows while directly impacting patient outcome...
2 weeks ago
Senior Manager Genesys Cloud Workforce Management
$110K - $140K *
Lead and optimize the Genesys Cloud platform while driving workforce management strategy. Manage teams, enhance operational insights, and leverage AI technologies for improved engagement and performan...
2 weeks ago
Epic Systems Analyst– Resolute Hospital Billing & Claims
$68K - $105K *
Join us to support and enhance the Epic Resolute Hospital Billing application, driving process improvements and user engagement through analysis, configuration, and problem resolution within dynamic h...
2 days ago
Manager, Revenue Operations - Groups
$110K - $152K *
Transform the operational landscape for group sales by building frameworks, data layers, and CRM configurations tailored to unique buyer behaviors, seasonality, and deal dynamics for enhanced business...
2 weeks ago
$90K - $120K *
Lead multidisciplinary project management efforts to ensure timely delivery of complex design projects, collaborating across teams to optimize operational efficiency and achieve high-quality outcomes...
Reposted 1 week ago
$90K - $120K *
Elevate project management excellence by leading diverse teams in delivering innovative engineering and design solutions on complex land development projects while ensuring exceptional client satisfac...
Reposted 1 week ago
$90K - $120K *
Optimize project outcomes as a lead manager for complex engineering projects. Drive collaboration across teams, ensuring adherence to scope, schedule, and budget while delivering high-quality solution...
Reposted 1 week ago
$90K - $120K *
Engineer engaging project management expertise to successfully drive complex land development projects. Shape project scopes, schedules, and budgets while mentoring a team to deliver high-quality engi...
1 week ago
Program Analysts (Integration Testing Managers)
$90K - $120K *
Engineer comprehensive end-to-end testing strategies for VA healthcare systems, ensuring seamless integration and operation. Collaborate with diverse teams to enhance data integrity and readiness, dri...
3 weeks ago
$154K - $211K *
Unlock your potential by leading global collections, driving automation, and enhancing cash flow for high-volume accounts while developing a high-performing team and executing sophisticated strategies...
3 weeks ago
$80K - $120K *
Elevate customer success by managing 50-70 accounts, driving impactful insights and product adoption. Partner with eCommerce leaders to enhance data-driven decisions, ensuring profitability through st...
Reposted 1 week ago
$80K - $95K *
Elevate your career by providing essential case management services to TRICARE beneficiaries in the ECHO program. Collaborate with medical professionals and advocate for individuals with disabilities...
1 week ago
Senior Manager, Medical Loss Ratio
$107K - $199K *
Engage in leading and managing the Medical Loss Ratio (MLR) compliance and reporting program. Provide strategic guidance across business lines, ensuring accurate reporting, risk mitigation, and regula...
3 days ago
$90K - $120K *
Transform client project delivery through effective management, collaboration, and relationship building. You'll oversee onboarding, monitor progress, and ensure successful project execution while nav...
4 weeks ago
Manager - Software Engineering
$116K - $160K *
Lead the charge in developing and mentoring a high-performing software engineering team, promoting innovation, excellence, and collaboration to deliver scalable, reliable software that aligns with bus...
6 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.