Explore Utilization Manager Jobs

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.

What Does a Utilization Manager Do?

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.

Common Skills and Qualifications

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 Manager Career Opportunities

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.

Find Utilization Manager Jobs on Ladders

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.

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1
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$134K - $173K *

Drive impactful customer success within our Scaled team by leading, coaching, and inspiring members to optimize client engagement and satisfaction, ensuring measurable value and improving operational...

CanadaRemote

Reposted 3 days ago

  •   Less than 5 years exp.  •   Enterprise Technology

$83K - $133K *

Engage with contractors and distributors to drive sales in the construction market. Build lasting relationships, identify opportunities, and manage customer needs while aligning solutions with company...

Texas, USRemote

Yesterday

  •   Less than 5 years exp.  •   Manufacturing & Automotive

$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...

United StatesRemote

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$117K - $184K *

Shape the future of patient access by collaborating cross-functionally to address healthcare professionals' needs, ensuring timely therapy access while navigating reimbursement processes and complianc...

RemoteRemote

4 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$88K - $95K *

Drive operational excellence by leading projects across teams, enhancing efficiency, managing stakeholders, and ensuring timely delivery. Collaborate within a dynamic environment dedicated to improvin...

United StatesRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $117K *

Join our team as a Technical Business Analyst, bridging business needs and technical solutions. Drive data-driven projects, optimize processes, and enhance reporting for diverse clients while collabor...

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4 days ago

  •   Less than 5 years exp.  •   Information Technology

$112K - $193K *

Transform healthcare technology by leading product strategy and execution for a revenue integrity solution. Drive innovation, engage stakeholders, and optimize outcomes to enhance hospital operations...

Draper, UTRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$86K - $138K *

Unlock innovative healthcare solutions by leading product strategy and lifecycle management for clinical programs. Collaborate across teams to enhance member experiences and drive business value while...

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1 week ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Unlock potential by leading key customer relationships, ensuring success through expert technical support and problem resolution. Collaborate with teams to enhance customer satisfaction and retention...

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3 weeks ago

  •   8 - 10 years exp.  •   Enterprise Technology

$100K - $120K *

Unlock potential by leading the General Accounting function, ensuring accurate financial reporting and robust internal controls while driving continuous improvement and team development in a dynamic e...

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4 days ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Lead the charge in implementing client benefit plans, ensuring seamless execution and fostering strong partnerships. Manage project timelines, coordinate stakeholders, and address critical issues to e...

Oak Brook, ILRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$69K - $101K *

Grow your career with a dynamic team providing holistic clinical care management services. Collaborate with diverse populations to enhance health outcomes through assessment, care planning, and coordi...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$74K - $98K *

Champion regulatory audit excellence by leading PACE audits, ensuring compliance, and driving cross-functional collaboration to enhance operational readiness and continuous improvement across the orga...

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2 weeks ago

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$125K - $150K *

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4 days ago

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$95K - $115K *

Join a dynamic team to lead on-site project activities, ensuring cost-effective execution and compliance with quality, safety, and schedule standards throughout all project phases. Build strong relati...

Utah, USRemote

4 days ago

  •   5 - 7 years exp.  •   Manufacturing & Automotive

$120K - $140K *

Lead a dynamic team in ensuring optimal performance of mission-critical data centers. Drive service operations, enhance customer satisfaction, and foster team development while managing budgets and im...

Selman City, TXRemote

2 weeks ago

  •   8 - 10 years exp.  •   Energy & Utilities

$63K - $105K *

Grow your career with a dynamic team as you build and configure OneStream solutions. Collaborate with experienced professionals to enhance financial systems for federal agencies, mastering essential t...

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1 week ago

  •   Less than 5 years exp.  •   Information Technology

$106K - $167K *

Champion risk management strategies by overseeing domestic and international insurance programs, negotiating terms, and ensuring compliance. Collaborate with stakeholders to analyze risks and optimize...

Ohio, USRemote

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$110K - $130K *

Unlock potential by leading complex IT task orders, ensuring timely implementation of technical solutions while collaborating with government officials and managing project teams effectively...

Fort Belvoir, VARemote

2 weeks ago

  •   5 - 7 years exp.  •   Information Technology

$175K - $190K *

Lead and mentor a team of Program Managers to drive strategic data center builds, ensuring seamless execution and stakeholder alignment while navigating complex infrastructure challenges in a high-gro...

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6 days ago

  •   11 - 15 years exp.  •   Information Technology

$108K - $156K *

Join a dynamic team as you oversee complex software deployments, ensuring governance and stakeholder engagement across multiple sites. Drive successful outcomes for strategic customers while managing...

Tucson, AZRemote

6 days ago

  •   8 - 10 years exp.  •   Healthcare

$108K - $130K *

Drive program delivery across multiple products, ensuring timely outcomes by managing risks, dependencies, and stakeholder priorities. Collaborate cross-functionally to maintain accurate project data...

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2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$112K - $193K *

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Washington, DCRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$112K - $196K *

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4 days ago

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Drive the vision and strategy for Pharmacy Benefits Management, overseeing client services and ensuring satisfaction, performance, and profitability while leading a team to achieve business objectives...

San Diego, CARemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

Frequently Asked Questions (FAQ)

  • What does a Utilization Manager do?question toggle

    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?question toggle

    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?question toggle

    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?question toggle

    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.