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.
Care Manager RN - UM (Full-Time) Weekends (Remote)
$68K - $105K *
Advance healthcare quality by implementing utilization management strategies. Analyze data for provider enhancement and member satisfaction, while promoting efficient care delivery through collaborati...
Reposted 1 week ago
Supervisor, Compensation Service
$85K - $95K *
Lead the charge in overseeing a dynamic Compensation Team, ensuring compliance and optimal performance in payroll services, cost estimates, and client engagements while fostering team development and...
6 days ago
Manager, Financial Master Data Governance
$88K - $110K *
Lead the governance of financial master data across enterprise systems, ensuring consistency and integrity. Collaborate with cross-functional teams to define standards, evaluate changes, and enhance d...
5 days ago
Digital Program Manager, Customer Success
$100K - $120K *
Champion a data-driven Customer Success program that enhances retention, proactively identifies risks, and efficiently engages a diverse customer base through innovative workflows and analytics. Lead...
Reposted 2 days ago
$108K - $130K *
Lead the charge in optimizing IT operations and security across multiple business units. Oversee service management, endpoint security, and compliance, ensuring seamless integration and support for a...
3 weeks ago
Access & Reimbursement Manager, Sleep
$148K - $222K *
Drive market access strategies by educating providers on reimbursement policies and patient support services. Collaborate with cross-functional teams to enhance product accessibility and ensure compli...
Reposted 5 days ago
$95K - $115K *
Lead the charge in enhancing clinical data quality and interoperability. Collaborate with clinical evaluators and product teams to drive improvements in healthcare data management and support quality...
3 days ago
$100K - $120K *
Help us build and manage a robust internal controls framework to ensure compliance and operational efficiency. This hands-on role involves collaborating across teams to enhance financial reporting pro...
3 weeks ago
$157K - $262K *
Drive enterprise vendor management strategy by overseeing vendor relationships, governance, and performance. Collaborate with cross-functional teams to ensure compliance, optimize costs, and enhance o...
2 weeks ago
Senior Manager, RCM Optimization & Strategy
$130K - $145K *
Elevate revenue cycle management by analyzing workflows, optimizing processes, and driving strategic improvements. Collaborate across teams to enhance billing accuracy and maximize collections in a fu...
2 weeks ago
Murex Environment and Configuration Manager
$110K - $130K *
Champion end-to-end Murex environment management, driving stability, scalability, and performance while mentoring teams and leading strategic improvements in a dynamic, collaborative setting...
Reposted 1 week ago
Murex Environment and Configuration Manager
$110K - $130K *
Take ownership of the Murex environment lifecycle, ensuring stability and performance. Lead strategic improvements, mentor team members, and manage stakeholder relationships while driving innovation a...
Reposted 1 week ago
$140K - $160K *
Drive the future of financial leadership by managing a dynamic accounting team, overseeing payroll, accounts payable, and general ledger accuracy while ensuring audit readiness and process improvement...
6 days ago
$110K - $130K *
Lead the charge in executing digital product initiatives for veterinary health. Collaborate across teams to prioritize backlogs, write user stories, and enhance user experiences, ensuring alignment be...
4 days ago
Senior Compliance Administrator - Enrollment, Billing, Finance, DIR
$87K - $157K *
Lead the execution of the Medicare Compliance Advisory program, ensuring adherence to CMS regulations. Collaborate with stakeholders to provide regulatory guidance, conduct audits, and enhance complia...
Reposted today
Product Manager, Clinical Content
$110K - $130K *
Unlock potential by driving product strategy and enhancements for healthcare ambulatory software. Lead cross-functional teams to deliver impactful features, manage product lifecycles, and ensure align...
Yesterday
Project Manager/Senior Financial System Analyst
$140K - $160K *
Deliver impactful financial management solutions by leading a team of 8-10 professionals in federal financial systems. Engage with stakeholders to analyze data, support decision-making, and ensure suc...
1 week ago
$125K - $150K *
Pioneer in radiology innovation by enhancing clinical value and technology. Join a forward-thinking team that prioritizes high-quality patient care while driving improvements in service and operationa...
Reposted 2 weeks ago
$95K - $115K *
Innovate training solutions for Field Reimbursement Managers to enhance patient access and compliance. Lead strategy development, implement programs, and collaborate across teams to ensure exceptional...
Reposted 3 weeks ago
Product Marketing Manager - Provider
$76K - $127K *
Elevate your career by driving impactful marketing strategies for electronic prior authorization solutions. Collaborate across teams to enhance provider engagement and improve patient access, while le...
1 week ago
$160K - $180K *
Lead the charge in driving agile execution across product and engineering teams, managing digital product launches and enhancing client value through innovative solutions. Collaborate cross-functional...
1 week ago
$85K - $110K *
Lead and oversee a dynamic Biomedical team, managing projects, costs, and quality across facilities. Drive performance, compliance, and professional development while ensuring optimal staffing and ope...
Today
$110K - $130K *
Drive the commissioning process for multiple data center projects, ensuring all systems are tested and operational. Collaborate with stakeholders to meet client specifications and maintain compliance...
4 days ago
Clinical Documentation Integrity Supervisor
$110K - $159K *
Empower the Clinical Documentation Integrity team by ensuring staff competency through quality assurance, training, and performance management. Collaborate on action plans and foster associate develop...
Today
Clinical Documentation Integrity Supervisor
$110K - $159K *
Inspire excellence in clinical documentation by leading a team of specialists, ensuring quality assurance, and fostering professional development. Collaborate with stakeholders to enhance operational...
1 week 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.