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.
Therapy Access Manager - Great Lakes (Indianapolis, Detroit, Louisville, Des Moines)
$150K - $185K *
Optimize patient access by managing regional accounts, collaborating with cross-functional teams, and educating healthcare providers on reimbursement solutions for specialty products, ensuring complia...
3 weeks ago
$98K - $163K *
Elevate user experience as a UI/UX Designer, leading the design of an innovative Revenue Cycle Management platform. Collaborate with teams to create intuitive interfaces that enhance productivity and...
Reposted 2 weeks ago
$76K - $106K *
Lead the charge in managing client relationships to drive growth and retention. Oversee activation, adoption, and upselling strategies, ensuring alignment with client goals while resolving issues that...
2 weeks ago
$82K - $90K *
Join a dynamic team as you maintain and secure both on-premises and cloud infrastructures. Your role includes supporting operating systems, managing applications, and ensuring system integrity while c...
4 weeks ago
ServiceNow Platform Administrator
$90K - $110K *
Contribute to the effective management of the ServiceNow platform, ensuring optimal performance and user satisfaction through system upgrades, troubleshooting, reporting, and collaboration with stakeh...
Reposted 1 week ago
$100K - $130K *
Lead the charge in enterprise configuration management processes, ensuring compliance with regulatory standards while overseeing configuration integrity across varied environments, supporting critical...
Reposted 3 weeks ago
$133K - $247K *
Join our team to direct care management operations, enhancing quality healthcare outcomes for Medicare members. Lead strategic initiatives, drive performance, and oversee compliance to foster a high-p...
Today
$133K - $247K *
Unlock your potential by leading a dynamic care management team to enhance healthcare quality and cost-effectiveness, set strategic goals, and ensure regulatory compliance, while driving process impro...
3 days ago
Manager Financial Planning and Cost Analysis
$102K - $164K *
Lead the financial planning processes, managing forecasting cycles and analyses to drive strategic initiatives. Develop staff, oversee departmental operations, and communicate results to senior manage...
Reposted 4 days ago
Operational Excellence Manager
$125K - $150K *
Champion transformative Lean practices across diverse industries, leading major cultural changes with hands-on coaching and QAD Redzone software implementation while driving productivity gains and per...
3 weeks ago
$110K - $130K *
Champion innovation at the intersection of technology and finance, leading our collections platform with a focus on agile delivery, cross-functional collaboration, and product strategy to enhance reco...
1 week ago
$90K - $110K *
Execute efficient telephony operations by managing ACD systems and enhancing call handling. Oversee integrations, ensure reliability, and maintain operational excellence to support the Customer Servic...
1 week ago
$60K - $132K *
Accelerate progress at client accounts by delivering strategic solutions, enhancing relationships, and optimizing financial performance in a fast-paced healthcare environment. Collaborate with teams t...
1 week ago
Care Manager I, Specialty Programs
$70K - $94K *
Elevate care coordination for specialty populations by assessing needs, implementing interventions, and collaborating with healthcare teams to ensure effective resource utilization and member support...
3 weeks ago
$106K - $176K *
Drive operational excellence by centralizing IT Program Management, enhancing coordination and efficiency across Healthcare Revenue Cycle and IT initiatives, thereby ensuring successful outcomes and s...
2 weeks ago
Operations Manager/LTD-Alight Leave Solutions
$90K - $105K *
Optimize performance and culture in LTD claims management by leading a diverse team, ensuring compliance, and enhancing customer satisfaction while achieving productivity and business goals...
Reposted 2 weeks ago
Technical Implementation Manager II
$90K - $100K *
Drive end-to-end client implementations, maximizing platform value through technical leadership on complex integrations and workflows for mid-market and enterprise B2B accounts in a fast-paced environ...
4 weeks ago
IT Product Manager - Workforce Solutions
$120K - $165K *
Transform your career by leading the evolution of Workday and innovative solutions that enhance talent acquisition and workforce management. Collaborate with cross-functional teams to deliver scalable...
Reposted 1 week ago
Mkt Manager Revenue Cycle CDI-AR KY TNGA
$90K - $110K *
Transform healthcare by driving excellence in clinical documentation improvement. Lead teams to optimize performance, ensure compliance, and enhance inpatient record accuracy while collaborating acros...
2 weeks ago
Technical Administrator- CLM Systems
$102K - $174K *
Empower scalable contract lifecycle management by owning and optimizing the CLM platform. Collaborate across teams to streamline processes and ensure reliable system performance, while enhancing data...
4 days ago
$90K - $110K *
Take ownership of critical IT systems management, ensuring effective installation, maintenance, and security. Enhance operational efficiency and responsiveness to user needs through proactive monitori...
1 week ago
$160K - $175K *
Lead the charge in shaping and managing security and IT functions for a dynamic healthcare technology firm, ensuring compliance while executing hands-on strategies that drive organizational growth and...
6 days ago
$140K - $165K *
Shape the future of partnership strategy and execution, driving revenue growth and strategic market access. Build executive relationships, influence cross-functional teams, and optimize partnerships t...
Reposted 2 weeks ago
$155K - $165K *
Champion data integrity in Medicaid programs by analyzing and identifying fraud patterns, facilitating product development, and educating stakeholders to safeguard public funds and ensure regulatory c...
1 week ago
$110K - $130K *
Elevate customer experience by leading product strategy, discovery, and execution in backoffice cloud solutions. Collaborate with cross-functional teams to drive innovation and deliver outcomes that a...
2 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.