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.
$128K - $192K *
Contribute to the successful execution of REMS programs, ensuring compliance and strategic alignment with organizational goals. Oversee initiatives, manage timelines, and collaborate with stakeholders...
1 week ago
Manager, Payroll and Audit Training Resource
$80K - $95K *
Transform payroll auditing and client implementation through effective leadership of a dedicated team, ensuring high-quality audits, comprehensive training, and seamless onboarding, driving operationa...
4 days ago
Deltek ERP & Data Solutions Leader
$110K - $130K *
Join a team that's redefining financial systems by managing Deltek Vantagepoint. Lead integrations, optimize data management, and enhance reporting processes, while partnering with Finance to drive op...
3 days ago
Epic Senior Analyst - Optime/Anesthesia
$90K - $120K *
Elevate healthcare technology as a senior analyst, optimizing complex Epic applications. Collaborate with stakeholders to enhance operational efficiencies and support application users, while mentorin...
3 weeks ago
Senior Claims Operations Analyst (Encounters)
$91K - $128K *
Contribute to the enhancement of encounter operations by leveraging your expertise in claims, analysis, and regulatory compliance. Engage collaboratively across teams to resolve complex issues and dri...
Reposted 3 days ago
$100K - $120K *
Lead and develop a recruitment team focused on community outreach, ensuring participant alignment with project needs through strategic pipeline management and performance enhancement...
Reposted 1 week ago
Workday Finance Product Manager - 100% remote
$108K - $139K *
Engage in the optimization and support of Workday Financials, collaborating with stakeholders to deliver scalable solutions. Lead a team in managing enhancements and system operations while driving va...
Reposted 5 days ago
Ambulatory Client Sales Executive
$100K - $120K *
Serve as the primary contact for clients, driving engagement and service quality while fostering relationships with key stakeholders and leveraging expertise to enhance organizational growth and clien...
1 week ago
Director, Finance (York General Hospital)
$110K - $130K *
Lead the charge in managing finance operations, ensuring compliance, financial integrity, and strategic partnerships with organizational leaders to foster operational and financial success across all...
6 days ago
Treasury Manager, FX and Investments
$102K - $190K *
Shape financial risk management strategies by leading FX and investment programs. This role involves building processes, optimizing liquidity, and driving system improvements collaboratively across gl...
Reposted 6 days ago
$120K - $180K *
Shape the future of IT risk management as you enhance our control framework, partner with engineering, and ensure compliance within our innovative technology landscape, driving operational efficiency...
Reposted 1 week ago
$70K - $126K *
Lead a dynamic sales team to drive Medicare enrollment growth and broker engagement through strategic market plans, training, and community partnerships while ensuring compliance and achieving regiona...
3 days ago
$180K - $220K *
Pioneer exceptional customer success strategies for major brands, driving team performance and operational excellence to achieve strategic initiatives and financial goals while fostering innovative so...
3 days ago
$180K - $220K *
Transform customer success for major clients by leading a dynamic team, fostering innovation, and enhancing performance metrics to drive exceptional business outcomes and long-term relationships with...
3 days ago
$90K - $115K *
Join a dynamic clinical leadership team to manage interdisciplinary professionals, enhance patient care delivery, and lead strategic initiatives for quality improvement, all while working remotely and...
2 weeks ago
US- Outbound Product Manager (PEO)
$120K - $142K *
Lead the go-to-market strategy for strategic products, ensuring effective positioning and adoption. Collaborate cross-functionally to drive revenue growth and gather customer insights, optimizing prod...
3 weeks ago
Information Systems Security Manager
$135K - $155K *
Lead the charge in managing FedRAMP compliance and security for cloud systems. Ensure ongoing authorization, risk management, and strategic guidance for secure cloud architecture while collaborating a...
2 weeks ago
$100K - $120K *
Join us to drive strategic technology initiatives in supply chain management, enhancing system integration and operational efficiency across ERP, WMS, OMS, and TMS platforms while fostering collaborat...
1 week ago
$100K - $135K *
Elevate project outcomes by managing comprehensive cost services across diverse construction initiatives. Collaborate with teams to ensure accurate estimates, robust reporting, and effective risk mana...
1 week ago
Senior Manager, Payment Integrity - Data Mining Programs
$107K - $199K *
Shape the future of cost recovery initiatives by leading vendor collaboration and cost containment strategies to enhance efficiency and achieve targets across multiple health plans while delivering ac...
Today
Business Value Operations Manager
$149K - $220K *
Partner with us to shape and scale business value operations, leveraging analytics and systems to empower sales teams in securing transformative enterprise deals while engaging with C-suite executives...
3 weeks ago
Vertical Account Manager - Healthcare
$125K - $232K *
Shape and nurture strategic account relationships to drive revenue growth in the healthcare payer market, collaborating with cross-functional teams to deliver tailored solutions that align with client...
Reposted 3 days ago
$95K - $115K *
Lead the charge in managing complex technical projects, ensuring timely delivery and client satisfaction. Collaborate with teams to implement strategies that drive project success in a fast-paced envi...
4 days ago
Remote EPIC Application Coordinator (Orders)
$80K - $100K *
Empower healthcare organizations by designing, configuring, and supporting EPIC application(s) to enhance operational workflows and ensure user satisfaction while managing project timelines and stakeh...
4 weeks ago
Identity and Access Management Administrator
$78K - $98K *
Champion the future of identity management by overseeing enterprise systems and integrations. Collaborate with cross-functional teams to ensure secure and efficient user access management while leadin...
1 week 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.