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.
$140K - $185K *
Unlock the power of enterprise data as you design and implement Master Data Management solutions that enhance healthcare operations, drive analytics, and enable AI-driven decision-making with trusted...
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$95K - $115K *
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$130K - $175K *
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$105K - $150K *
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4 days ago
$151K - $178K *
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$90K - $110K *
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Program Manager - Nashville, TN
$100K - $120K *
Accelerate progress at our organization by leading enterprise-level strategic initiatives. Drive improvement and excellence through cross-functional team management, ensuring successful delivery of co...
5 days ago
$90K - $150K *
Explore an opportunity to enhance enterprise network security and infrastructure. Collaborate with cross-functional teams to ensure compliance and reliability while managing complex production environ...
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Yesterday
$100K - $120K *
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Join a team that's dedicated to optimizing Epic Professional Billing workflows. Leverage your expertise to analyze, design, and implement solutions while collaborating with stakeholders to enhance ope...
4 days ago
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Transform federal human capital management by leveraging your HR expertise. Collaborate with a high-performing team to enhance service delivery and drive continuous improvement in HR processes and sys...
1 week ago
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Unlock potential by leading pharmacy operations, enhancing client engagement, and driving continuous improvement initiatives. Oversee a team of clinical professionals to ensure high-quality pharmacy s...
5 days ago
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$79K - $122K *
Analyze and optimize IT service management workflows for a Department of War agency, enhancing service delivery and efficiency through data-driven insights, process improvements, and collaboration wit...
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Drive impactful data analysis and risk management for global clinical trials, interpreting complex data to identify trends and risks. Lead cross-functional teams in enhancing study quality and patient...
6 days ago
$110K *
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$88K - $105K *
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$80K - $95K *
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Lead and optimize enterprise data platforms and Salesforce AMS, ensuring scalability, reliability, and security. Collaborate with stakeholders to align systems with organizational goals while managing...
6 days 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.