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.
$80K - $120K *
Champion strategic growth by managing key accounts in a fast-paced healthcare environment. Leverage AI insights to enhance client relationships, drive revenue, and ensure compliance while optimizing o...
3 weeks ago
Program Manager - Program Delivery and Governance
$130K - $150K *
Transform complex program delivery across regions and functions through strategic planning, stakeholder alignment, and accountability, shaping outcomes that drive success while continually improving g...
2 weeks ago
$95K - $115K *
Lead the charge in managing diverse projects through all lifecycle phases, ensuring clear communication and collaboration among stakeholders, while driving process improvements and achieving project o...
5 days ago
$113K - $188K *
Advance project planning and execution through strategic coordination across teams, ensuring alignment with objectives, schedules, and scope. Support multi-workstream management to achieve success in...
Yesterday
Quality Assurance System Tester
$85K - $141K *
Champion quality assurance processes and validate software capabilities through manual and automated testing to ensure reliability, security, and compliance for a large-scale agile software developmen...
6 days ago
$100K - $130K *
Oversee and elevate a high-performing WasteX team, driving operational excellence, strategic client management, and a robust culture of leadership development to support rapid growth and maintain top...
3 weeks ago
Performance Management & CX Analyst
$90K - $110K *
Champion the enhancement of customer experience through system analysis, documentation, and engagement strategy. Leverage business needs, industry standards, and CX best practices to drive effective s...
1 week ago
IT Program Manager - IT Clinical Systems
$106K - $176K *
Drive operational efficiency by coordinating IT Clinical Systems initiatives, enhancing project execution, and fostering cross-functional collaboration to ensure successful deployment of vital healthc...
2 weeks ago
Sr Analyst, Data Management (ROPS)
$70K - $106K *
Transform business needs into actionable data insights by leading migration projects, ensuring compliance, and aligning strategies with stakeholders to enhance operational efficiency and data quality...
Reposted 3 weeks ago
$75K - $95K *
Join a team that's dedicated to optimizing health informatics operations. You'll drive decision-making, facilitate collaboration among stakeholders, and provide comprehensive support to advance EHRM i...
4 weeks ago
SAP Support Manager with WM, Logistics & SCM - Remote with some Travel
$100K - $130K *
Join a dynamic team to lead SAP support initiatives in Logistics and Supply Chain, ensuring successful delivery of projects while leveraging your extensive expertise in S/4HANA and related modules. Tr...
3 weeks ago
Senior Manager, Test & Quality Assurance
$120K - $145K *
Develop and execute a global Quality Assurance strategy, leading a diverse team across regions to ensure consistent, high-quality software implementations. Champion automation and improvement initiati...
4 days ago
$85K - $141K *
Contribute to large-scale modernization efforts by providing analytical support, data modeling, and documentation to guide decision-making for software development and architecture in an agile environ...
1 week ago
$136K - $253K *
Transform client relationships and drive revenue growth by managing the sales cycle for corporate accounts. Engage prospects, build relationships, and collaborate across teams to facilitate complex so...
Yesterday
$90K - $100K *
Elevate your finance career by managing comprehensive reporting and treasury functions, ensuring compliance and high reporting quality. Collaborate across teams while leading a dedicated finance team...
3 weeks ago
$85K - $100K *
Transform healthcare operations by configuring and optimizing the Facets claims processing system. Collaborate with cross-functional teams to enhance system performance and support health plan adminis...
Yesterday
Payments Manager, Merchant Onboarding
$90K - $120K *
Join a team that's redefining merchant onboarding processes in payments. Lead a dedicated group to ensure timely and efficient transitions from sales to operational readiness, utilizing your expertise...
3 weeks ago
$84K - $108K *
Champion the standardization and commercialization of Enhanced Fraud offerings, ensuring quality risk management operations and high client advocacy. Propel revenue growth while identifying new opport...
Reposted 2 days ago
$85K - $142K *
Lead strategic customer initiatives to enhance satisfaction and retention by optimizing our pharmacy technology solutions. Collaborate with clients to provide expert guidance, conduct training, and st...
Reposted 2 weeks ago
$120K - $150K *
Lead the charge in managing and optimizing strategic claims solutions while driving partner relations, financial performance, and market positioning to ensure high-value outcomes and organizational gr...
3 weeks ago
Inventory Systems Administrator
$80K - $95K *
Lead the charge in managing inventory systems within a hybrid VPC and global IT framework, ensuring efficiency and accuracy for all user needs and integrates seamlessly with logistics management proto...
1 week ago
$100K - $125K *
Engage your project management expertise to lead high-volume healthcare software implementations. Drive team success and client satisfaction while managing project scope, timelines, and budgets across...
Reposted today
$140K - $150K *
Lead the development of a cutting-edge data platform, driving innovation in cloud infrastructure and geospatial data systems to enhance scientific decision-making and support wildfire mitigation effor...
1 week ago
$110K - $130K *
Innovate with us as you manage day-to-day operations in autonomous vehicle support, driving performance and ensuring compliance while leading a high-performing team to achieve operational excellence a...
Reposted 2 weeks ago
$86K - $138K *
Reimagine technology finance management through effective cloud and SaaS cost oversight. This role enables strategic cost insights and partnerships across IT and Finance, driving optimization and gove...
3 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.