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.
$90K - $120K *
Engage with our dynamic team as you lead the study start-up for clinical trials, ensuring timely site activation and compliance with regulations while fostering team performance and collaboration acro...
2 weeks ago
$140K *
Engage as a strategic partner to the CFO, driving financial excellence and operational efficiency. Your role involves supporting executive decision-making and managing critical priorities in a dynamic...
4 days ago
$130K - $180K *
Accelerate progress at global operations by enhancing financial excellence and collaboration. Drive data-driven decision-making, oversee financial cycles, and foster a high-performance team to achieve...
1 week ago
Product Manager, Data and Integrations
$90K - $130K *
Unlock potential by leading the development of a comprehensive data platform and integrations ecosystem that enhances connectivity among critical higher education systems, driving strategic decision-m...
Yesterday
Epic Certified Hospital Billing Claims Analyst 5944595
$93K - $104K *
Partner with us to enhance healthcare operations by leveraging your expertise in Epic Hospital Billing Claims. Engage with stakeholders, manage applications, and drive seamless communication across te...
4 weeks ago
Advisor, Strategic Planning, Management and Evaluation
$105K - $132K *
Unlock the potential of strategic initiatives by leading complex projects and fostering team development. Collaborate with stakeholders to drive operational planning, performance measurement, and cont...
1 week ago
$90K - $120K *
Help us drive successful deployments of our innovative healthcare technology, managing complex projects and engaging stakeholders to ensure timely go-live dates and exceptional customer satisfaction a...
Reposted today
Operational Excellence Manager
$125K - $150K *
Engage in leading Lean transformations across diverse manufacturing sectors, coaching clients to achieve substantial productivity and effectiveness gains while implementing QAD Redzone software with a...
3 weeks ago
Case Manager, Registered Nurse
$60K - $129K *
Champion comprehensive care coordination for members with chronic conditions. Collaborate with interdisciplinary teams to deliver tailored health plans, address social determinants of health, and ensu...
6 days ago
Federal Customer Success Manager
$90K - $130K *
Shape the future of federal customer success by driving impactful outcomes through program management, risk mitigation, and cross-functional leadership focused on delivering measurable value and engag...
3 weeks ago
Case Manager, Registered Nurse
$54K - $116K *
Join a team that's dedicated to transforming health care by coordinating specialized care for members with complex needs. Your expertise will empower individuals to navigate their health journeys and...
6 days ago
$130K - $153K *
Execute strategic IT operations by managing project delivery and vendor relationships, ensuring alignment across business units while eliminating process inefficiencies and leveraging AI for enhanced...
3 weeks ago
$80K - $100K *
Drive underwriting strategies to optimize PBM contract options through data analysis, cross-functional collaboration, and market insights, ensuring alignment with financial goals and evolving client n...
Reposted 2 days ago
$90K - $130K *
Unlock your potential in a leadership role managing IT teams and initiatives. Drive the execution of departmental strategies, enhance performance, and guide your team toward achieving operational exce...
2 weeks ago
Engineering Manager - Transmission Planning
$120K - $150K *
Unlock your potential in a dynamic role impacting future energy systems by leading innovative transmission planning initiatives and collaborating with industry experts. Drive technical insights while...
1 week ago
$90K - $120K *
Lead transformative project management initiatives that drive strategic growth and innovation. Collaborate across diverse teams to deliver complex projects on time and within budget while ensuring hig...
2 days ago
CenterWell Contact Center Integration Principal
$142K - $195K *
Champion transformative initiatives by leading cross-functional contact center strategies that drive operational efficiency and enhance the customer experience. Collaborate with senior leaders while e...
4 weeks ago
$90K - $130K *
Take ownership of regulatory affairs strategy and delivery, guiding teams to oversee compliance, drive improvements, and ensure successful execution of drug development initiatives while interacting w...
4 days ago
$74K - $92K *
Lead the charge in client relations as you manage and grow Pharmacy Benefit Management accounts. Utilize your strategic thinking to enhance client satisfaction, retention, and drive business expansion...
Yesterday
$80K - $110K *
Champion successful project outcomes by managing design and construction activities, ensuring quality, timeliness, and cost-effectiveness while collaborating with hospital leadership to deliver impact...
3 weeks ago
FP&A Director, Cash and Working Capital
$135K - $226K *
Lead cash flow forecasting and working capital optimization efforts, guiding a team to enhance predictive insights for finance leaders. Collaborate across functions to drive execution and ensure accur...
Reposted today
Director, Billing & Collections
$120K - $150K *
Drive operational excellence as you lead billing and collections activities in a TPA environment. Partner across functions to minimize revenue leakage and enhance client experience while overseeing te...
1 week ago
Epic Beaker Senior System Analyst - Quest
$90K - $110K *
Engage stakeholders in optimizing Epic applications to enhance clinical and operational workflows. Lead troubleshooting, training, and project management, ensuring compliance and integration while sup...
1 week ago
Director, Enterprise Project Management (EPMO) - Wealth Management
$170K - $185K *
Pioneer cross-functional strategies to drive impactful Wealth Management initiatives, oversee critical project portfolios, and ensure alignment with enterprise objectives while cultivating high-perfor...
4 days ago
AVP, Sales, Strategic Financial Services
$239K - $320K *
Join a team that's transforming the Financial Services sector by leading strategic sales efforts, driving growth, and building key relationships. You'll manage a strong sales team, set ambitious targe...
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.