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.
$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
Program Manager, Value Analyst
$88K - $105K *
Pioneer data-driven solutions by analyzing costs and improving efficiency in healthcare operations. Collaborate cross-functionally to drive value-based decisions that enhance patient care and organiza...
1 week ago
$80K - $95K *
Optimize client relationships and resolve escalations for defined contribution retirement plans, enhancing service and efficiency while collaborating with multiple stakeholders to streamline processes...
2 weeks ago
$100K - $125K *
Lead the charge in executing complex healthcare software implementations, managing multiple projects while ensuring financial performance and client satisfaction. Drive process improvements and mentor...
Reposted today
$110K - $160K *
Unlock the potential of our sales organization by leading transformative enablement programs that enhance seller readiness, communication, and productivity. Become a key driver of change in a collabor...
1 week ago
Workers Compensation Supervisor
$80K - $95K *
Elevate the claims management process by leading a team of workers' compensation professionals, ensuring compliance and high-quality service while fostering strong client relationships and promoting t...
6 days ago
Specialty Care Data Management and Analytics Support Specialist
$95K - $115K *
Analyze complex healthcare data to provide insights that enhance the Veterans Health Administration's Specialty Care Program. Collaborate across teams to drive operational improvements and deliver imp...
Reposted 3 days ago
$85K - $105K *
Lead diverse project teams to effectively manage project milestones, ensuring alignment with scope, cost, and quality standards while fostering collaboration among engineers and clients for successful...
2 weeks ago
Product Manager - Pharmacy Network
$94K - $157K *
Join a team that's transforming pharmacy solutions through innovative product management. You'll lead product strategies, collaborate cross-functionally, and support healthcare improvements for better...
Today
$103K - $181K *
Join a dynamic program team to develop, maintain, and analyze an Integrated Master Schedule for a classified space portfolio, ensuring alignment and integrity across multifaceted projects to support e...
5 days ago
Actuary - Medical Cost Economics (Remote)
$110K - $130K *
Drive impactful analysis in healthcare economics and improve medical costs. Lead actuarial initiatives, analyze data trends, and present strategic recommendations to leadership while managing junior a...
2 weeks ago
Registered Nurse RN Case Manager
$87K - $116K *
Empower patient care by managing ESRD and CKD treatments, collaborating across teams to enhance quality, service delivery, and patient outcomes in a primarily remote role with occasional travel...
2 weeks ago
Registered Nurse RN Case Manager
$87K - $114K *
Transform healthcare delivery by coordinating care for CKD and ESRD patients. Collaborate with healthcare teams and facilitate services with an emphasis on quality, effectiveness, and cost-efficiency...
2 weeks ago
Registered Nurse RN Case Manager
$87K - $116K *
Join our team to coordinate and facilitate quality care for kidney disease patients, working autonomously and alongside healthcare professionals to ensure effective patient outcomes and support throug...
2 weeks ago
$90K - $120K *
Elevate efficiency in mission support by leading a dynamic Program Management Office, managing diverse task orders globally, and ensuring compliance and performance excellence across all contract requ...
4 weeks ago
Senior Manager, Program Management
$120K - $135K *
Join us as a Program Manager, driving technology transformation projects to align with strategic goals. Lead cross-functional teams and ensure successful delivery while fostering collaboration and con...
3 weeks ago
$120K - $135K *
Join a team that's redefining service excellence in Digital Workplace Services. Lead end-to-end delivery for enterprise clients, ensuring operational excellence and client satisfaction through strateg...
1 week ago
Client Success Manager, Real Estate
$90K - $110K *
Elevate client success by managing relationships and driving strategic outcomes in the dynamic single-family residential real estate investment sector, utilizing advanced technologies to maximize valu...
Reposted 6 days ago
Provider Revenue Cycle Management Expert (Remote)
$140K - $165K *
Empower healthcare organizations by leveraging your revenue cycle management expertise. Collaborate with stakeholders to optimize operational efficiency, drive strategic initiatives, and facilitate su...
4 days ago
Program Manager, Onsite Data Collection
$110K - $130K *
Grow your career with this dynamic role overseeing data collection programs. Drive operational excellence and client satisfaction while managing delivery execution, financials, and cross-functional te...
6 days ago
$126K - $160K *
Transform financial planning and analysis as you partner with sales and finance teams to drive budgeting, forecasting, and reporting initiatives, ensuring accurate metrics and actionable insights for...
3 days ago
$75K - $135K *
Empower quality healthcare delivery by assessing and guiding members' complex care needs, collaborating with providers and families to create effective care plans that enhance overall well-being and s...
Today
Manager, eClose -Home Equity & Origination Services
$80K - $95K *
Manage the eClose Department by overseeing RON & iPEN processes, staff performance, and vendor relations. Ensure adherence to regulations and optimize departmental efficiency, quality, and client sati...
1 week ago
Manager, Payment Integrity - Intake & Demand
$87K - $157K *
Join a team that's focused on enhancing compliance and integrity in healthcare. You'll drive initiatives to detect and manage fraud, waste, and abuse while leading analysis teams and creating tailored...
Today
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.