Explore Utilization Manager Jobs

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.

What Does a Utilization Manager Do?

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.

Common Skills and Qualifications

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 Manager Career Opportunities

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.

Find Utilization Manager Jobs on Ladders

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.

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$158K - $185K *

Unlock your potential by leading the design and delivery of a transformative Medicaid data platform. Collaborate with stakeholders and guide teams to modernize healthcare systems through innovative cl...

United StatesRemote

4 days ago

  •   8 - 10 years exp.  •   Healthcare

$80K - $95K *

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1 week ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $192K *

Elevate operational excellence by leading process design and transformation initiatives. Drive automation, quality management, and continuous improvement to enhance client data operations and ensure s...

RemoteRemote

Reposted yesterday

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$80K - $95K *

Join a team that's redefining inpatient coding operations, ensuring quality and compliance while optimizing workflows. Lead a dedicated team to enhance documentation practices and support financial he...

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1 week ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$95K - $115K *

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2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$130K *

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5 days ago

  •   5 - 7 years exp.  •   Consumer Technology

$110K - $130K *

Oversee the design and development of clinical databases while ensuring project timelines and quality standards are met. Collaborate across teams to provide technical support and mentor team members...

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Reposted 1 week ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$110K - $130K *

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Today

  •   5 - 7 years exp.  •   Healthcare

$72K - $130K *

Engage in leading complex technology and data initiatives, ensuring alignment with strategic business objectives. Collaborate with cross-functional teams to drive project delivery from planning throug...

Boston, MARemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

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Montreal, QCRemote

5 days ago

  •   5 - 7 years exp.  •   Enterprise Technology

$80K - $87K *

Join a dynamic team to manage strategic partnerships and drive measurement solutions across media channels. Leverage your expertise in analytics and client relations to enhance campaign success and de...

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3 weeks ago

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$140K - $170K *

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  •   5 - 7 years exp.  •   Enterprise Technology

$80K - $95K *

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4 weeks ago

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$80K - $95K *

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4 weeks ago

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$160K - $220K *

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1 week ago

  •   8 - 10 years exp.  •   Information Technology

$91K - $121K *

Shape the future of project management by leading enterprise initiatives, establishing standards, and ensuring effective execution of organizational priorities in a remote setting...

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6 days ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $120K *

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3 weeks ago

  •   Less than 5 years exp.  •   Business Services

$100K - $115K *

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Washington, DCRemote

5 days ago

  •   Less than 5 years exp.  •   Information Technology

$89K - $120K *

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Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$125K - $171K *

Join a team that's focused on driving financial optimization and transforming commercial strategies. Lead efforts in budget management, contract performance, and risk mitigation while collaborating ac...

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3 weeks ago

  •   8 - 10 years exp.  •   Manufacturing & Automotive

$109K - $147K *

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2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$86K - $129K *

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4 days ago

  •   5 - 7 years exp.  •   Energy & Utilities

$110K - $130K *

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  •   8 - 10 years exp.  •   Healthcare

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1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

Frequently Asked Questions (FAQ)

  • What does a Utilization Manager do?question toggle

    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?question toggle

    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?question toggle

    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?question toggle

    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.