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.
Oracle Fusion Enterprise Performance Management Specialist
$163K - $289K *
Shape the future of enterprise performance by designing and optimizing Oracle Fusion EPM modules, ensuring integrations with ERP systems, and enhancing organizational financial workflows through advan...
2 weeks ago
IT Applications Analyst, Willow Ambulatory, Remote
$79K - $123K *
Join a dynamic team supporting IT solutions in healthcare. Drive project management, vendor relations, and application support to enhance operational workflow and achieve organizational goals with a f...
6 days ago
$108K - $130K *
Shape the future of technical delivery by leading a high-performing team to execute complex interface projects. Ensure operational transparency, proactive risk management, and client satisfaction whil...
4 days ago
Project Manager, Implementation HP Strat. Cli
$96K - $118K *
Bring your expertise to lead client project implementations, ensuring smooth transitions and fostering strong relationships with health plans and strategic clients. Collaborate with internal teams to...
3 weeks ago
$110K - $130K *
Oversee the technology and data integration for HEDIS operations, managing teams while collaborating with stakeholders to enhance data quality, technical validation, and platform operations in healthc...
2 weeks ago
$87K - $115K *
Lead the charge in managing records retrieval operations, ensuring efficiency and accuracy while overseeing remote teams and optimizing processes through innovative solutions and technologies...
3 weeks ago
$120K - $145K *
Unlock potential by spearheading large-scale cloud programs, driving innovation, and aligning strategies with business objectives. Lead cross-functional teams, manage budgets, and ensure successful im...
5 days ago
$83K - $118K *
Drive project excellence by leading agile teams, optimizing processes, and delivering data-driven insights. Collaborate effectively with stakeholders while managing SaaS projects in a remote environme...
1 week ago
Clinical Documentation Specialist
$61K - $101K *
Unlock potential by ensuring accurate clinical documentation and coding through comprehensive reviews. Collaborate with healthcare teams to enhance patient care while maintaining compliance with regul...
4 weeks ago
Clinical Documentation Specialist
$61K - $101K *
Champion comprehensive clinical documentation to enhance patient care accuracy. Collaborate with clinical teams to ensure proper documentation reflects severity, risk, and compliance with standards, d...
4 weeks ago
Senior Manager, CS Upgrade Technical Delivery Lead
$100K - $157K *
Lead the charge in enhancing digital presence and customer engagement. Drive technical delivery for software upgrades while managing project teams, resolving issues, and ensuring cross-functional coor...
4 days ago
$115K - $130K *
Deliver impactful Microsoft 365 and infrastructure solutions with a keen focus on security and scalability. Drive operational efficiency through hands-on ownership of projects and technical outcomes w...
Yesterday
$78K - $100K *
Elevate success by managing complex enterprise projects in financial services, driving alignment across cross-functional teams to achieve measurable business outcomes and ensuring seamless execution a...
Reposted 2 weeks ago
Manager, Consolidations & Reporting
$130K - $145K *
Advance progress at ensuring accurate month-end financial reporting while leading and developing a team. Collaborate across departments to maintain compliance and enhance processes, driving continuous...
4 weeks ago
$140K *
Transform legal strategy by leading the litigation team to navigate complex state and federal laws. Provide expert counsel and guide operational effectiveness across various agency divisions, ensuring...
3 weeks ago
$140K *
Elevate the agency's legal operations by providing strategic counsel on complex regulations, managing a diverse team, and ensuring compliance with state and federal laws while optimizing organizationa...
3 weeks ago
$72K - $90K *
Join a team that's dedicated to addressing housing needs for vulnerable populations. Oversee key funding initiatives within the Balance of State Continuum of Care, collaborating with stakeholders to c...
3 weeks ago
$112K - $129K *
Advance your career by leading the Insurance Financial Affairs Division, managing compliance, fostering collaboration with regulatory bodies, and ensuring consumer protection standards are upheld on a...
3 weeks ago
Manager, ERP Implementations for EMCOR Construction Services
$90K - $150K *
Deliver impactful ERP solutions by leading implementation projects, overseeing team dynamics, and enhancing user support. Engage across multiple levels to ensure smooth transitions, with a focus on tr...
2 weeks ago
Senior Manager, Data Operations
$120K - $150K *
Champion a data-driven culture by leading a high-performing Data Operations team, driving automation, enhancing operational excellence, and ensuring data is utilized as a strategic asset across the en...
2 weeks ago
ServiceNow Platform Administrator
$80K - $95K *
Unlock potential by delivering high-impact support and enhancements on the ServiceNow platform, collaborating across teams to ensure exceptional service quality and strategic project execution, while...
2 weeks ago
PROGRAM OPERATIONS MANAGER, POST ACUTE CARE
$100K - $120K *
Champion operational strategies to enhance efficiency in Post-Acute Care. Collaborate with nursing leaders and stakeholders to drive quality improvement, manage multiple projects, and use analytics to...
Reposted 5 days ago
Implementation Manager, Geisinger Health Plan (East Coast Resident / EST)
$90K - $110K *
Drive key health plan initiatives by managing cross-departmental projects, engaging stakeholders, ensuring timely delivery, and executing strategic partnerships, all while adhering to budget constrain...
2 days ago
IT Support Services Manager-Canada
$90K - $110K *
Oversee IT support services, ensuring efficient service desk operations, user support, and technology delivery. Enhance user satisfaction, implement process improvements, and manage vendor relationshi...
2 weeks ago
Mkt Manager Revenue Cycle Coding-CDI Opt OPCodSS-CentNWSo
$100K - $120K *
Engage in strategic leadership to enhance revenue cycle efficiency by driving performance in medical coding and CDI teams, ensuring accuracy and compliance while fostering collaboration across departm...
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.