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.
$95K - $110K *
Drive QA excellence by leading a dynamic team to ensure software quality and release readiness, expanding automation tools, and fostering a culture of continuous improvement in a remote work environme...
Reposted 1 week ago
Manager, Claims Customer Service
$58K - $102K *
Transform customer service excellence by leading a dedicated team, optimizing operations, and enhancing the overall customer experience through effective coaching and cross-functional collaboration...
1 week ago
Engineering Manager - Reporting
$130K - $160K *
Shape the future of enterprise compliance by leading engineering teams to enhance reporting and management capabilities. Drive innovative data solutions and create visibility for large organizations n...
Reposted 5 days ago
Engineering Manager - Reporting
$130K - $180K *
Champion a transformative compliance experience for enterprise clients by leading engineering teams to develop scalable reporting tools and innovative data solutions that empower organizations to mana...
Reposted 5 days ago
$205K - $275K *
Transform the product management landscape by leading a key SaaS portfolio, driving strategy, innovation, and execution across healthcare technology, while optimizing business growth and operational e...
2 weeks ago
$80K - $90K *
Champion a client-focused role by ensuring timely payroll processing and comprehensive benefits administration while delivering exceptional service and support to clients in a collaborative, fast-pace...
2 weeks ago
Program Analyst Senior (EDI Focused Project Coordinator)
$90K - $120K *
Partner with us to lead EDI modernization efforts for veterans' healthcare. Drive project coordination across IT and business teams, ensuring seamless integration, agile processes, and effective colla...
3 weeks ago
Manager, Global Clinical Monitoring
$121K - $182K *
Lead the charge in managing and developing a skilled team of Clinical Research Associates, ensuring optimal resource allocation and high-quality execution of clinical operations while fostering career...
3 weeks ago
$90K - $130K *
Elevate your career by driving product execution and cross-functional collaboration in a dynamic SaaS environment. Play a pivotal role in translating customer needs and business priorities into action...
1 week ago
$123K - $175K *
Drive excellence in Application Security by leading a team to build scalable, secure systems, and foster a culture of security across engineering. Influence senior leadership and own the roadmap for e...
3 weeks ago
$110K - $134K *
Elevate enterprise account recovery by orchestrating strategic interventions, rebuilding relationships, and driving long-term growth through collaborative strategies and deep engagement with C-suite s...
3 weeks ago
$100K - $130K *
Shape the future of our AI Advisory Services by managing diverse projects, ensuring timely delivery, and fostering client relationships. Your leadership will drive operational excellence and financial...
2 weeks ago
$80K - $120K *
Elevate client delivery through expert project management in cloud optimization. Drive coordination and ensure outcomes by managing complex engagements while fostering collaboration across teams in a...
Reposted yesterday
Real Estate Acquisition & Title Associate OR Manager
$90K - $125K *
Champion the expansion of clean energy by securing optimal project sites, enhancing real estate transactions, and fostering collaborative relationships with landowners, stakeholders, and cross-functio...
5 days ago
Account Management Director - Evernorth
$120K - $150K *
Lead a high-touch account team to optimize health plan client satisfaction through strategic guidance and operational support, fostering collaboration and driving growth across client partnerships in...
6 days ago
Medicaid Digital Stakeholder Manager
$106K - $260K *
Unlock potential by connecting strategy to execution in stakeholder management. Collaborate with leaders across business and technology to align priorities, deliver impactful digital solutions, and sh...
6 days ago
Virtual Card Product Manager (Commercial Card)
$125K - $145K *
Lead the charge in managing virtual card product solutions, driving innovation, enhancing client experience, and ensuring compliance while collaborating with stakeholders to optimize performance and r...
1 week ago
Executive Director - Ambulatory
$130K - $180K *
Lead the charge in establishing a new ambulatory sales vertical, driving revenue and partnerships. Collaborate closely with leadership to shape go-to-market strategies that enhance patient care in out...
Reposted 1 week ago
$96K - $132K *
Unlock the potential of clinical data analysis by leveraging your nursing expertise and innovative technology to support healthcare informatics and continuously enhance clinical product design and usa...
2 days ago
Financial Planning and Analysis Manager
$80K - $110K *
Transform the financial landscape in healthcare by partnering with clinical service lines, driving insights, and translating data into actionable strategies to enhance operational and financial perfor...
1 week ago
$70K - $95K *
Contribute to the documentation and integration of engineering solutions, working closely with military standards to define, test, and deploy necessary systems while ensuring clear communication and p...
Today
$120K - $150K *
Elevate your career by leading global clinical trial projects, ensuring quality delivery and client satisfaction. Collaborate with cross-functional teams to drive operational excellence and continuous...
2 weeks ago
$80K - $110K *
Engage in strategic leadership of vendor relationships to maximize financial performance, ensuring alignment with organizational goals. Drive operational excellence, sales growth, and develop new oppo...
3 weeks ago
$77K - $150K *
Unlock potential by coordinating project scoping and pricing with cross-functional teams. Support sales efforts by managing profitability and ensuring compliance while delivering impactful solutions a...
4 weeks ago
$77K - $150K *
Support cross-functional teams in pricing strategy and project scope, ensuring profitability and process adherence. Collaborate closely with Sales, Legal, and Product Management while managing high-st...
4 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.