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.
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.
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 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.
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.
Associate Director, Optum Behavioral Health, Capital Management - Remote
$112K - $193K *
Manage capital portfolio activities, driving strategy and benefit realization through collaboration with finance and technology leaders. Ensure investments are prioritized and governed, enhancing deci...
4 days ago
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Drive your career by building innovative member journey systems from the ground up. Collaborate cross-functionally to design and launch CRM workflows, automations, and campaigns that enhance engagemen...
2 weeks ago
$120K - $160K *
Contribute to the evolution of data-driven healthcare products, shaping strategy and execution. Collaborate with cross-functional teams to deliver AI-enabled solutions that enhance clinical outcomes a...
2 weeks ago
$90K - $110K *
Reimagine compliance management by identifying and developing software license opportunities. Collaborate with internal teams to ensure adherence to agreements while fostering strong customer relation...
4 days ago
$90K - $110K *
Lead the charge in optimizing customer operations by enhancing support and service delivery. Drive team performance, improve workflows, and leverage AI to elevate customer experience and satisfaction...
3 weeks ago
$80K - $95K *
Transform healthcare operations by optimizing Epic HB applications, ensuring seamless billing workflows, and providing expert support. Collaborate with stakeholders to enhance system functionality and...
2 weeks ago
Acquisition Integration Manager
$85K - $135K *
Transform healthcare integration by leading cross-functional teams to seamlessly incorporate new dialysis centers and programs, driving strategic growth initiatives and ensuring operational excellence...
5 days ago
$100K - $150K *
Engage with customers and stakeholders to drive complex New Nuclear projects, enhancing relationships and achieving sales targets. Manage the sales process from opportunity to order closure for advanc...
3 weeks ago
$75K - $158K *
Champion operational excellence by managing the Avantra platform for SAP, ensuring secure, efficient monitoring and automation across diverse environments while collaborating with cross-functional tea...
Reposted 1 week ago
Project Manager, Business Improvement
$100K - $120K *
Empower your career by driving impactful business improvement initiatives. Collaborate with cross-functional teams to manage projects, analyze data, and enhance operational efficiency in a dynamic env...
2 weeks ago
Manager, Care Management - Humana Care Support
$86K - $118K *
Lead a dynamic team in enhancing member care through effective management, coaching, and operational oversight. Drive quality outcomes and foster an inclusive environment while aligning with organizat...
2 days ago
Call Center Knowledge Management Manager (Immigration Services)
$74K - $97K *
Transform call center knowledge resources by developing, reviewing, and enhancing content for customer service representatives, ensuring alignment with current immigration policies and best practices...
1 week ago
Financial Institution Manager 14
$82K - $120K *
Unlock your potential by leading the supervision of credit unions, ensuring compliance and risk assessment. Drive impactful change in Michigan's financial services while collaborating with a dynamic t...
4 days ago
$110K - $130K *
Manage a dedicated team to enhance patient access to complex medications, ensuring operational excellence and compliance while delivering exceptional experiences. Guide strategic improvements to optim...
Reposted 3 weeks ago
Manager, Clinical Data Acquisition
$73K - $130K *
Drive the acquisition and usability of clinical data to enhance healthcare outcomes. Collaborate with diverse teams to analyze data gaps, implement integrations, and optimize processes, ensuring timel...
3 weeks ago
Assistant Manager of performance, training, and implementation
$89K *
Lead training and performance initiatives for franchisees, ensuring operational excellence and compliance. Collaborate with teams to implement best practices and enhance learning outcomes across Canad...
4 days ago
Senior Middleware Administrator
$110K - $130K *
Lead the charge in optimizing enterprise middleware platforms through effective administration, automation, and security management, ensuring high availability and compliance while enhancing operation...
2 weeks ago
$110K - $150K *
Lead the charge in building a robust revenue engine for a new Home & Auto insurance unit. Design and implement CRM systems, optimize sales processes, and enhance data-driven decision-making to support...
1 week ago
$100K - $120K *
Join a team that's dedicated to deploying and sustaining software-enabled autonomous systems. You'll bridge technical gaps, ensuring operational readiness and enhancing customer independence through h...
2 weeks ago
$106K - $140K *
Lead the charge in developing and executing retention strategies for diverse markets. Collaborate with cross-functional teams to translate insights into actionable plans that enhance member experience...
3 weeks ago
Healthcare Tech Manager - Epic Patient Access
$130K - $150K *
Drive impactful solutions as a Healthcare Technology Manager, optimizing Epic Patient Access systems. Collaborate with clients and teams to enhance workflows and deliver sustainable results in a suppo...
1 week ago
Product Manager, Measurement Experience
$110K - $130K *
Lead the charge in transforming measurement experiences by integrating retailer data into a unified reporting platform. Collaborate with partners to enhance data flow and deliver actionable insights f...
1 week ago
Senior Manager, Workplace Planning & Advice
$96K - $135K *
Champion a high-performing team focused on delivering quality fiduciary advice and education. Drive onboarding, coaching, and performance management to enhance team success and participant satisfactio...
Reposted today
$110K - $130K *
Elevate your career by driving impactful sales strategies for consulting services across diverse sectors. Own the entire sales process, engage with customers, and develop tailored solutions that maxim...
Reposted 3 weeks ago
Trade Compliance Manager, Master Data & Controls
$87K - $139K *
Optimize trade compliance processes by managing master data and ensuring regulatory readiness. Lead cross-functional collaboration to enhance data accuracy and streamline customs operations, driving e...
4 days ago
What does a Utilization Manager do?
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?
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?
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?
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.