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.
$80K - $95K *
Partner with us to enhance project financial performance by managing costs, budgets, and risks. Collaborate with construction and project management teams to ensure accurate reporting and proactive de...
4 days ago
Utilization Management Coordinator (Remote in Oregon)
$85K - $102K *
Join a team that's dedicated to enhancing mental health services through clinical expertise. This remote role involves reviewing treatment requests, collaborating with providers, and ensuring quality...
1 week ago
$100K - $120K *
Unlock your potential as a Technical Project Manager, driving software delivery timelines and ensuring seamless project execution with engineering and product teams. Foster strong stakeholder relation...
5 days ago
$90K - $110K *
Champion project success by leading Microsoft D365 implementations and website development. Collaborate with cross-functional teams to ensure compliance and deliver high-quality results while managing...
1 week ago
$90K - $110K *
Elevate workforce management by leading forecasting, capacity planning, and real-time optimization across teams and BPO partners. Drive efficiency and performance using data and technology while devel...
3 weeks ago
$77K - $123K *
Manage business and finance operations for a clinical research center, ensuring effective oversight of centralized clinical trial invoicing and collaborating with key stakeholders to enhance operation...
1 week ago
Behavioral Health Utilization Manager (Outpatient and Non-24 Hour Diversionary Services) CBHI
$69K - $100K *
Empower quality care by managing and evaluating behavioral health service requests, utilizing critical judgment in decision-making. Collaborate with multidisciplinary teams to enhance service delivery...
4 weeks ago
Manager, Finance - Planning & Analysis
$78K - $105K *
Lead the charge in financial planning and analysis, overseeing daily operations and team performance. Ensure accurate budgeting and reporting while collaborating cross-functionally to support organiza...
1 week ago
OCM Manager - AI Fluency & Transformation
$110K - $130K *
Join a team that's redefining workplace dynamics by integrating AI into daily operations. You'll drive strategic and tactical initiatives, enhancing employee capabilities and fostering a culture of co...
2 weeks ago
$80K - $95K *
Advance corporate security initiatives by leading physical security projects, managing vendor relationships, and ensuring safety across multi-unit locations, while supervising a dedicated security tea...
3 weeks ago
Manager, Applications, Epic Orders
$165K - $264K *
Pioneer cross-functional collaboration to manage IS projects, ensuring successful implementation and support of applications, upgrades, and integrations while overseeing budgets and resources across S...
Today
Utilization Management Nurse Consultant - Medical Review (Remote)
$54K - $116K *
Join a dedicated team enhancing patient care through clinical expertise in Utilization Management. Collaborate with providers to ensure timely, necessary medical services while thriving in a remote, f...
6 days ago
Integrated Operations Center Manager
$114K - $190K *
Drive the Integrated Operations Center, overseeing cybersecurity operations, fraud defense, and incident management. Lead cross-functional teams to enhance threat detection, operational resilience, an...
1 week ago
Pharmacist, Clinical Utilization Management - Archimedes
$110K - $130K *
Join a team that's shaping the future of clinical utilization management. As a clinical expert, you'll engage with healthcare professionals to optimize specialty medication management and enhance pati...
1 week ago
$107K - $177K *
Champion the management of Hospital Professional Liability claims, ensuring effective strategies for resolution and compliance. Lead investigations, evaluate claims, and collaborate with legal teams t...
1 week ago
$108K - $140K *
Drive impactful transformation initiatives by leading complex, cross-functional programs. Collaborate with teams and vendors to ensure successful delivery, manage risks, and align resources to achieve...
3 weeks ago
Implementation Manager, Essentials
$85K *
Drive the future of implementation management by leading high-volume projects for fire and EMS agencies, executing end-to-end configurations and transitions, ensuring agencies utilize their purchased...
Reposted 3 weeks ago
$95K - $115K *
Champion the successful delivery of projects and technology initiatives by coordinating cross-functional teams and managing risks, ensuring timely and high-quality outcomes that align with business ob...
2 weeks ago
$175K - $400K *
Join a team that's shaping the future of digital supply chain management. You'll architect and optimize ERP, PLM, and inventory systems, ensuring data integrity and operational scalability across glob...
3 weeks ago
$80K - $130K *
Lead dealership implementations by managing go-lives, training teams, and ensuring seamless integrations. Collaborate with stakeholders to optimize workflows and drive adoption, while traveling freque...
5 days ago
$88K - $105K *
Champion compliance initiatives by developing programs and training materials, ensuring adherence to regulations across UPMC. Collaborate with various departments to mitigate risks and enhance ethical...
Today
$80K - $95K *
Join us to lead a dynamic team in optimizing revenue cycle operations for multiple clients. Drive continuous improvement and ensure client satisfaction while managing performance metrics and fostering...
Today
$80K - $95K *
Manage and optimize operations for a centralized intake team, ensuring efficient referral processing across multiple services. Drive performance improvements, staff development, and cross-functional c...
6 days ago
$94K - $164K *
Champion cost reporting processes by ensuring data accuracy, preparing detailed reports, and analyzing financial information. Collaborate across departments to enhance reporting systems and support st...
4 days ago
$110K - $130K *
Elevate your career by leading a technical team to enhance collaboration tools in a dynamic, cloud-based environment. Engage with federal clients, drive Agile practices, and ensure toolset efficiency...
4 weeks 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.