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.
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Partner with us to navigate complex patient cases and ensure seamless access to care. Utilize critical thinking and communication skills to manage authorizations and appeals, collaborating with divers...
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Join a team that's committed to enhancing healthcare efficiency as a Business Systems Analyst. Analyze processes and develop technological strategies that drive performance and cost-efficiency while s...
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Play a key role in driving customer retention and growth by managing strategic enterprise accounts. Act as a trusted consultant, understanding client needs and delivering tailored solutions to enhance...
3 weeks ago
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Join a team that's dedicated to delivering high-quality projects on time and within budget. As a key player, you'll coordinate efforts across departments, ensuring effective communication and resource...
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$150K - $180K *
Champion customer success by leading a Technical Account Management team to enhance retention, drive adoption of our AI-powered platform, and ensure long-term growth through strategic client engagemen...
3 weeks ago
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Lead a dynamic digital service desk, enhancing web operations and stakeholder engagement while managing workflows, content publishing, and operational improvements across HHS digital platforms...
6 days ago
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Explore innovative solutions as an Epic Application Analyst Senior, enhancing Radiant workflows and optimizing imaging operations to improve patient care. Collaborate with stakeholders to define techn...
4 weeks ago
$110K - $130K *
Accelerate progress at the forefront of Agile transformation, managing complex projects and providing strategic guidance to enhance program effectiveness and stakeholder engagement across diverse team...
2 days ago
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Manage and optimize the administrative and financial operations of the Sponsored Programs division, enhancing funding levels and proposal output while ensuring compliance with policies and effective r...
3 weeks ago
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$88K - $147K *
Inspire and elevate employee engagement through strategic internal communications. Collaborate with leaders to craft and deliver impactful messaging that drives understanding of company goals and fost...
Reposted 3 weeks ago
1LMX MES Program Management Stf - E4
$150K - $280K *
Help us ensure effective earned-value management and procurement processes by overseeing supplier relationships, coordinating with program teams, and driving data analysis to align project objectives...
2 weeks ago
Risk and Central Monitoring Associate Manager
$65K - $130K *
Contribute to clinical trial success by leading risk management and central monitoring activities. Collaborate with cross-functional teams to ensure compliance with ICH GCP guidelines and enhance qual...
Reposted 5 days ago
$130K - $155K *
Drive the evolution of our compensation strategy by evaluating and redesigning structures to align with performance and business goals. Collaborate with leadership to create a transparent, equitable p...
1 week ago
Business Implementation Manager (REMOTE)
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Champion successful automation implementations by leading complex 3PL projects. Manage cross-functional teams, timelines, and budgets, while ensuring alignment with customer expectations and operation...
Reposted today
Epic Senior Analyst - Optime/Anesthesia
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Elevate healthcare technology as a senior analyst, optimizing complex Epic applications. Collaborate with stakeholders to enhance operational efficiencies and support application users, while mentorin...
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$90K - $110K *
Manage day-to-day infrastructure and customer support, ensuring optimal server performance, security, and incident response. Collaborate on initiatives to enhance operational security and maintain doc...
2 weeks ago
$80K - $95K *
Join a dynamic team as you drive client success through deep product expertise, fostering relationships that enhance adoption and deliver measurable business value across multi-site manufacturing orga...
Yesterday
Manager Accounting - Financial Reporting
$125K - $145K *
Champion the future of financial reporting by ensuring compliance with GAAP, overseeing audits, and mentoring a high-performing team. Drive process improvements and technical accounting expertise to e...
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Ambulatory Client Sales Executive
$100K - $120K *
Serve as the primary contact for clients, driving engagement and service quality while fostering relationships with key stakeholders and leveraging expertise to enhance organizational growth and clien...
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Manager, Record to Report, S.C.O.R.E.
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Unlock potential by leading balance sheet reconciliation governance and quality assurance. Manage resources, enhance financial accuracy, and drive finance transformation initiatives while collaboratin...
2 weeks ago
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Inspire exceptional customer service as a hands-on leader, optimizing support processes and enhancing team performance. Drive measurable improvements in customer satisfaction and employee engagement t...
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Technical Project Manager (AI)
$110K - $130K *
Empower AI-driven software delivery by leading cross-functional teams to enhance execution, speed, and governance. Spearhead innovative solutions for improving complex project management and delivery...
3 weeks ago
Named Account Manager-Enterprise
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Join a dynamic team as you drive enterprise growth, foster client relationships, and lead impactful negotiations. Leverage your expertise in cybersecurity to deliver innovative solutions and achieve e...
Today
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Deliver innovative solutions by managing complex programs, ensuring seamless execution and coordination across multiple contracts while leveraging extensive IT expertise and leadership skills to drive...
Reposted 1 week ago
Project Manager, FEHRM Healthcare Technology Management - Deployment
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Drive the deployment of healthcare technology across multiple VA facilities, coordinating projects and ensuring readiness. Collaborate with diverse teams to manage timelines, resolve issues, and deliv...
2 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.