Welcome to Utilization Manager Job Opportunities at Ladders

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.

Why Choose a Career as a Utilization Manager?

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.

Qualifications for Utilization Manager Jobs

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.

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$110K - $130K *

Take ownership of the AR operations for insurance collections. Lead a dynamic team, drive strategic improvements, and collaborate cross-functionally to optimize cash flow and ensure compliance in a fa...

US-AnywhereRemote

2 days ago

  •   8 - 10 years exp.  •   Healthcare

$75K - $95K *

Elevate your career by leading a dynamic team in charge capture, driving excellence in revenue cycle operations, ensuring compliance, and fostering continuous improvement across multiple healthcare fa...

US-AnywhereRemote

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$149K - $249K *

Transform healthcare solutions by engaging clients and driving adoption of innovative technologies. Collaborate with cross-functional teams to develop custom proposals and enhance product offerings to...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$96K *

Shape the future of early childhood education by managing regional operations and partnerships, driving strategic initiatives, and leading a diverse team to enhance children's readiness for school acr...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$130K - $135K *

Champion transformative AI initiatives that propel digital services forward, ensuring strategic alignment, ethical practices, and the delivery of impactful solutions across diverse agency programs whi...

US-AnywhereRemote

2 weeks ago

  •   8 - 10 years exp.  •   Education, Government & Non-Profit

$90K - $130K *

Elevate performance and drive growth by managing relationships and expanding revenue opportunities within the installed base. Collaborate with clinical teams to enhance treatment outcomes and ensure c...

US-AnywhereRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Drive success through strategic client management, optimizing coding operations and enhancing revenue cycle performance. Engage with stakeholders while ensuring compliance with intricate coding regula...

US-AnywhereRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$140K - $150K *

Lead the charge in optimizing custom procedure trays by leveraging clinical expertise to enhance operational efficiency and customer value, driving best practices in pack design and component utilizat...

US-AnywhereRemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$100K *

Develop and maintain compliance protocols to ensure adherence to federal and state regulations. Collaborate with key stakeholders to monitor performance and mitigate risks, ensuring audit readiness fo...

US-AnywhereRemote

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $85K *

Shape the future of air quality management by leading a dynamic team. Oversee program operations, ensure compliance, and manage complex projects while driving continuous improvement and community rela...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$82K *

Drive impact by supporting grant program implementation and oversight. Collaborate with stakeholders to monitor sub-recipient performance, ensure compliance, and contribute to strategic goals of the R...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$100K *

Lead the charge in strategic grant management to enhance rural healthcare initiatives, ensuring operational continuity and compliance while effectively engaging stakeholders and overseeing project del...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$93K - $120K *

Champion accurate financial management and budgeting processes by overseeing complex accounting operations and leading staff to meet critical organizational goals. Elevate efficiency and compliance wi...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$120K - $150K *

Champion the delivery of AI and automation solutions, owning execution, architecture integrity, and success metrics while ensuring compliance and innovation across high-impact projects in a collaborat...

US-AnywhereRemote

5 days ago

  •   8 - 10 years exp.  •   Healthcare

$90K - $130K *

Unlock potential by designing and building robust full-stack solutions, ensuring platform reliability and scalability. Collaborate within a talented team to tackle complex problems that affect enterpr...

US-AnywhereRemote

3 weeks ago

  •   Less than 5 years exp.  •   Information Technology

$80K - $110K *

Collaborate with providers to enhance Medicare Advantage performance and close care gaps. Drive network development and management to improve member outcomes and ensure compliance with clinical qualit...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $100K *

Drive provider network development and performance improvements to enhance access and quality. Collaborate with internal teams and providers to optimize care delivery and achieve organizational goals...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$127K - $160K *

Take ownership of a strategic client portfolio, driving revenue growth and enhancing client relationships. Ensure client satisfaction through effective management of renewals, risks, and opportunities...

US-AnywhereRemote

5 days ago

  •   8 - 10 years exp.  •   Healthcare

$105K - $120K *

Join a dynamic finance team to lead credit and collections, optimizing cash flow and internal customer relationships while implementing automation tools for efficiency and driving impactful strategies...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$70K - $95K *

Unlock your potential as you manage clinical financial processes, ensuring timely payments and accurate reconciliations while supporting the broader finance team and enhancing operational efficiency...

US-AnywhereRemote

Yesterday

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$87K - $96K *

Advance healthcare by addressing caller needs in our after-hours nursing center. Collaborate with diverse teams to assess patient situations, provide options, and ensure timely coordination of care fo...

US-AnywhereRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Shape the future of revenue management by analyzing pricing and inventory, and collaborating with cross-functional teams to drive strategic initiatives and optimize profitability in a dynamic environm...

US-AnywhereRemote

3 weeks ago

  •   Less than 5 years exp.  •   Business Services

$68K - $143K *

Lead the charge in advanced manufacturing projects, focusing on additive technologies and non-destructive testing. Drive coordination and execution across multi-functional teams, ensuring alignment wi...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Aerospace & Defense

$68K - $143K *

Join a team that's driving innovation in Advanced Manufacturing by leading project execution across critical initiatives, ensuring effective stakeholder collaboration, risk management, and timely deli...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Aerospace & Defense

$68K - $143K *

Launch advanced manufacturing initiatives by leading project execution, coordinating efforts, and managing outcomes across cross-functional teams to support critical goals aligned with Navy priorities...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Aerospace & Defense

Frequently Asked Questions (FAQ)

  • What is a Utilization Manager?question toggle

    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?question toggle

    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?question toggle

    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.