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.
Senior Customer Success Manager
$110K - $130K *
Elevate customer success by guiding enterprise clients in leveraging AI solutions, ensuring satisfaction and retention through strategic engagement and tailored support, while driving measurable busin...
3 weeks ago
$95K - $115K *
Unlock the potential of implementation science as a Senior Program Analyst, driving quality improvement and program evaluation initiatives. Manage processes, databases, and reporting to enhance projec...
1 week ago
Named Account Manager-Enterprise
$125K - $150K *
Reimagine enterprise sales by fostering relationships, driving growth, and delivering impactful cybersecurity solutions. Collaborate with teams to create proposals and manage accounts, ensuring succes...
Today
$70K - $116K *
Elevate your career by developing innovative ServiceNow solutions, collaborating with stakeholders to enhance IT service management and optimize performance. Make a difference in a team-focused enviro...
3 weeks ago
Partner Sales Manager, Actimize
$125K - $150K *
Join us in driving strategic partner relationships to enhance revenue growth and market expansion. Collaborate with cross-functional teams to develop innovative partner recruitment strategies and ensu...
2 weeks ago
$80K - $95K *
Manage a property accounting team, ensuring financial integrity and streamlining processes. Collaborate with clients and oversee audits while enhancing financial reporting and cash flow management. Dr...
2 weeks ago
Head of Program Management (PMO)
$125K - $150K *
Lead and optimize a high-performing Program Management team to drive strategic initiatives. Collaborate extensively across departments to ensure successful execution of complex, multi-disciplinary pro...
4 weeks ago
$85K - $105K *
Optimize regulatory compliance processes for a multi-state transportation network. Collaborate cross-functionally to ensure operational readiness and manage ongoing compliance across diverse markets...
Yesterday
$110K - $130K *
Partner with us to streamline operations by transforming manual tasks into efficient automation solutions. Leverage your expertise in Ansible, Terraform, and CI/CD to enhance productivity across diver...
1 week ago
$110K - $130K *
Manage and lead field-based medical teams, ensuring client delivery and team performance while fostering scientific engagement and program growth. Collaborate with cross-functional teams to achieve st...
3 weeks ago
$90K - $168K *
Transform financial planning and analysis for a major program by developing forecasts, conducting variance analysis, and collaborating with stakeholders to enhance decision-making and improve forecast...
3 weeks ago
Head of Testing and Automation
$150K - $180K *
Innovate testing and automation systems to enhance software release confidence. Lead technical direction, integrate AI for efficiency, and ensure reliable verification processes while fostering collab...
5 days ago
Remote Manager, Technical Sales - LETS/STEP for ISG
$160K - $246K *
Lead the charge in driving technical sales effectiveness and team development. Oversee a skilled team supporting complex infrastructure solutions, enhancing customer engagement, and fostering collabor...
1 week ago
$80K - $95K *
Elevate your career as a Document Control Supervisor, overseeing site access agreements and collaborating with environmental consulting teams. Utilize your expertise to resolve access needs, manage do...
2 weeks ago
$80K - $95K *
Champion effective document control by overseeing site access agreements, resolving access issues, and coordinating with environmental consulting teams. Lead a team while ensuring compliance and effic...
2 weeks ago
$120K - $158K *
Champion operational excellence by leading facilities management across a multi-state portfolio. Drive strategic initiatives, optimize vendor performance, and implement scalable processes to support o...
4 days ago
Technical Program Manager (TPM)
$115K - $145K *
Engineer innovative systems and processes to enhance product delivery, ensuring cross-functional teams operate efficiently and effectively. Drive execution, manage stakeholder alignment, and facilitat...
2 weeks ago
$86K - $129K *
Empower energy efficiency initiatives by managing programs that enhance customer satisfaction and drive impactful results. Collaborate with diverse stakeholders to ensure effective delivery and suppor...
Today
$75K - $127K *
Lead the design and development of SAP Integration solutions, ensuring efficient system communication and data exchange. Collaborate with stakeholders to deliver reliable applications and enhance proc...
Yesterday
$90K - $120K *
Champion operational excellence by transforming data into actionable insights, leading cross-functional projects, and driving process improvements to enhance performance and scalability in a dynamic e...
1 week ago
$160K - $229K *
Empower clients by designing and implementing innovative SAP FSM solutions. Collaborate across teams to ensure successful project delivery, from discovery to go-live, while enhancing business processe...
Yesterday
Manager, Firewall Infrastructure Engineering
$102K - $190K *
Lead the charge in managing firewall infrastructure engineering, ensuring operational excellence, scalability, and security. Drive team performance, oversee lifecycle management, and enhance capabilit...
Yesterday
Manager, Pricing and Underwriting
$96K - $118K *
Join a dynamic team to lead pricing and underwriting functions, driving financial analysis and risk evaluation. Collaborate with supervisors and analysts to enhance pricing strategies and support clie...
3 weeks ago
Quality Assurance System Tester
$85K - $141K *
Champion quality assurance processes and validate software capabilities through manual and automated testing to ensure reliability, security, and compliance for a large-scale agile software developmen...
Reposted 1 week ago
$92K - $120K *
Champion enterprise stress testing and quantitative risk modeling, enhancing methodologies and governance. Collaborate with cross-functional teams to assess risk across portfolios, ensuring robust pra...
1 week 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.