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.
$75K - $90K *
Join a dynamic team to manage full-cycle accounts receivable, financial reporting, and budgeting processes. Leverage your analytical skills to support operations, enhance accuracy, and drive continuou...
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$80K - $95K *
Accelerate progress at the forefront of scientific sales by driving growth across diverse markets. Leverage your expertise to build relationships and solve complex challenges while managing the full s...
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$92K - $110K *
Deliver strategic leadership and operational oversight to enhance decision-making processes within the Veterans Health Administration's EHRM, ensuring effective collaboration and communication across...
1 week ago
$85K - $95K *
Join a team that's dedicated to enhancing product learning experiences for credit unions and MAP employees. You'll design, develop, and deliver engaging training that empowers users to confidently ado...
1 week ago
$110K - $130K *
Unlock potential by leading cross-functional change initiatives that drive operational excellence. Oversee product launches and process improvements, ensuring systematic adoption and effective communi...
2 weeks ago
$160K - $195K *
Empower enterprise clients by managing strategic relationships, driving revenue growth, and aligning solutions with business objectives. Lead cross-functional teams to deliver exceptional outcomes and...
5 days ago
Director, Claims Program Management, Occupational Risk, Remote
$91K - $171K *
Transform the Occupational Risk Claims Program through strategic leadership, ensuring operational excellence and compliance while fostering a high-performing team to drive program success...
3 weeks ago
$140K - $180K *
Accelerate progress at the intersection of Treasury and Accounting, managing cash forecasting, customer collections, and disbursements. Collaborate with cross-functional teams to ensure financial inte...
5 days ago
$95K - $115K *
Join a team that's dedicated to enhancing security operations through proactive monitoring, incident response, and client engagement. This role offers the chance to lead investigations and improve sec...
4 days ago
$150K *
Elevate customer support excellence by managing a dynamic team, enhancing SLA performance, resolving complex issues, and fostering development through effective coaching, all while ensuring customer s...
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$116K - $160K *
Accelerate progress at driving strategic initiatives within Operations and Member Experience. Collaborate with cross-functional teams to deliver impactful solutions, enhance operational efficiency, an...
6 days ago
$61K - $104K *
Drive customer success by managing high-value enterprise accounts, ensuring growth and retention through strategic planning and consultative partnerships. Lead renewal efforts and align customer goals...
Today
$157K - $283K *
Take ownership of the design and management of high-profile ADA upgrade projects, ensuring effective execution, budget adherence, and client satisfaction while leading cross-functional teams in a dyna...
3 weeks ago
$90K - $110K *
Optimize user experience by managing Salesforce administration, enhancing platform functionality, and driving user adoption. Collaborate with teams to support business needs and ensure seamless integr...
2 weeks ago
$90K - $120K *
Drive revenue growth by optimizing systems and processes across Marketing, Sales, and Customer Success. Leverage data to enhance operational efficiency and establish HubSpot as a reliable source of tr...
4 days ago
Senior Product Manager - AI Gateway
$132K - $188K *
Elevate your career by owning product strategy and execution for AI Gateway capabilities, ensuring seamless connectivity across the AI ecosystem while collaborating with cross-functional teams to driv...
Reposted 1 week ago
$100K - $120K *
Lead the charge in project management excellence, coordinating cross-functional teams to deliver high-quality results on time and within budget while fostering stakeholder engagement and team developm...
2 weeks ago
Sr. Project Manager, Enterprise Transformation
$120K - $158K *
Unlock potential by leading complex, cross-functional technology projects. Manage project planning, execution, and stakeholder collaboration to drive successful outcomes in a fast-paced environment fo...
2 weeks ago
$105K - $128K *
Empower your career by supporting a vital contact center platform. Collaborate with cross-functional teams to optimize integrations and enhance customer experiences across voice, SMS, and email channe...
2 weeks ago
$90K - $110K *
Drive growth and build relationships in a dynamic sales role, focusing on expanding market presence and enhancing partnerships with healthcare providers to achieve business objectives in the vascular...
1 week ago
$178K - $210K *
Empower your career by driving value for customers through data-driven insights and strategic engagement. Collaborate across teams to articulate and measure the financial impact of our AI platform, en...
1 week ago
Managed Care Contracting and Performance Advisor
$113K - $188K *
Shape the future of managed care by leading contract negotiations, performance monitoring, and strategic initiatives to optimize reimbursement and enhance payer relationships across healthcare service...
Yesterday
$110K - $130K *
Join a team that's committed to environmental excellence, leading compliance for airport projects. Oversee assessments, manage permits, and ensure adherence to regulations while integrating sustainabi...
6 days ago
Data Center Site Selection Manager
$150K - $180K *
Champion the strategic site selection for large-scale data centers, overseeing real estate negotiations, feasibility studies, and cross-team partnerships to drive impactful decisions and solutions in...
Reposted 3 weeks ago
$110K - $130K *
Join a team that's dedicated to delivering exceptional IT infrastructure projects. As a Senior Project Manager, you'll oversee project execution, ensuring client satisfaction and adherence to best 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.