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.
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.
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.
$80K - $110K *
Lead project teams to deliver high-quality results on time and within budget. Manage multiple projects simultaneously, drive communication, and ensure customer satisfaction while mitigating risks and...
1 week ago
Director, Quality & Process Improvement, HEDIS Audit
$118K - $219K *
Transform operational efficiency by leading process improvement initiatives, managing audit timelines, and ensuring compliance with quality standards across various functional areas to enhance healthc...
Reposted 3 days ago
Sr Dir, National Accounts Program
$180K - $258K *
Transform national accounts with strategic leadership, driving revenue growth and operational excellence. Collaborate with cross-functional teams and lead a high-performing national sales team to deli...
2 days ago
Internal Audit Manager (Remote)
$112K - $196K *
Lead and execute internal audit initiatives, ensuring risk management, compliance, and audit quality. Collaborate with teams to enhance operational effectiveness through strategic oversight and staff...
2 weeks ago
Manager, Medical Economics - REMOTE
$90K - $120K *
Lead the enhancement and operationalization of enterprise healthcare datasets, ensuring quality and governance for Medical Economics. Collaborate cross-functionally to improve data assets, and mentor...
3 weeks ago
Manager of IT and Enterprise Systems
$90K - $120K *
Champion operational excellence by managing IT and enterprise software systems, driving tool consolidation, implementing automation, and ensuring reliable IT operations in a fast-paced, growing health...
2 weeks ago
$90K - $130K *
Champion healthcare innovation by leading complex IT project management initiatives focused on regulatory compliance and interoperability solutions. Drive cross-functional collaboration and ensure on...
1 week ago
$90K - $110K *
Transform our revenue operations by administering and optimizing Salesforce to enhance team efficiency. Collaborate cross-functionally to ensure seamless processes and drive actionable insights backed...
2 weeks ago
Senior Analyst, Executive Underwriting Priorities
$64K - $158K *
Unlock potential by conducting data-driven analyses to support underwriting leadership. Investigate pricing changes, coordinate with stakeholders, and enhance decision-making processes in a dynamic, f...
2 weeks ago
$145K - $160K *
Unlock potential by leading post-sales service delivery in a dynamic tech environment. Drive operational excellence and customer success through effective team leadership, process improvement, and str...
2 weeks ago
Account Manager, Higher Education
$84K - $105K *
Champion the growth of key academic accounts by managing sales activities, coordinating resources, and fostering collaboration across teams to achieve long-term revenue success in the education techno...
Reposted today
$100K - $130K *
Advance your career by leading security operations, managing a team of analysts, and enhancing the organization's security posture through effective incident response and monitoring strategies...
1 week ago
Senior Analyst, Operational Performance
$80K - $100K *
Unlock data-driven insights to enhance operational performance in healthcare. Collaborate with teams to analyze trends, create reports, and drive improvements for clinical and financial success across...
Reposted yesterday
Manager, Underwriting Model Product Support
$60K - $132K *
Engage with business users to enhance pricing tools, provide product support, and drive efficient testing processes. Bridge communication between teams to implement improvements and resolve inquiries...
6 days ago
EPIC Professional Billing Application Analyst III (Remote Role)
$90K - $110K *
Champion the development of Epic Professional Billing modules, enhancing revenue cycle processes through design, build, and support. Collaborate with IT and stakeholders to troubleshoot issues and dri...
Reposted 5 days ago
$70K - $95K *
Drive technical support and engineered solutions, enhancing customer satisfaction with PWT products. Collaborate with partners and consulting engineers to ensure safety and compliance while meeting di...
Reposted 1 week ago
Data Delivery Manager (AI and GenAI Focus)
$120K - $150K *
Oversee the delivery of innovative AI and GenAI data solutions, ensuring successful project implementations. Collaborate with clients and cross-functional teams to drive business value through advance...
2 weeks ago
$90K - $130K *
Shape cross-functional programs in product development, driving alignment and execution across teams to meet regulatory and business milestones. Foster collaboration to ensure timely, compliant delive...
2 weeks ago
$90K - $150K *
Unlock potential by managing growth programs in the Infusion/Specialty sector, driving strategic initiatives and engagement with healthcare partners to optimize value and savings while reporting on pr...
2 weeks ago
Business Analyst, Analytics and Automation
$90K - $115K *
Empower operational excellence by owning analytics and reporting for contact center operations. Drive automation and data integrity through Power BI, delivering actionable insights and enhancing decis...
2 weeks ago
Project Manager, Regulatory Implementation
$90K - $111K *
Collaborate to lead regulatory projects, ensuring compliance with state and federal standards while enhancing internal processes and fostering strong stakeholder relationships for timely project compl...
Reposted 1 week ago
Clinical Education Manager - Operations
$80K - $100K *
Transform clinical education operations by leading teams, optimizing procedures, ensuring compliance, and leveraging data to drive improved outcomes. Collaborate strategically to align departmental go...
2 weeks ago
$78K - $115K *
Lead the charge in enhancing partner onboarding for payment platforms. Collaborate with cross-functional teams to facilitate smooth integrations, drive project delivery, and ensure partner readiness f...
1 week ago
Technology Product Management Leader for Individual Marketplace
$190K - $250K *
Lead the charge in shaping product innovation and growth within the Individual Marketplace, driving strategy, execution, and cross-functional collaboration to enhance platforms and deliver excellence...
3 weeks ago
$200K - $215K *
Transform your career by leading a dedicated team to enhance clinical application success, drive optimal workflow in healthcare settings, and ensure effective training and support for stakeholders in...
Reposted 1 week ago
What is a Utilization Manager?
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?
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?
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.