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.
$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
$90K - $140K *
Transform healthcare data insights into actionable strategies, leading small projects and driving continuous improvements in data mining operations to achieve optimal financial outcomes for clients an...
Reposted 1 week ago
Manager, Enterprise Platform - Sales & Marketing
$120K - $150K *
Accelerate progress at the intersection of technology and leadership. Drive the optimization of enterprise platforms to enhance sales, marketing, and customer engagement while leading a dynamic team a...
4 weeks ago
APD Claims Manager, Courier Delivery
$100K - $130K *
Champion operational excellence by leading the commercial transportation claims team. Leverage your extensive experience to enhance performance, drive efficiency through technology, and foster a suppo...
3 weeks ago
Director, Claim Payment Accuracy
$150K - $195K *
Lead the charge in enhancing claim payment accuracy through strategic oversight, advanced AI initiatives, and cross-functional collaboration. Drive a culture of precision and quality to improve member...
2 weeks ago
Lead Program Manager, RPM/CCM/RCM
$100K - $130K *
Drive the strategy and roadmap for RPM, CCM, and RCM programs, ensuring alignment across teams and accountability for performance. Innovate to scale operations while maintaining quality and compliance...
1 week ago
$100K - $110K *
Champion the Medicare client experience by guiding individuals through complex Medigap solutions, coordinating enrollment processes, and providing expert consultations to enhance understanding and max...
4 weeks ago
Account Delivery Manager - USA
$90K - $120K *
Join our team to drive customer success by managing relationships and orchestrating specialists. Be the central point in ensuring smooth operations, onboarding, and aligning client needs with our plat...
2 weeks ago
FINTECH Operations Strategic Initiatives Project Manager
$105K - $155K *
Lead and manage complex programs/projects within Finance, driving strategic initiatives and systems transitions. Collaborate with diverse teams to ensure successful delivery, timeliness, and adherence...
2 days ago
Director, Facilities Management
$98K - $155K *
Empower the transformation of facility management by overseeing maintenance and operations for over 700 dialysis centers, optimizing projects within a $40M budget while fostering collaboration across...
3 weeks ago
Account Manager - Medical Device Sales
$100K *
Make your mark at the forefront of medical device sales, driving growth and expanding prescriber networks. Collaborate with clinical specialists to deliver impactful solutions, while exceeding sales t...
1 week ago
Informatics Risk Adjustment Consultant
$85K - $110K *
Drive comprehensive risk adjustment initiatives, enhancing data insights and operational workflows while ensuring compliance and accuracy across stakeholder interactions and reporting. Collaborate wit...
Reposted 2 days ago
Manager, Professional Services, AI, CX
$120K - $150K *
Champion excellence by leading AI program governance and delivery assurance. Drive strategic AI initiatives, ensuring alignment with client goals, while enhancing team performance in a fast-paced, dyn...
4 weeks ago
$115K - $135K *
Transform the enterprise privacy landscape by managing operations, compliance, and strategic initiatives. Lead privacy policies and collaborate with stakeholders to ensure accountability and protectio...
2 weeks ago
$125K - $225K *
Join a team that excels in project management for FAA infrastructure projects. Oversee multiple initiatives, engage with clients, and lead interdisciplinary teams to deliver exceptional results in ali...
2 weeks ago
UAS Utility Services Sales Manager
$90K - $120K *
Lead the charge in driving UAS Utility Services sales, managing client relationships, and executing growth strategies across the region. Collaborate with teams to ensure client satisfaction while deve...
Reposted 2 weeks ago
$180K - $200K *
Pioneer modern network security by leading a dedicated team to create automated, identity-aware policies in a cloud-native fintech environment, enhancing protection of sensitive financial data across...
1 week ago
$72K - $130K *
Lead Epic system enhancements and upgrades, collaborating with end-users to ensure optimal design, build, and testing of oncology workflows while maintaining documentation and support during applicati...
2 days ago
$90K - $120K *
Empower your career by driving EHS initiatives that ensure compliance with local laws and corporate standards across Germany. Collaborate with cross-functional teams to enhance safety performance and...
2 weeks ago
Manager, Search & AI Visibility
$110K - $130K *
Optimize SEO strategy across multiple brands to enhance organic visibility and drive growth. Collaborate with cross-functional teams and lead initiatives in technical SEO, content optimization, and AI...
1 week ago
Senior Commercial Review Appraiser
$83K - $178K *
Lead the charge in evaluating commercial real estate appraisals, ensuring compliance with regulations and bank policies to mitigate risk while managing appraisers and internal stakeholders throughout...
2 weeks ago
Retention Program Manager, Sr.
$85K - $110K *
Empower our organization by leading multiple projects, managing cross-functional teams, and driving initiatives that enhance retention strategy and operational success across various programs to achie...
Today
$70K - $95K *
Develop and execute media strategies, optimize campaigns, and analyze performance for diverse clients, enhancing brand visibility and sales through data-driven insights and strong relationship managem...
2 weeks ago
Trade Show & Event Planning Manager (Trade Show & Event Management Manager)
$89K - $157K *
Oversee high-impact event strategy and execution within a dynamic environment. Manage full event lifecycle while collaborating with stakeholders to drive engagement, optimize performance, and support...
2 weeks ago
$82K - $182K *
Unlock potential by leveraging data analytics to enhance pharmacy network COGS strategies and drive operational improvements, ensuring regulatory compliance and delivering actionable insights for deci...
Yesterday
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.