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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$160K - $180K *

Unlock your potential by leading enterprise IT initiatives, coordinating cross-functional teams, and engaging with senior executives to drive meaningful change in a dynamic environment...

US-AnywhereRemote

6 days ago

  •   8 - 10 years exp.  •   Information Technology

$162K - $180K *

Join a team that's dedicated to optimizing fund operations and performance metrics, engaging across finance and investment teams to ensure compliance, enhance profitability, and support strategic deci...

US-AnywhereRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$91K - $163K *

Shape outcomes by leading the service coordination team, ensuring compliance, developing policies, training staff, and enhancing service delivery for optimal results in managed care settings, particul...

US-AnywhereRemote

Reposted 6 days ago

  •   5 - 7 years exp.  •   Healthcare

$99K - $121K *

Unlock significant growth by designing and executing a strategic expansion plan for ProLender's new module initiatives. Drive customer adoption and revenue through direct engagement and consultative s...

US-AnywhereRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$130K - $180K *

Unlock potential by leading a high-performing consulting team to drive customer success, optimizing NICE solutions for measurable outcomes in the contact center landscape through strategic consulting...

US-AnywhereRemote

3 weeks ago

  •   11 - 15 years exp.  •   Business Services

$130K - $180K *

Pioneer measurable business value with a strong consulting leader. Oversee a team driving customer transformation and solution adoption in CX landscape using AI and Analytics. Collaborate across funct...

US-AnywhereRemote

3 weeks ago

  •   11 - 15 years exp.  •   Business Services

$95K - $115K *

Join a team that's redefining employee payment solutions. As an Implementation Manager, oversee the deployment of our SaaS product for diverse clients, ensuring successful integrations and fostering s...

US-AnywhereRemote

Reposted 3 days ago

  •   Less than 5 years exp.  •   Enterprise Technology

$90K - $120K *

Transform technology infrastructure for growth and reliability. Lead teams in managing enterprise systems, enhancing security, and ensuring operational excellence to deliver exceptional member experie...

US-AnywhereRemote

3 weeks ago

  •   Less than 5 years exp.  •   Information Technology

$110K - $130K *

Shape the future of data products by leading product strategy, defining roadmaps, and transforming client needs into actionable requirements to deliver measurable business value in collaboration with...

US-AnywhereRemote

Reposted 1 week ago

  •   8 - 10 years exp.  •   Enterprise Technology

$85K - $110K *

Grow your career with us as an Underwriting Supervisor, leading and developing a high-performing team. Influence crop insurance's future through strategic initiatives, operational excellence, and comp...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$145K - $178K *

Analyze service delivery data to develop impactful reporting solutions, enhance operational performance, and support continuous improvement initiatives across managed service agreements...

US-AnywhereRemote

Today

  •   5 - 7 years exp.  •   Information Technology

$90K - $120K *

Partner with us to lead a dynamic team, driving the successful delivery of professional services while optimizing project execution and financial health. Be a strategic partner in adopting innovative...

US-AnywhereRemote

4 weeks ago

  •   Less than 5 years exp.  •   Technical Services

$110K - $130K *

Unlock potential by designing innovative line management programs that enhance customer engagement and drive growth. Collaborate cross-functionally to analyze credit risks and influence strategic deci...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$90K - $110K *

Empower your career by leading a network of independent Medicare sales agents, driving revenue growth, and ensuring compliance while fostering a customer-centric culture. Collaborate cross-functionall...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$140K - $182K *

Manage the valuation function for private equity investments, overseeing quarterly and monthly assessments while collaborating with cross-functional teams in a fast-paced, high-accountability environm...

US-AnywhereRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$87K - $114K *

Collaborate to improve patient care by coordinating and facilitating quality healthcare delivery for ESRD and CKD patients across MA, NH, ME, RI, and NJ in a remote role, ensuring effective communicat...

US-AnywhereRemote

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$79K - $101K *

Join a team that's dedicated to improving patient care by coordinating quality healthcare for ESKD and CKD patients. Collaborate with healthcare professionals to ensure effective treatment delivery in...

US-AnywhereRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $120K *

Manage the scheduling and resource planning for complex provider workflow initiatives. Oversee budget management, stakeholder communication, and risk assessments to ensure project success and timely d...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $100K *

Lead supply chain initiatives to optimize inventory management and reduce costs, while enhancing service delivery for surgery centers, through strategic partnerships and compliance oversight with GPO...

US-AnywhereRemote

Reposted 3 days ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$100K - $137K *

Contribute to the growth of Digital Velocity by enhancing sales strategies and relationships, managing the entire sales lifecycle, and driving revenue through client development and collaboration with...

US-AnywhereRemote

Reposted 3 days ago

  •   5 - 7 years exp.  •   Enterprise Technology

$120K - $190K *

Develop and lead AWS cloud migration projects, ensuring secure, resounding outcomes. Collaborate with technical teams to manage schedules, budgets, risks, and stakeholder communications while adhering...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Information Technology

$90K - $110K *

Help us enhance student success by managing partnerships with colleges and universities, driving implementation of strategic initiatives, and optimizing programs for financial wellness, career readine...

US-AnywhereRemote

2 weeks ago

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

$82K - $121K *

Lead the charge in technology-driven quality assurance, optimizing workflows and outputs. Collaborate with cross-functional teams to enhance data accuracy and operational excellence, driving continuou...

US-AnywhereRemote

5 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$110K - $130K *

Lead customer program management initiatives, acting as the bridge between engineering and clients to optimize operations, enhance customer satisfaction, and drive successful project delivery across c...

US-AnywhereRemote

4 days ago

  •   8 - 10 years exp.  •   Manufacturing & Automotive

$79K - $99K *

Innovate your career by conducting comprehensive inpatient DRG reviews, ensuring coding accuracy and compliance with industry guidelines while driving savings for clients through detailed analyses and...

US-AnywhereRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

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.