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.
Workers Compensation Claims Supervisor
$75K - $95K *
Join a dynamic team as a Workers' Compensation Claims Supervisor, guiding a skilled group while ensuring top-notch claim handling and client satisfaction. This role blends technical expertise with lea...
Reposted 3 weeks ago
$95K - $115K *
Join a dynamic team to lead audit operations, ensuring compliance with regulations while managing staff performance. Oversee audit quality and productivity in a role focused on healthcare standards an...
3 days ago
$85K - $100K *
Unlock operational excellence as you lead a team in telephonic triage, optimizing workflows and enhancing patient experience in a 24/7 care environment. Drive improvements while ensuring compliance an...
1 week ago
$70K - $95K *
Join a team that's dedicated to finance excellence, collaborating across functions to drive financial strategies and insights, ensuring the fiscal health and growth of our organization through innovat...
1 week ago
Partner Acceleration Executive
$125K - $150K *
Drive strategic partnerships with Global System Integrators, fostering collaboration, scaling initiatives, and driving profitable revenue growth. Manage relationships and ensure alignment across resou...
6 days ago
$120K - $150K *
Unlock growth as you manage key Mortgage client relationships, driving process enhancements and maximizing the Ocrolus platform through strategic collaboration, insights, and excellent service, all wh...
3 weeks ago
Administrative Operations Analyst (Remote)
$85K - $105K *
Drive operational excellence by optimizing administrative processes and delivering key insights to support diverse global teams. Champion best practices in a collaborative environment focused on creat...
4 days ago
Epic Financial Assistance and Estimates Senior Consultant
$100K - $120K *
Shape healthcare success by leveraging your technical expertise to enhance EHR systems, improve care delivery, and boost profitability through strategic consultation and system optimization...
2 days ago
$135K - $193K *
Unlock project success by managing detailed construction schedules, ensuring adherence to best practices, and analyzing delays to support timely project completions. Collaborate with stakeholders to e...
6 days ago
$125K - $140K *
Explore your potential in a dynamic sales environment, driving substantial revenue growth through strategic relationships and consultative sales approaches with enterprise clients in the manufacturing...
3 days ago
$90K - $120K *
Champion excellence in utility-scale transmission line projects by ensuring high-quality installation and safety standards while coordinating with contractors and engineering teams to meet project spe...
Reposted 3 weeks ago
Account Manager, Dealer Solutions
$80K - $95K *
Join a dynamic team as you cultivate relationships, drive product adoption, and ensure customer success within automotive dealer networks while collaborating with various stakeholders to create impact...
2 weeks ago
$80K - $85K *
Drive operational excellence by coordinating cross-functional projects, generating reports, and enhancing patient advocacy initiatives. Your leadership will ensure compliance and deliver actionable in...
1 week ago
Sr. Enterprise Project Manager
$110K - $130K *
Lead the charge in project management, ensuring strategic alignment and successful execution through planning, monitoring, and stakeholder collaboration while optimizing resources and improving effici...
1 week ago
Therapy Access Manager - New England (Boston, Hartford, Portland, Providence)
$150K - $185K *
Drive innovative patient access strategies by collaborating with healthcare providers and cross-functional teams to optimize reimbursement solutions for specialty therapies. Engage with stakeholders t...
3 weeks ago
$125K - $150K *
Provide strategic oversight and management for a portfolio of affordable housing properties, ensuring operational excellence, financial stability, and compliance while collaborating with multiple stak...
4 days ago
National Accounts Manager (Remote)
$165K - $175K *
Join a team that's committed to maximizing sales opportunities by managing national accounts, building strategic relationships, and driving client success while adhering to industry standards...
1 week ago
Solution Account Manager - Revenue Management
$94K - $161K *
Drive the adoption of AI revenue strategies and enhance multifamily asset performance by consulting across all organizational levels to unlock potential and improve operational efficiency for clients...
2 weeks ago
Remote Regional Healthcare Senior Finance Manager - TxO Central & South Texas Region
$110K - $130K *
Unlock potential by serving as a key finance partner in a dynamic healthcare environment. Collaborate with leadership to drive financial performance, support budgeting, and enhance operational efficie...
2 weeks ago
Sr Services Manager-Steam Turbine CSM
$119K - $199K *
Shape the future of customer engagement by leveraging your technical expertise and interpersonal skills. Drive project outcomes and build lasting relationships through effective communication and end...
Reposted 1 week ago
Clinical Team Manager / Sr. Clinical Team Manager (CTM) - NIS
$110K - $130K *
Transform the clinical operations landscape by ensuring timely deliverables and quality outcomes for moderate to high complexity studies. Lead cross-functional teams and manage contracts while driving...
Reposted 2 weeks ago
$95K - $115K *
Champion transformative customer enablement strategies through innovative, scalable education programs and personalized learning experiences that drive adoption and maximize value derived from the pla...
1 week ago
SharePoint & Knowledge Manager
$80K - $105K *
Shape the future of knowledge management by streamlining SharePoint solutions, fostering collaboration, and ensuring content governance. Lead the way in optimizing user experience and automating workf...
3 weeks ago
Solution Account Manager - Revenue Management
$94K - $161K *
Champion clients by enhancing revenue management strategies to maximize multifamily asset yields. Collaborate cross-functionally with stakeholders to ensure effective platform adoption and provide act...
Yesterday
Account Manager- Client Success
$80K - $85K *
Empower customer success by managing key client relationships, ensuring tailored service delivery, and enhancing program performance through proactive engagement and collaboration across multifaceted...
2 weeks 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.