Explore Utilization Manager Jobs

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.

What Does a Utilization Manager Do?

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.

Common Skills and Qualifications

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 Manager Career Opportunities

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.

Find Utilization Manager Jobs on Ladders

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.

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$120K - $145K *

Champion impactful programs by leading cross-functional teams, driving strategic alignment, and ensuring seamless execution. Leverage your expertise to manage complex initiatives that delight customer...

United StatesRemote

6 days ago

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$110K - $130K *

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Reposted 2 weeks ago

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$110K - $130K *

Manage clinical trial operations, ensuring compliance and performance across protocols. Oversee submissions, budgets, and team coordination while collaborating with internal and external stakeholders...

Quebec, CARemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$100K - $115K *

Contribute to the operational support of enterprise messaging systems, ensuring effective email administration, user issue resolution, and mobile device management while enhancing project-based messag...

Washington, USRemote

5 days ago

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$202K - $250K *

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2 days ago

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$80K - $95K *

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CanadaRemote

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Information Technology

$69K - $125K *

Shape the future of healthcare by ensuring compliance in Utilization Management and Quality Review. Leverage your clinical expertise to support benefit determinations and enhance process improvements...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

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2 weeks ago

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$80K - $116K *

Inspire excellence in Grievance and Appeals operations, ensuring compliance and efficiency while leading a dedicated team. Drive process improvements and foster a collaborative environment to enhance...

Long Beach, CARemote

2 weeks ago

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$135K - $202K *

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3 weeks ago

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$85K - $115K *

Lead the charge in driving product adoption and optimizing customer success through hands-on technical guidance, ensuring clients maximize value from their SaaS solutions while managing complex accoun...

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2 weeks ago

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$115K - $192K *

Lead the charge in maximizing customer success by developing strategic relationships, guiding adoption of Omnissa's EUC solutions, and driving measurable business outcomes through proactive engagement...

Georgia, USRemote

6 days ago

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$80K - $95K *

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1 week ago

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$175K - $400K *

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3 weeks ago

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$69K - $110K *

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Today

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$92K - $113K *

Lead the charge in managing complex global accounts, coordinating operations and sales teams to exceed customer expectations, ensure financial performance, and drive account growth. Foster strong rela...

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Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Business Services

$95K - $115K *

Advance your career by managing centralized pharmacy operations, ensuring compliance and exceptional service. Collaborate with pharmacy teams to enhance workflow, training, and quality improvement whi...

Nashville, TNRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$86K - $138K *

Champion the seamless member experience in healthcare access by defining product strategy and overseeing execution. Drive innovation in finding and scheduling care, ensuring accuracy and satisfaction...

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Reposted 3 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Join a team that's dedicated to enhancing employee benefits through expert administration, compliance, and continuous improvement. Collaborate with HR, Payroll, and external partners to ensure excepti...

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1 week ago

  •   5 - 7 years exp.  •   Staffing

$80K - $100K *

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3 weeks ago

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$80K - $95K *

Analyze and oversee Medicare cost report audits, ensuring compliance with CMS regulations. Mentor junior auditors while managing complex reimbursement projects and maintaining provider relations to en...

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4 days ago

  •   Less than 5 years exp.  •   Healthcare

$66K - $106K *

Analyze and audit financial reports to identify risks and improve processes. Collaborate with team members to provide insights and updates on audit findings while applying intermediate knowledge in fi...

Florida, USRemote

1 week ago

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$105K - $158K *

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1 week ago

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$214K - $306K *

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Massachusetts, USRemote

Reposted today

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$121K - $152K *

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1 week ago

  •   11 - 15 years exp.  •   Retail & Consumer Goods

Frequently Asked Questions (FAQ)

  • What does a Utilization Manager do?question toggle

    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?question toggle

    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?question toggle

    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?question toggle

    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.