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.
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.
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 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.
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.
$120K - $145K *
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$110K - $130K *
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Clinical Operations Manager - Regulatory
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Manage clinical trial operations, ensuring compliance and performance across protocols. Oversee submissions, budgets, and team coordination while collaborating with internal and external stakeholders...
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$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...
5 days ago
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Elevate the Personal Care department by driving strategic billing and claims initiatives, optimizing processes for accuracy and compliance, and leading a high-performing team to achieve operational ex...
2 days ago
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$80K - $95K *
Join a team that's transforming IT solutions through ServiceNow support and enhancements. You'll collaborate with various teams to optimize platform performance for leading brands, ensuring effective...
Reposted 4 weeks ago
Nurse Liaison I - Utilization Management & Quality Review - Remote
$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...
1 week ago
$110K - $130K *
Champion the implementation of innovative solutions, leading projects across strategic accounts to ensure seamless product delivery and customer satisfaction while optimizing processes and fostering c...
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...
2 weeks ago
Manager, Product Operations & UX
$135K - $202K *
Drive product operations excellence by leading cross-functional teams, enhancing AI integration, and optimizing UX design to ensure a seamless product development lifecycle that empowers rapid, high-q...
3 weeks ago
$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...
2 weeks ago
$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...
6 days ago
Account Manager - Pricing and Feasibility (Remote)
$80K - $95K *
Unlock potential by managing pricing and feasibility for online market research studies. Collaborate with clients and vendors to ensure project sustainability and profitability while supporting accoun...
1 week ago
$175K - $400K *
Elevate your career by managing the lifecycle of vendor agreements and contracts. Collaborate across departments to ensure compliance and streamline workflows, safeguarding business interests while mi...
3 weeks ago
Service Operations Evolution Project Manager
$69K - $110K *
Champion service operations evolution by driving product repair strategies, enhancing workflows, and collaborating with global partners to deliver exceptional customer service and operational efficien...
Today
$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...
Reposted 2 weeks ago
Centralized Order Entry Manager - Work From Home
$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...
1 week ago
Product Manager - Find & Schedule Care
$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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$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...
1 week ago
$80K - $100K *
Join a dynamic team to manage complex projects, ensuring quality control and timely deliverables while coordinating with engineers and stakeholders. Drive continuous improvement and provide analytical...
3 weeks ago
PARD Sr Auditor - Novitas Solutions
$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...
4 days ago
$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...
1 week ago
USCAN Services Finance Analyst - FP&A Operations
$105K - $158K *
Optimize financial performance by partnering with operations to enhance cost efficiency and profitability. Drive strategic investment decisions and support budgeting processes while ensuring alignment...
1 week ago
Vice President, Solution Consulting
$214K - $306K *
Drive strategic leadership and operational excellence in global Solution Consulting & Value Engineering. Collaborate with Sales to enhance customer engagement and value communication while developing...
Reposted today
Vulnerability Management Analyst
$121K - $152K *
Champion the vulnerability management program by overseeing project execution, ensuring compliance with security standards, and collaborating with IT teams to enhance system security and mitigate risk...
1 week ago
What does a Utilization Manager do?
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?
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?
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?
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.