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.
Senior Client Delivery Manager - Revenue Cycle (REMOTE)
$100K - $120K *
Drive operational excellence as a trusted advisor, managing high-impact client accounts to translate complex data into strategic insights, guiding executive decision-making, and fostering client relat...
Reposted 1 week ago
$80K - $95K *
Transform credentialing operations by leading a dedicated team to ensure compliance, enhance efficiency, and support provider network growth through strategic oversight and process improvement initiat...
2 weeks ago
Manager, Revenue Accounting & Commercial Finance
$100K - $120K *
Champion operational excellence in revenue accounting while leading a high-performing team. Oversee daily financial activities, ensure compliance, and drive process improvements to support growth and...
Reposted 3 weeks ago
$76K - $97K *
Drive account growth and customer retention by managing relationships, identifying opportunities, and collaborating across teams to meet global IT needs. Leverage data insights to enhance client strat...
Today
$85K - $135K *
Champion operational excellence by leading process redesign and analytics initiatives. Collaborate with cross-functional teams to enhance the teammate experience and drive strategic insights, while me...
1 week ago
$120K - $160K *
Lead the future of enterprise implementations in the medical device sector. Own end-to-end project delivery, ensuring rigorous management of scope, timelines, and client relationships while adapting p...
2 weeks ago
$110K - $130K *
Engineer innovative solutions by developing and deploying secure Data Access Mechanisms and Business Intelligence dashboards using Microsoft PowerApps. Collaborate with teams to streamline processes a...
Today
$100K - $120K *
Champion the proposal management process by leading complex RFP responses, ensuring compliance and quality. Collaborate with cross-functional teams to deliver compelling proposals that align with stra...
1 week ago
Operations Business Analyst IV - Claims adjudication and/or Facets claims adjudication (preferred)
$94K - $164K *
Champion operational excellence by leading business analysis initiatives, driving process improvements, and aligning solutions with strategic goals to enhance efficiency and effectiveness across the o...
1 week ago
Client Services Project Manager
$100K - $115K *
Lead client relationships by managing multiple projects in the electronic discovery sector. Drive client satisfaction through effective communication and coordination, ensuring high-quality service de...
4 days ago
$80K - $95K *
Transform insights into impactful strategies by leading market research projects, collaborating with account teams, and delivering compelling narratives that drive client decisions and foster long-ter...
5 days ago
$160K - $215K *
Transform finance into a strategic growth partner. Own top funnel and growth models while collaborating with key teams to deliver insights that drive smarter decisions and improve efficiency across sa...
4 weeks ago
$60K - $100K *
Drive client satisfaction by managing operations, onboarding, and relationships. Collaborate across teams to ensure service excellence and timely project delivery while addressing complex client needs...
4 days ago
$80K - $95K *
Take ownership of payroll operations, ensuring accuracy and compliance while leading a team to deliver timely wage payments and manage tax obligations effectively across the organization...
4 days ago
Care Manager, RN - Health Access, ECM - Rancho Cucamonga (Remote)
$91K - $120K *
Join our dynamic Care Management team to enhance patient outcomes through effective care coordination. Leverage your clinical expertise in a person-centered approach, collaborating with healthcare tea...
3 weeks ago
Project Manager - United Concordia Dental
$68K - $105K *
Lead the charge in managing complex projects by coordinating cross-functional teams, ensuring timely delivery, and maintaining project health through effective planning and execution. Drive stakeholde...
1 week ago
$110K - $130K *
Transform BI initiatives by leading product strategy and technical direction. Collaborate with cross-functional teams to deliver high-quality data products that drive business decisions and foster tea...
1 week ago
$86K - $124K *
Champion the future of project management by leading SAP initiatives, driving agile practices, and delivering innovative solutions that meet client needs while fostering team collaboration and continu...
5 days ago
Operations Specialist (Senior Living)
$140K *
Lead operational excellence across Independent Living communities, ensuring continuity during transitions. Drive financial performance, enhance resident satisfaction, and support community teams while...
1 week ago
$80K - $95K *
Join us to drive demand generation initiatives that enhance market engagement, generate qualified leads, and support pipeline growth through integrated marketing campaigns across various channels and...
4 days ago
$85K - $100K *
Manage and optimize vendor relationships to align capabilities with business needs. Play a key role in enhancing vendor performance, mitigating risks, and supporting strategic initiatives to ensure ef...
1 week ago
Field Access Manager- New England South
$117K - $184K *
Drive patient access initiatives by collaborating with healthcare professionals and organizations. Analyze access trends, educate on reimbursement processes, and support patient assistance programs to...
4 days ago
Professional Services Consultant
$95K - $115K *
Engage with clients to transform complex Enterprise Architecture needs into actionable solutions. Manage implementation workstreams, ensuring effective onboarding and training while fostering strong r...
2 weeks ago
$100K - $120K *
Shape the future of project management by leading software implementations, enhancing efficiency, and collaborating with diverse teams. Drive success through strategic planning and effective communica...
2 weeks ago
$80K - $95K *
Shape the future of technical support by resolving complex issues, collaborating with teams, and training staff to enhance customer experiences and optimize services in a dynamic environment...
4 weeks 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.