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.
Senior Marketing Analyst, Ancillary Insurance Benefits
$100K - $120K *
Bring your expertise to a dynamic marketing team, driving RFP excellence and leveraging ancillary product knowledge. Collaborate with cross-functional partners while enhancing client relationships and...
4 days ago
Manager, Enterprise Applications (Remote)
$123K - $169K *
Join our team to lead the ServiceNow platform strategy, overseeing governance and enhancing digital workflows across the enterprise. Collaborate with stakeholders while managing a skilled team to opti...
3 weeks ago
Manager, Financial Planning & Analysis
$92K - $159K *
Champion financial excellence by leading forecasting and budgeting within FP&A, empowering teams to make insightful decisions that drive growth. Collaborate across functions, enhance automation with A...
2 weeks ago
$110K - $125K *
Drive impactful underwriting decisions for self-funded health plans by evaluating risk and pricing stop loss coverage. Collaborate across teams to ensure profitability and compliance while mentoring f...
2 weeks ago
Senior Solutions Consultant - Healthcare
$149K - $249K *
Champion innovative solutions in the healthcare sector, driving Omnissa product adoption and providing technical expertise while engaging with key decision makers and supporting pre-sales initiatives...
Today
$72K - $111K *
Manage and optimize web services across overseas locations, ensuring robust IT support for enterprise applications. Drive operational excellence and security compliance while coordinating with governm...
1 week ago
$75K - $95K *
Drive success by managing all aspects of data management projects, ensuring high-quality operations and compliance while mentoring data managers. Join us to lead strategic initiatives that enhance dat...
3 weeks ago
Client Success Manager (Medical Coding)
$100K - $120K *
Drive success through strategic client management, optimizing coding operations and enhancing revenue cycle performance. Engage with stakeholders while ensuring compliance with intricate coding regula...
Reposted 1 week ago
Technical Program Communications Coordinator
$75K - $95K *
Drive effective communication and problem-solving for USPS, utilizing data analysis tools and collaborating with stakeholders to enhance customer service and policy understanding while managing sensit...
2 weeks ago
Functional and Process Improvement Lead, VHA Specialty Care Support
$90K - $120K *
Champion improvements in operational efficiency for a key Veterans Health initiative. Drive functional assessments and streamline specialty care processes through collaboration and best practices, ens...
3 weeks ago
$87K - $119K *
Develop and execute project material plans, ensuring timely availability and enhancing efficiency across supply chain operations while collaborating with stakeholders for success...
2 weeks ago
Manager, Post Transplant Health
$78K - $119K *
Elevate operational efficiency by driving innovative solutions and managing cross-functional teams. This role requires collaboration to enhance processes, ensuring alignment with organizational goals...
3 weeks ago
Director, Operational Reporting & Performance Analytics
$120K - $145K *
Drive operational excellence by centralizing reporting frameworks and analytics, overseeing performance management and quality initiatives across departments to enhance strategic decision-making and c...
2 days ago
$118K - $219K *
Manage and enhance tax compliance and reporting for US operations. Utilize expertise in international taxation and ASC 740 to support audits and lead process improvements, collaborating across teams t...
Reposted 1 week ago
$125K - $150K *
Shape the future of data management by leading clinical data initiatives, ensuring high-quality standards across trials, optimizing processes, and mentoring team members. Collaborate with cross-functi...
1 week ago
$113K - $142K *
Unlock potential by designing and building robust full-stack solutions, ensuring platform reliability and scalability. Collaborate within a talented team to tackle complex problems that affect enterpr...
Reposted 4 weeks ago
Manager, Document Control and Training
$130K - $140K *
Lead the comprehensive management of document control and training processes, ensuring compliance, effective training, and continuous improvement across cross-functional teams in a fast-paced environm...
3 weeks ago
Configuration Management Manager
$135K - $175K *
Lead the charge in Configuration Management, guiding teams through product realization while ensuring compliance and integrity throughout the hardware and software lifecycle across multiple projects...
4 days ago
Account Manager - Interconnect Data Center
$124K - $151K *
Lead the charge in driving EBO growth by identifying customer needs, enhancing partner solutions, and solidifying relationships, all while serving as a technical and sales advisor in the innovative op...
2 weeks ago
$98K - $163K *
Unlock potential by analyzing business processes and collaborating with stakeholders to define requirements. Support solution design and implementation, ensuring technology aligns with operational goa...
Yesterday
$130K - $150K *
Lead the charge in managing end-to-end AI project lifecycles, collaborating with cross-functional teams to deliver innovative data solutions for federal clients while ensuring alignment on goals and o...
Reposted 1 week ago
$89K - $151K *
Shape the future of service operations by leading a cutting-edge IT service desk, driving performance and innovation to enhance customer satisfaction and streamline support in a fast-paced federal env...
2 weeks ago
$128K - $135K *
Drive successful enterprise-wide programs through strategic planning, execution, and effective stakeholder collaboration. As a key contributor, ensure timely and quality delivery while engaging with C...
2 weeks ago
$100K - $120K *
Champion operational improvement and strategic insights for HUD executives. Leverage your analytical expertise to address complex challenges, enhance efficiency, and drive organizational transformatio...
1 week ago
$110K - $130K *
Champion the Security Operations team's effectiveness by managing 24/7 MDR activities, enhancing analyst capabilities, and driving incident response quality. Help shape best practices in threat detect...
1 week 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.