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.
$130K - $217K *
Champion the growth of RxOwnership by driving successful ownership transfers, consulting on financing, and collaborating with field sales teams to enhance pharmacy ownership strategies in your region...
2 weeks ago
Specialist, Transformation Management Office
$83K - $114K *
Engage in strategic problem-solving initiatives by developing structured outputs, maintaining tracking systems, and aiding in decision-making to foster operational effectiveness across transformation...
2 days ago
$110K - $120K *
Elevate compliance practice by leading client engagements in SOC 2, ISO 27001, and PCI DSS. Create frameworks, mentor teams, and drive service delivery while ensuring a hands-on approach to compliance...
1 week ago
$120K - $160K *
Join us to drive ARR growth, linking AI platforms to business value. Shape enterprise strategies with C-suite executives, leveraging data insights to optimize ROI. Collaborate across teams to deliver...
Reposted yesterday
Administrator III - Epic Database
$90K - $120K *
Lead critical initiatives in database management, ensuring optimal performance and reliability while mentoring team members and enhancing overall system efficiency to support business objectives effec...
2 weeks ago
$130K - $160K *
Transform your career by leading a dynamic engineering team. Drive technical excellence, enhance developer experience, and inspire a culture of collaboration and continuous improvement while deliverin...
3 weeks ago
Supervisor - Data Services -- Remote
$87K - $160K *
Engage with a dynamic Data Services team to oversee data projects, ensuring operational reliability and best practices in data engineering, BI reporting, and governance. Collaborate across IT and busi...
2 weeks ago
Clinical Assessment Manager Oasis Specialist - Home Health - Full Time - Remote
$75K - $95K *
Manage clinical assessments by ensuring OASIS compliance, educating staff, and leading care development efforts. Collaborate with clinicians to promote quality home care services and enhance patient o...
6 days ago
Supervisor, Claims Audit - Accident & Health
$80K - $90K *
Pioneer in claims audit leadership, guiding a team to optimize medical stop loss claims processing, enhancing client satisfaction and ensuring compliance with industry standards while fostering a coll...
2 weeks ago
Senior Director, Performance Management
$128K - $155K *
Elevate your career by leading performance excellence strategies within the life sciences industry. Drive accountability and optimization across multiple accounts while mentoring a high-performing tea...
2 weeks ago
$90K - $120K *
Empower product innovation as you manage a diverse portfolio, drive market growth, and enhance customer experience. Collaborate with cross-functional teams to optimize product offerings and strengthen...
5 days ago
Assistant Director - Asset Management Compensation
$141K - $213K *
Transform global compensation strategies to attract, reward, and retain top talent. Collaborate with leaders to design competitive programs aligned with business goals while supporting a dynamic inter...
3 weeks ago
Staff Program Manager, Incident Management - AV Development
$134K - $245K *
Shape the future of autonomous vehicle safety by leading incident management operations. Drive a high-performing team dedicated to precision, compliance, and continuous improvement in a crucial missio...
Reposted 2 days ago
Staff Program Manager, Incident Management - AV Development
$134K - $245K *
Pioneer incident response excellence in autonomous vehicle development. Lead a team to drive strategic oversight, enhance safety protocols, and ensure compliance across operations while delivering hig...
Reposted 2 days ago
Staff Program Manager, Incident Management - AV Development
$134K - $245K *
Shape the future of autonomous vehicle incident management by leading a team focused on strategic responses, fostering safety culture, and ensuring operational excellence in high-pressure environments...
Reposted 2 days ago
$150K - $200K *
Empower financial strategy and fundraising excellence as a pivotal partner to the CEO, driving the seed round execution and crafting sustainable growth through robust financial planning within a dynam...
4 weeks ago
Cyber Attack Surface Management Manager
$116K - $216K *
Drive the Cyber Attack Surface Management strategy, leading efforts to enhance cybersecurity capabilities, reduce vulnerabilities, and coordinate across IT, security, and business units to align with...
2 weeks ago
Product Technical Ecosystem Manager
$172K - $250K *
Bring your expertise to lead ecosystem enablement, fostering partnerships and delivering integrated solutions for critical infrastructure applications while collaborating with Product Management and E...
Reposted 1 week ago
$90K - $120K *
Optimize your career by leading subrogation strategies, enhancing operational efficiencies, and ensuring recovery outcomes through effective vendor management and collaboration with cross-functional t...
6 days ago
$72K - $192K *
Lead the charge in empowering a high-performing Account Management team, driving client success and retention for large healthcare accounts, while collaborating with cross-functional stakeholders to o...
1 week ago
$132K - $182K *
Drive impactful proposal responses by managing RFPs and collaborating across teams to showcase our cybersecurity capabilities. This role requires strong project management skills and the ability to tr...
1 week ago
Clinical Operations Manager - Peripheral Nerve Stimulation
$100K - $130K *
Lead a national team to drive clinical excellence in PNS Therapy, ensuring optimal patient outcomes and operational efficiency. Collaborate across functions to enhance support and scale the business e...
5 days ago
$80K - $110K *
Join a team that enhances operational excellence by developing billing standards, ensuring compliance, and collaborating across teams to optimize revenue processes while engaging in significant travel...
2 weeks ago
Sr. Manager, Technical Engineering
$123K - $206K *
Join a team that's enhancing healthcare platforms by overseeing production support and systems engineering. Lead L2/L3 support operations, drive incident management, and ensure operational readiness t...
6 days ago
$120K - $170K *
Unlock potential by developing a robust configuration management capability to enhance agility and security across engineering and DevSecOps environments. Collaborate with cross-functional teams to im...
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.