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.
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...
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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...
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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...
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$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
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$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...
5 days ago
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$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
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$130K - $150K *
Lead high-impact, cross-functional initiatives in Marketing Solutions, driving complex programs across multiple teams. Utilize project management expertise to ensure timely delivery, financial rigor...
3 weeks ago
Process Improvement Consultant-Financial Services Facility Construction Program
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Transform business operations by identifying improvement opportunities, optimizing processes, and driving sustainable outcomes. Collaborate with stakeholders to enhance performance and support organiz...
1 week ago
ServiceNow ITOM Business Analyst
$130K - $140K *
Shape the future of IT operations by bridging infrastructure and development teams. Utilize your expertise in ServiceNow ITOM to analyze requirements, streamline processes, and enhance operational eff...
2 weeks ago
$101K - $126K *
Join a dynamic team to lead complex projects, ensuring timely delivery and alignment with strategic goals. Collaborate across departments, manage risks, and mentor others while leveraging best practic...
2 weeks ago
Manager, Engineering, Managed Services – AIX, Unix & Linux
$126K - $177K *
Lead a dynamic Managed Services Engineering Team to enhance customer satisfaction, optimize operations, and drive continuous service improvement while fostering strong relationships with clients and p...
3 weeks ago
Sr. Manager, Enterprise Customer Success - Select
$125K - $169K *
Transform customer outcomes by leading a high-performing team dedicated to leveraging Samsara's solutions. Drive strategic growth while ensuring enterprise clients realize sustained value from their i...
Reposted 5 days ago
Senior Business Analyst (Billing)
$64K - $147K *
Shape the future of business analysis by documenting requirements, collaborating with stakeholders, and delivering innovative solutions. Drive project success through effective communication and manag...
3 weeks ago
$108K *
Transform organizational efficiency by conducting studies, designing systems, and preparing manuals. Collaborate with senior staff to enhance operations and provide technical guidance to junior analys...
Today
Clinical Manager - Virtual Behavioural Medicine (VBM) and Inpatient Behavioural Neurology Unit (4W)
$122K - $153K *
Transform patient care by leading innovative programs in Virtual Behavioural Medicine and Inpatient Behavioural Neurology. Drive operational excellence and quality improvement while supporting a dedic...
5 days ago
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$139K - $151K *
Lead Finance analytics engineering and automation, transforming requirements into scalable data solutions. Collaborate with cross-functional teams to enhance data usability, reliability, and decision...
2 weeks ago
$110K - $130K *
Lead the IT workstream in executing complex business separations and transformations, managing cross-functional teams, and coordinating critical activities to ensure successful outcomes in a dynamic e...
4 weeks ago
$83K - $125K *
Drive the operational health of mission-critical Appian environments, ensuring reliability and performance. Collaborate with cross-functional teams to manage configurations, deployments, and incident...
5 days ago
$80K - $95K *
Join a dynamic team driving Operational Excellence by transforming data into actionable insights that enhance decision-making, track financial benefits, and foster collaboration across business units...
Reposted yesterday
$110K - $130K *
Champion transformative IT projects by leading integrations during business separations, ensuring smooth transitions, and managing complex dependencies in fast-paced environments...
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.