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.
$95K - $115K *
Partner with us to lead construction projects from inception to completion, ensuring delivery on time and within budget while adhering to safety regulations and quality standards across diverse geogra...
3 days ago
$100K - $120K *
Champion complex projects by leading cross-functional teams, ensuring timely, budget-compliant delivery, and effective communication with stakeholders while mentoring junior team members for successfu...
Reposted 1 week ago
Federal Account Executive Civilian Health Care
$280K - $380K *
Shape the future of healthcare technology by driving revenue growth in US civilian agencies. Act as a trusted advisor to C-level stakeholders, ensuring customer satisfaction while managing complex acc...
3 weeks ago
$105K - $110K *
Join a team that's focused on managing and optimizing Salesforce systems to enhance sales processes. Collaborate across departments to maintain data integrity, support user needs, and implement soluti...
Today
$97K - $141K *
Drive excellence in inpatient and outpatient coding by overseeing practices, maintaining guidelines, and ensuring compliance with regulations while leading a team dedicated to accuracy and reimburseme...
3 weeks ago
$90K - $110K *
Take ownership of the finance operations, driving strategic analysis and improving efficiency. Collaborate with leadership to create dynamic budgets and reports that empower decision-making across the...
1 week ago
$80K - $95K *
Elevate your career by managing e-discovery projects, collaborating with attorneys, and ensuring quality deliverables. Utilize your expertise to drive project success while overseeing multiple, comple...
4 days ago
$157K - $182K *
Drive cutting-edge fraud prevention strategies by leveraging advanced analytics, managing a team of analysts, and collaborating cross-functionally. Shape innovative solutions to engage data insights t...
5 days ago
Remote-Manager, Case Management SNP (California RN License Required)
$113K - $169K *
Shape the future of Medicare Advantage care management by leading a dedicated team focused on improving outcomes for members with complex needs. Drive quality and compliance while enhancing integrated...
Reposted 1 week ago
Aspect Performance Mgmt (APM) Project Manager
$66K - $145K *
Unlock potential by delivering actionable insights and reliable performance reporting for the contact center. Collaborate with teams to enhance data quality, optimize dashboards, and ensure accurate m...
4 days ago
$88K - $105K *
Champion compliance by overseeing Medicare and Medicaid cost reports, guiding hospitals in payment regulations, and ensuring accurate reimbursements while optimizing financial processes and compliance...
2 weeks ago
$90K - $110K *
Empower critical decision-making in IT by gathering and documenting requirements for a federal and DoD-aligned mission. Collaborate with diverse teams to produce user stories, API documentation, and r...
Reposted 2 weeks ago
$80K - $95K *
Champion exceptional service as you resolve complex partner escalations, optimize key workflows, and drive improvements in a fast-paced environment. Collaborate across teams to enhance partner experie...
5 days ago
$81K - $95K *
Transform model management by driving process improvements, enhancing cross-vertical collaboration, and ensuring clarity in model development and deployment. Own operational documentation and project...
1 week ago
$95K - $120K *
Lead the charge in managing multifamily loan transactions from application to post-closing. Collaborate with partners to ensure compliance and timely completion while maintaining high attention to det...
2 weeks ago
$100K - $112K *
Oversee and execute MMRP and environmental remediation projects, ensuring compliance with regulations and client goals while managing budget, schedule, and resources effectively...
4 days ago
$71K - $107K *
Manage day-to-day operations of animal husbandry facilities, leading a team of over 45 staff in delivering high standards of animal care for biomedical research. Oversee space and resource allocation...
4 days ago
$70K - $95K *
Manage financial tracking and reporting for federal programs, ensuring alignment with PMO standards. Collaborate with cross-functional teams to assess risks, analyze variances, and develop financial m...
Reposted 3 weeks ago
DT/EA Application Support Analyst (Tier II)
$80K - $95K *
Lead the charge in modernizing legacy application operations, ensuring reliability and efficiency across a hybrid VPC infrastructure. Manage user access, support deployments, and collaborate on critic...
1 week ago
$102K - $170K *
Empower organizations by implementing AI strategies, enhancing operational efficiency through responsible AI practices, and collaborating with stakeholders to deliver scalable solutions that drive dig...
1 week ago
Category Manager Strategic Sourcing - Purchased Services - Remote
$110K - $130K *
Unlock strategic potential by leading collaborative initiatives, guiding teams, and optimizing operations to achieve financial and performance goals while ensuring compliance and operational excellenc...
1 week ago
Remote Regional Healthcare Senior Finance Manager - TxO DFW West Region
$110K - $130K *
Lead the charge in financial performance enhancement by partnering with senior leadership to deliver data-driven insights and support strategic initiatives across a multi-site healthcare environment w...
2 weeks ago
$81K - $137K *
Lead the full lifecycle management of IT assets for federal contracts, ensuring compliance and accuracy in reporting, inventory execution, and asset coordination with vendors. Collaborate with teams t...
2 weeks ago
Remote Regional Healthcare Senior Finance Manager - TxO San Antonio Region
$110K - $130K *
Advance financial strategy by collaborating with leadership to enhance healthcare performance. This role requires solid analytical skills and fosters partnerships across practices, driving growth and...
2 weeks ago
$90K - $120K *
Shape the future of patient engagement by leading implementation projects. Drive success through strategic collaboration and project execution, ensuring high-quality service delivery and customer sati...
Reposted 3 weeks 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.