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.
$93K - $120K *
Join a dynamic team as you manage clinical data throughout study lifecycles, ensuring compliance and quality. Collaborate with cross-functional teams to drive data strategy and support innovative solu...
2 weeks ago
AVP, Vendor Strategy & Cost Management
$163K - $220K *
Transform vendor strategies and cost management across the organization. Drive financial performance with analytics, lead sourcing events, and collaborate with cross-functional teams to optimize value...
Reposted 2 weeks ago
$100K - $120K *
Engage with clients to foster relationships, manage expectations, and deliver high-quality engineering solutions. Oversee project execution, identify growth opportunities, and ensure client satisfacti...
3 weeks ago
$94K - $118K *
Unlock your potential by managing a comprehensive benefits program, ensuring compliance, and enhancing employee experience. Collaborate with cross-functional teams to streamline operations and support...
1 week ago
$75K - $158K *
Elevate enterprise testing by managing Tricentis Tosca for automated quality assurance. Collaborate with cross-functional teams to enhance testing maturity, ensure platform stability, and support miss...
Reposted 1 week ago
Integrated Program Planner Stf - E4
$111K - $206K *
Join a team that's driving mission success through innovative program planning. Collaborate across functions to develop and maintain schedules, ensuring on-time, in-budget delivery of complex projects...
6 days ago
$93K - $140K *
Lead the charge in managing case management programs, ensuring alignment with industry standards and company goals. Oversee departmental operations, drive innovation, and foster collaboration to enhan...
1 week ago
Supervisor, Care Management (Social Worker)
$87K - $161K *
Transform care management by leading a dedicated team to enhance behavioral health services. Collaborate with community partners to ensure comprehensive, member-centered care while fostering a support...
1 week ago
$130K - $150K *
Join a dynamic team to lead risk management for large-scale construction projects. Drive risk identification, reporting, and mitigation strategies while collaborating with diverse stakeholders to ensu...
6 days ago
Clinical Oversight Manager (COM) - USA
$110K - $130K *
Accelerate progress at the forefront of clinical research by ensuring effective oversight and management of clinical studies. Collaborate with teams to uphold quality standards and drive successful st...
Today
Technical Project Manager, Business Applications
$110K - $120K *
Drive impactful business application initiatives by leading cross-functional projects that enhance efficiency and performance. Collaborate with stakeholders to ensure successful delivery of Microsoft...
3 weeks ago
Senior Compliance Administrator - Clinical, SNP Model of Care, Care Management, Quality, STARs
$87K - $157K *
Drive compliance excellence by executing the Medicare Compliance Advisory program, ensuring adherence to CMS regulations. Collaborate with leadership to provide regulatory guidance, conduct audits, an...
Today
$84K - $131K *
Partner with us to enhance internal audit processes, evaluate risks, and ensure compliance. Collaborate with teams to assess controls, document findings, and support management in implementing effecti...
2 weeks ago
$145K - $220K *
Drive the development and commercialization of innovative digital solutions for federal clients. Lead cross-functional teams, engage with customers, and manage the full product lifecycle from concept...
Today
Salesforce Technical Project Manager
$110K - $130K *
Elevate the delivery of Salesforce programs by leading end-to-end project management, ensuring compliance, and fostering collaboration across teams to enhance federal application modernization efforts...
5 days ago
$120K - $145K *
Transform client engagements by leading cross-functional teams to deliver automation solutions on time and within budget, ensuring alignment with strategic objectives and high-quality standards throug...
1 week ago
$120K - $140K *
Join a team that's driving sales success by engaging clients, managing opportunities, and closing deals. Leverage your expertise to present solutions and collaborate with internal teams to achieve rev...
5 days ago
$76K - $119K *
Champion innovative solutions in feed mill operations by defining and prioritizing software capabilities. Collaborate with cross-functional teams to enhance product performance and customer satisfacti...
1 week ago
$100K - $120K *
Grow your career with a dynamic team focused on strategic pricing and margin expansion. Lead cross-functional initiatives to enhance competitiveness and profitability in the power distribution sector...
1 week ago
Pharmacy Operations Program Manager
$95K - $115K *
Lead the charge in optimizing pharmacy operations by managing client relationships and ensuring operational excellence. Drive performance reviews, compliance, and continuous improvement initiatives to...
Reposted 3 weeks ago
$120K - $145K *
Drive energy management initiatives across multiple manufacturing sites, optimizing procurement, reducing consumption, and evaluating alternative energy solutions. Collaborate with teams to enhance su...
1 week ago
Contract Manager - Network Services
$80K - $95K *
Champion the development and management of healthcare service contracts, collaborating with cross-functional teams to enhance care quality and operational efficiency while ensuring compliance with con...
5 days ago
Senior Customer Success Manager
$70K - $140K *
Unlock potential by managing and enhancing customer relationships through expert engagement and strategic solutions, ensuring satisfaction and driving retention for medium to large commercial accounts...
Reposted 3 weeks ago
Senior Asset Manager, Commercial Servicing
$85K - $110K *
Elevate your career by overseeing commercial real estate assets, ensuring compliance, and providing exceptional customer service. Collaborate with borrowers and investors while mentoring team members...
1 week ago
Manager, Product Management - Provider Contracting, Credentialing & Network
$108K - $180K *
Join us in leading product strategy and execution for a diverse portfolio, enhancing Provider Contracting and Credentialing. Collaborate with cross-functional teams to drive innovation, improve custom...
Yesterday
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.