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 Supply Chain Systems Consultant
$100K - $120K *
Partner with us to optimize supply chain solutions using technical expertise in APIs, data integration, and consulting. Collaborate with clients to design and implement best practices that drive effic...
5 days ago
$129K - $200K *
Shape the future of cyber claims by managing complex policies, collaborating with vendors, and providing expert guidance to policyholders while ensuring exceptional service and support across the clai...
2 weeks ago
Senior Manager ACAS/Commercial Benefits Testing
$82K - $182K *
Elevate quality engineering standards in healthcare by leading defect prevention, automation, and risk-based testing initiatives to enhance claims adjudication and benefit configurations across dynami...
6 days ago
Procurement Category Manager: Information Technology
$100K - $135K *
Architect innovative sourcing strategies for IT procurement, driving value and cost optimization. Collaborate cross-functionally to manage supplier relationships, negotiate contracts, and deliver succ...
3 weeks ago
$90K - $130K *
Drive efficient release coordination and deployment readiness across multiple environments. Ensure adherence to ITIL standards while managing cross-team collaboration, version control, and build docum...
Reposted 3 weeks ago
$100K - $112K *
Pioneer critical advancements in healthcare by conducting thorough business analysis and process improvements for federal IT modernization, directly enhancing Veteran healthcare services and outcomes...
2 weeks ago
$58K - $105K *
Reimagine the client experience by driving revenue growth and retention. Own the customer journey post-contract, developing relationships with key stakeholders, executing account plans, and collaborat...
3 weeks ago
$100K - $120K *
Deliver exceptional project management and oversight, ensuring compliance, client satisfaction, and effective resource allocation across complex contracts and initiatives while guiding diverse teams t...
2 weeks ago
$80K - $95K *
Join a dynamic team to manage client accounts effectively, ensuring project success from inception to delivery. Build strong client relationships, oversee project budgets, and drive organic growth whi...
2 weeks ago
Production Center Manager - Title Operations (Remote)
$85K - $113K *
Manage and enhance daily operations of a global Production Center, driving performance, quality, and engagement through a strategic and hands-on approach, while fostering effective communication and t...
5 days ago
Epic Senior Analyst, Grand Central/Prelude
$90K - $120K *
Join as a Senior Epic Analyst to lead the implementation and optimization of complex applications, support junior staff, and collaborate with stakeholders to enhance functionality and workflow. Make a...
3 weeks ago
Therapy Access Manager - Mid-Atlantic (Baltimore, Washington DC, Virginia Beach)
$150K - $185K *
Champion patient access initiatives by collaborating with healthcare providers and teams to enhance reimbursement processes for specialty therapies, ensuring effective education and support for patien...
3 weeks ago
$77K - $115K *
Lead the charge in driving cloud consulting projects with a diverse team. Manage budgets, plans, and client relationships to deliver innovative solutions for transformation and optimization through be...
Reposted 3 days ago
$77K - $115K *
Lead the charge in cloud consulting projects, ensuring seamless transformation, migration, and optimization in a dynamic remote environment. Collaborate with diverse teams to drive efficiency and deli...
3 days ago
Learning Technology Platform Manager
$70K - $106K *
Take ownership of key learning technology platforms, shaping innovative solutions and leading integrations to enhance enterprise learning systems across the organization while ensuring operational con...
6 days ago
Manager, Account Management - ShareGate
$110K - $130K *
Engage in transforming a high-velocity renewal team into an expansion-driven force. Lead a group of Account Managers to enhance GRR, NRR, and cross-sell initiatives while fostering a culture of accoun...
1 week ago
$100K - $111K *
Lead the charge in supervising Clinical Quality Management staff, ensuring compliance with standards and policies while managing training, audits, and workflow processes to enhance quality of care and...
2 weeks ago
Risk Manager II (US) Unsecured Lending
$115K - $173K *
Empower strategic risk management by overseeing portfolio credit risk and implementing segmentation strategies for retail unsecured lending products, ensuring compliance with regulations while driving...
Reposted 2 days ago
PROJ MGR, Tech I or II Virtual Power Plant
$82K - $140K *
Join a team that oversees large-scale technical projects, ensuring timely completion while managing costs, risks, and regulatory compliance. Collaborate with multiple departments and external agencies...
1 week ago
Manager, Information Systems Applications (Remote)
$100K - $120K *
Deliver effective management of software applications supporting clinical and administrative functions. Coordinate teams, oversee project implementation, and ensure efficient resource allocation while...
Yesterday
Manager, Medicaid Provider Performance
$66K - $145K *
Drive provider-centered initiatives that enhance value-based care, ensuring operational excellence and compliance while fostering relationships that elevate health outcomes in the Medicaid landscape...
3 days ago
Deltek Vantagepoint Implementation Analyst
$90K - $110K *
Join a team that's transforming data integration with your expertise in Deltek Vantagepoint. You'll lead critical data migrations and ensure optimal system performance while maintaining data integrity...
2 days ago
Business Operations Technical Analyst
$61K - $100K *
Shape the future of claims testing by developing strategies that ensure quality assurance for new plans and products. Collaborate across teams to validate requirements and enhance processes that drive...
3 weeks ago
Clinical Account Manager- Northeast Region
$95K - $115K *
Elevate healthcare outcomes by driving the adoption of innovative technology. Collaborate with clinical teams to showcase product efficacy and provide exceptional support across your region, ensuring...
2 weeks ago
Strategic Account Executive, EAM | CMMS - IFS Ultimo
$125K - $150K *
Pioneer enterprise asset management solutions by driving strategic sales in North America. Collaborate with international teams, engage clients, and leverage expertise to forge impactful business rela...
Reposted 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.