Explore Utilization Manager Jobs

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.

What Does a Utilization Manager Do?

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.

Common Skills and Qualifications

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 Manager Career Opportunities

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.

Find Utilization Manager Jobs on Ladders

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.

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$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...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

Reposted 2 weeks ago

  •   8 - 10 years exp.  •   Hospitals & Medical Centers

$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...

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3 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$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...

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1 week ago

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$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...

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Reposted 1 week ago

  •   5 - 7 years exp.  •   Information Technology

$111K - $206K *

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6 days ago

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$93K - $140K *

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1 week ago

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$87K - $161K *

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Illinois, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$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...

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6 days ago

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$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...

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Today

  •   8 - 10 years exp.  •   Staffing

$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...

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3 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$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...

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  •   5 - 7 years exp.  •   Healthcare

$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...

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2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$145K - $220K *

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$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...

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5 days ago

  •   8 - 10 years exp.  •   Business Services

$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...

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1 week ago

  •   5 - 7 years exp.  •   Enterprise Technology

$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...

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5 days ago

  •   Less than 5 years exp.  •   Enterprise Technology

$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...

Amarillo, TXRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

Arlington, TXRemote

1 week ago

  •   5 - 7 years exp.  •   Energy & Utilities

$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...

Louisville, KYRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

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1 week ago

  •   5 - 7 years exp.  •   Manufacturing & Automotive

$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...

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5 days ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$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...

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Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

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1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$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...

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Yesterday

  •   5 - 7 years exp.  •   Healthcare

Frequently Asked Questions (FAQ)

  • What does a Utilization Manager do?question toggle

    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?question toggle

    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?question toggle

    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?question toggle

    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.