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.
Relationship Manager, Equipment Finance, Environmental Waste
$107K - $179K *
Drive success by managing key business relationships in the Environmental Waste Space, leveraging industry knowledge to identify financing solutions and expand opportunities while ensuring compliance...
3 weeks ago
$110K - $130K *
Transform digital growth strategies by overseeing website, SEO, and campaigns. Drive content distribution, partner marketing, and harness AI for analytics, ensuring effective buyer engagement and meas...
Reposted 2 weeks ago
$133K - $173K *
Unlock potential by leading the commissioning of hyperscale data centers. Manage project lifecycles, coordinate teams, and ensure compliance with client requirements while fostering strong stakeholder...
Yesterday
Senior Business Analyst - Claims module
$85K - $111K *
Advance your career by leading the Claims Domain for MMIS health care projects. Drive analysis, documentation, and quality processes while collaborating with clients and development teams to meet cust...
2 weeks ago
Manager, Network Connectivity & Carrier Strategy
$150K - $200K *
Drive the future of network connectivity by managing site selection, carrier negotiations, and team leadership to ensure robust, efficient data center connections globally. Collaborate with engineerin...
1 week ago
$100K - $110K *
Drive successful project delivery by leading cross-functional teams, managing timelines, budgets, and stakeholder engagement. Ensure alignment with business objectives and quality standards throughout...
1 week ago
Configuration & Release Manager (Senior)
$110K - $130K *
Manage configuration and release processes for software, ensuring accuracy and traceability of components, dependencies, and documentation. Collaborate with cross-functional teams to analyze impacts a...
Yesterday
$100K - $120K *
Lead the charge in managing IT infrastructure and systems while mentoring a dedicated team. Drive cybersecurity initiatives, oversee technology planning, and ensure seamless end-user support to enhanc...
3 weeks ago
Senior Manager, Finance Analytics
$175K - $185K *
Join a team that's redefining finance analytics by leading strategic forecasting and performance management. Drive impactful financial insights and methodologies while collaborating with leadership to...
Yesterday
System Virtual Platforms Manager
$138K - $165K *
Lead the technical direction of a virtual platform team, managing development and integration of hardware models. Collaborate with global teams to enhance simulation accuracy and performance, ensuring...
1 week ago
$110K - $130K *
Unlock your potential by leading technical execution of Electrification Solutions projects. Drive safety, quality, and customer satisfaction while managing resources and risks to ensure project succes...
6 days ago
$57K - $117K *
Pioneer innovative training solutions as a UPK Developer, enhancing the Marine Corps ERP logistics system by creating engaging training materials and simulations. Collaborate with a dedicated team to...
Reposted 1 week ago
Strategic Analytics & Transformation Manager
$135K - $185K *
Transform data into actionable insights by enhancing financial models, optimizing sales performance, and driving operational efficiencies. Collaborate with cross-functional teams to support strategic...
1 week ago
Remote Services Portfolio Program Manager
$167K - $188K *
Unlock potential by leading a complex portfolio of services projects, driving customer value and business outcomes. Collaborate with cross-functional teams to establish priorities, manage dependencies...
4 weeks ago
$143K - $196K *
Empower healthcare through leadership in CDI and Quality solution management, enhancing team performance and customer success. Collaborate with cross-functional teams to deliver value and support prov...
4 weeks ago
Innovation Operations Manager, Account Integrity & Security
$116K - $175K *
Champion high-impact investigations to enhance fraud detection and response. Leverage data analysis and cross-functional collaboration to identify risks, shape strategies, and mentor teams, driving op...
1 week ago
$190K - $249K *
Empower clients by bridging technical solutions with business needs. As a key player, you'll leverage your expertise to foster relationships, drive digital transformation, and collaborate with sales t...
4 days ago
$120K - $145K *
Transform your career by driving VAR growth across North America. Lead partner recruitment, develop strategic plans, and enhance sales execution to achieve sustainable revenue growth in the mid-market...
Today
Senior Manager, Managed Programs
$120K - $145K *
Pioneer cross-functional programs, managing teams to deliver crucial initiatives. Drive alignment across departments, enhance operational excellence, and elevate program delivery practices while track...
Reposted 3 weeks ago
Senior Provider Comp Analyst - Remote
$72K - $130K *
Unlock your potential by driving complex provider compensation projects, providing analytical support, and collaborating with leadership to enhance compensation strategies within a dynamic healthcare...
4 days ago
$124K - $155K *
Champion data-driven insights as you lead a multidisciplinary analytics team, driving client performance and strategic recommendations to enhance business growth and market competitiveness...
Yesterday
Healthcare Claims Payment Policy Managing Consultant
$113K - $188K *
Shape the future of healthcare reimbursement by developing and implementing payment policies that enhance accuracy, compliance, and provider experience in a dynamic payer environment. Collaborate with...
2 weeks ago
$120K - $160K *
Analyze complex data and drive solutions as a Business Analyst in the public sector. Leverage your expertise in pension systems to identify issues and enhance processes, ensuring effective communicati...
Reposted 2 days ago
Advanced Specialist, Project Management
$125K - $135K *
Lead the charge in driving strategic project delivery across multiple squads, ensuring alignment with business priorities and effective communication among stakeholders. Utilize program management exp...
1 week ago
$80K - $95K *
Accelerate your career by driving brand awareness and demand generation through innovative marketing strategies in a dynamic consulting environment. Collaborate with cross-functional teams to enhance...
6 days 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.