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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$100K *

Champion the future of public safety by managing 40+ complex SaaS implementations. Drive project success from contract to go-live, ensuring customer satisfaction and effective collaboration across tea...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Information Technology

$80K - $95K *

Help us manage diverse projects that drive strategic growth and collaboration across teams. As a key member of the EPMO, you'll ensure project success through effective stakeholder management and cont...

United StatesRemote

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Manage all facets of a federal travel program, ensuring compliance and efficiency in a high-volume environment. Drive improvements in processes and provide urgent support for travelers, while maintain...

United StatesRemote

6 days ago

  •   8 - 10 years exp.  •   Healthcare

$80K - $95K *

Champion seamless communication by managing VoIP and telephony systems, ensuring optimal performance and user satisfaction. Collaborate across departments to analyze data, enhance workflows, and uphol...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $110K *

Develop and implement quality management processes, driving continuous improvement and operational excellence. Collaborate with teams to enhance training, project management, and system enhancements...

Georgia, USRemote

1 week ago

  •   5 - 7 years exp.  •   Transportation

$95K - $115K *

Manage Epic-related projects to enhance electronic health record systems. Collaborate with cross-functional teams to implement, monitor, and optimize initiatives, ensuring alignment with organizationa...

Austin, TXRemote

Today

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

$111K - $150K *

Transform product strategy and execution by leveraging data insights, leading cross-functional teams, and prioritizing customer needs to drive product success and business growth in a dynamic environm...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $157K *

Lead the charge in managing complex, large-scale programs to drive strategic objectives. Collaborate with cross-functional teams, oversee project execution, and deliver executive-level communications...

RemoteRemote

Today

  •   8 - 10 years exp.  •   Healthcare

$140K - $150K *

Elevate your career by managing our Enterprise platform, driving operational efficiency, and enhancing business processes through innovative technology solutions. Collaborate with stakeholders to gath...

Denver, CORemote

2 weeks ago

  •   Less than 5 years exp.  •   Information Technology

$110K - $130K *

Empower a high-performing technical support team by executing strategic communication plans, mentoring talent, and enhancing service delivery for payroll tax platforms, ensuring quality and customer s...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Information Technology

$89K - $136K *

Partner with us to enhance member health through integrated case management. You'll develop and monitor care plans, conduct assessments, and coordinate with healthcare teams to ensure optimal outcomes...

RemoteRemote

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Manage data center operations, ensuring optimal performance, security, and scalability. Lead teams, optimize resources, and implement strategic initiatives to enhance infrastructure reliability and se...

Ontario, CARemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Enterprise Technology

$150K - $250K *

Unlock potential by leading innovative clinical documentation initiatives that enhance quality, compliance, and revenue cycle outcomes. Collaborate with cross-functional teams to redefine workflows an...

RemoteRemote

5 days ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$110K - $130K *

Empower revenue operations by architecting and optimizing scalable GTM systems. Collaborate with cross-functional teams to translate complex business needs into automated solutions, ensuring seamless...

United StatesRemote

6 days ago

  •   Less than 5 years exp.  •   Information Technology

$80K - $86K *

Lead workforce planning and operations for a 24/7 multi-channel contact center, ensuring effective staffing and service levels while optimizing systems in a dynamic remote environment. Foster collabor...

United StatesRemote

Reposted 4 weeks ago

  •   5 - 7 years exp.  •   Staffing

$105K - $125K *

Lead technology operations for global teams, optimizing systems and support. Collaborate on strategic AI solutions, ensuring compliance and enhancing workflows. Drive efficiency and innovation in a dy...

United StatesRemote

6 days ago

  •   5 - 7 years exp.  •   Information Technology

$100K - $120K *

Join a team that's dedicated to driving sales excellence in cutting-edge automation solutions across diverse industries. Build strong executive relationships, manage a robust pipeline, and exceed your...

Detroit, MIRemote

4 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$110K - $130K *

Drive operational excellence by leading infrastructure and workload automation services. Oversee incident response and service delivery, ensuring high performance and reliability across diverse techno...

Pennsylvania, USRemote

6 days ago

  •   5 - 7 years exp.  •   Information Technology

$170K - $190K *

Elevate business systems by leading NetSuite management and integrations. Collaborate with cross-functional teams to ensure scalable, reliable processes while leveraging AI for development. Mentor a t...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Consumer Technology

$110K - $130K *

Shape the future of business operations by optimizing processes across sales and customer success. Collaborate with cross-functional teams to drive efficiency, enhance tool adoption, and leverage AI f...

New York, NYRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$102K - $130K *

Lead the charge in optimizing patient services through effective team management, strategic collaboration, and continuous improvement initiatives. Drive operational efficiencies while ensuring high-qu...

United StatesRemote

5 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$120K - $187K *

Lead a team in designing and managing virtualization and cloud solutions, ensuring security and efficiency while driving innovation and customer satisfaction across digital workspace platforms...

RemoteRemote

5 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $130K *

Champion growth by leading strategic account management, driving client relationships, and expanding EPE's footprint. Balance hands-on account management with team leadership to ensure consistent prac...

Austin, TXRemote

2 weeks ago

  •   5 - 7 years exp.  •   Energy & Utilities

$100K - $130K *

Lead the charge in enhancing member care as you coach and develop clinical teams, oversee daily operations, and ensure compliance with regulatory standards while driving quality improvements and opera...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$113K - $197K *

Lead the charge in defining product strategy and roadmap, translating business objectives into actionable plans. Collaborate with cross-functional teams to ensure successful implementation and operati...

United StatesRemote

1 week ago

  •   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.