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.
$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...
2 weeks ago
$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...
4 days ago
$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...
6 days ago
Unified Communications Analyst
$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...
2 weeks ago
$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...
1 week ago
$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...
Today
$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...
3 weeks ago
$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...
Today
$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...
2 weeks ago
$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...
1 week ago
$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...
5 days ago
$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...
Reposted 1 week ago
AVP Clinical Documentation (Orchestration Works)
$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...
5 days ago
$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...
6 days ago
$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...
Reposted 4 weeks ago
$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...
6 days ago
$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...
4 weeks ago
Service Delivery Manager - Infrastructure Operations, Workload Automation & Incident Response?
$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...
6 days ago
$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...
2 weeks ago
$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...
6 days ago
Manager, Patient Services - Client Program Mgmt, Patient Access
$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...
5 days ago
Manager, Virtualization & Digital Workspace Platforms
$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...
5 days ago
$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...
2 weeks ago
Lead RN, Utilization Management
$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...
1 week ago
Product Manager - Vendor Oversight
$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...
1 week 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.