Welcome to Utilization Manager Job Opportunities at Ladders

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.

Why Choose a Career as a Utilization Manager?

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.

Qualifications for Utilization Manager Jobs

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.

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$130K - $180K *

Join our Revenue Operations team to lead strategic integration projects between Salesforce and enterprise applications, enhancing operational efficiency and driving revenue growth in a dynamic environ...

US-AnywhereRemote

2 days ago

  •   Less than 5 years exp.  •   Enterprise Technology

$80K - $95K *

Join a team that's redefining project management in content solutions. Elevate client efficiency while driving innovative strategies. Collaborate with stakeholders to oversee complex ECM projects and...

US-AnywhereRemote

Today

  •   Less than 5 years exp.  •   Enterprise Technology

$125K - $150K *

Elevate enterprise application management by leading the administration of Workday, Salesforce, Freshworks, and more, driving platform initiatives, optimizing integration, and enhancing stakeholder re...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Enterprise Technology

$100K *

Drive excellence in accounts payable operations by managing a team, ensuring policy compliance, and enhancing process efficiencies while fostering vendor relationships and overseeing payment accuracy...

US-AnywhereRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$100K - $120K *

Shape the future of operational excellence by leading provider dispute resolution, optimizing processes, and fostering high-performing teams to enhance customer experiences and drive continuous improv...

US-AnywhereRemote

3 days ago

  •   8 - 10 years exp.  •   Healthcare

$95K - $115K *

Join a dynamic team supporting global IT services by overseeing patch management operations, ensuring secure asset maintenance, compliance, and leveraging automation tools for efficient environment ma...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Information Technology

$80K - $95K *

Partner with us to enhance clinical integration by supporting care teams and providers in adopting evidence-based practices that drive quality improvements in a value-based healthcare model, ensuring...

US-AnywhereRemote

Reposted 3 days ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $130K *

Lead the charge in optimizing enterprise CMS operations, ensuring stability, security, and performance while managing enhancements and compliance in a large-scale federal DoD environment for impactful...

US-AnywhereRemote

Reposted 3 weeks ago

  •   8 - 10 years exp.  •   Education, Government & Non-Profit

$80K - $110K *

Unlock potential by facilitating seamless customer experiences through project management and relationship building. Drive adoption and satisfaction, ensuring successful implementations and long-term...

US-AnywhereRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Grow with us to lead a dynamic team in the mortgage industry, driving operational excellence and enhancing client satisfaction through innovative solutions and effective leadership. Empower our staff...

US-AnywhereRemote

5 days ago

  •   Less than 5 years exp.  •   Real Estate & Construction

$110K - $130K *

Pioneer strategic program management by mentoring teams, overseeing project execution, and driving excellence in client relations. Ensure operational efficiency while managing complex programs within...

US-AnywhereRemote

4 days ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$135K - $156K *

Empower teams to excel by managing technical operations and fostering client relationships while driving growth and ensuring operational excellence in high-stakes environments...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Technical Services

$90K *

Join a team that drives sales growth by providing tailored solutions to SMB and Strategic customers. You'll leverage industry expertise and customer relationships to identify opportunities and enhance...

US-AnywhereRemote

3 days ago

  •   Less than 5 years exp.  •   Consumer Technology

$76K - $114K *

Lead the operational coding functions in healthcare settings, ensuring compliance and training staff. Drive strategic goals while supporting a culture of innovation and excellence in revenue cycle man...

US-AnywhereRemote

Reposted 5 days ago

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

$90K - $120K *

Lead the charge in HEDIS, Medicare Stars, and ACO analytics, ensuring data integrity, compliance, and performance improvement across diverse teams, while driving quality metrics impacting financial an...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $110K *

Lead the development and governance of a proposal content management system, enhancing proposal quality, efficiency, and compliance while supporting business growth across integrated correctional tech...

US-AnywhereRemote

2 days ago

  •   8 - 10 years exp.  •   Business Services

$103K - $134K *

Manage supplier onboarding and procurement data integrity. Champion supplier registration and portal adoption within the Oracle Procure-to-Pay ecosystem, ensuring streamlined operations and data gover...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $95K *

Engage in superior account management by supporting corporate trust clients with timely responses and accurate transaction processing while fostering a collaborative team culture focused on delivering...

US-AnywhereRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$100K - $120K *

Engage in a dynamic leadership role overseeing a team dedicated to proactive network service assurance. Collaborate across functions to ensure superior service for Enterprise and Wholesale customer ac...

US-AnywhereRemote

3 days ago

  •   8 - 10 years exp.  •   Telecommunications & Hardware

$110K - $130K *

Oversee strategic payer relations and contracting, driving optimal financial outcomes. Manage a team focused on negotiating, implementing, and assessing contracts with health plans to enhance organiza...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$111K - $150K *

Engage your expertise to drive budgeting, forecasting, and performance analytics. Collaborate with senior leadership and partners in a dynamic role that shapes financial processes and promotes a digit...

US-AnywhereRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$87K - $157K *

Lead the charge in Medicare and Marketplace audit oversight, guiding a team through planning, execution, and compliance reporting while driving operational improvements for enhanced quality and effect...

US-AnywhereRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$144K - $170K *

Empower oncology care by leveraging your pharmacy expertise to enhance utilization management processes. Collaborate with diverse teams to optimize therapy selection, streamline workflows, and support...

US-AnywhereRemote

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$133K - $184K *

Join us to establish and lead the Internal Audit program, executing risk-based audits, evaluating governance and controls while partnering with key stakeholders to enhance oversight and contribute to...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $150K *

Unlock potential by leading complex, high-impact programs that drive AI initiatives and operational excellence across cross-functional teams. Deliver strategic engagements while enhancing processes fo...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

Frequently Asked Questions (FAQ)

  • What is a Utilization Manager?question toggle

    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?question toggle

    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?question toggle

    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.