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.
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.
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.
Enterprise Applications Manager
$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...
2 days ago
$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...
Today
Manager, Enterprise Applications
$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...
1 week ago
$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...
Reposted 1 week ago
Manager, Provider Dispute Resolution
$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...
3 days ago
Endpoint Management / Patch Operations Administrator
$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...
1 week ago
Clinical Outcomes Manager - Population Health
$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...
Reposted 3 days ago
$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...
Reposted 3 weeks ago
$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...
Reposted 3 weeks ago
Manager, Scheduling Originations Title & Close
$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...
5 days ago
Senior Manager - Program Management
$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...
4 days ago
$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...
3 weeks ago
$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...
3 days ago
$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...
Reposted 5 days ago
Manager HEDIS, Stars, & ACO Data Analytics #0714
$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...
3 weeks ago
$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...
2 days ago
Purchasing Manager, Supplier Management
$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...
1 week ago
$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...
Reposted 3 weeks ago
$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...
3 days ago
System Manager Payer Analytics Economics
$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...
2 weeks ago
Remote Performance Controlling Manager
$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...
1 week ago
Manager, Provider Reimbursement Audit
$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...
Today
REMOTE Utilization Management Pharmacist, Oncology
$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...
6 days ago
$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...
1 week ago
$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...
1 week ago
What is a Utilization Manager?
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?
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?
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.