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.
$90K - $120K *
Lead the execution of the Sales Commission process, ensuring accuracy and efficiency while managing cross-departmental collaborations and driving sales performance through effective incentive plans an...
Reposted 1 week ago
$105K - $115K *
Join a team that's shaping the future of identity management! Drive complex, interdependent projects, optimize access processes, and enhance security measures while collaborating across departments to...
Yesterday
Manager, Data Program Management
$109K - $150K *
Unlock potential by leading the Data Program Management team to drive delivery for an enterprise Data & Analytics portfolio. Ensure effective execution and collaboration across complex initiatives in...
4 weeks ago
Account Manager, Institutional
$80K - $120K *
Champion client relationships by managing onboarding, overseeing user adoption, and driving engagement. Collaborate with internal teams to enhance service delivery and client satisfaction, ensuring su...
3 weeks ago
Mgr Financial Clearance - REMOTE
$65K - $117K *
Champion effective patient access services by overseeing financial clearance operations, enhancing team productivity, and ensuring compliance with healthcare regulations. Grow your career as you lead...
1 week ago
Claims System Technical Project Manager III
$121K - $217K *
Lead the charge in managing complex projects and teams to deliver impactful business results. Foster collaboration, mitigate risks, and ensure timely project completion while serving as a key liaison...
1 week ago
$75K - $95K *
Lead the charge in enhancing revenue cycle operations by managing a diverse Follow Up team, fostering relationships, and implementing effective process improvements across multiple specialties for opt...
Yesterday
$80K - $110K *
Take ownership of billing operations, driving efficiency and accuracy across subscription and usage-based revenue processes. Collaborate with teams to streamline workflows, manage exceptions, and lead...
2 weeks ago
Manager, Payments Program Governance
$120K - $130K *
Empower governance in payment operations by shaping policies, mitigating risks, and collaborating cross-functionally to enhance member experience while ensuring compliance and operational excellence i...
3 weeks ago
$125K - $230K *
Champion the successful implementation of UKG software in healthcare settings, ensuring project alignment, budget management, and compliance. Lead cross-functional teams to deliver exceptional service...
2 weeks ago
$90K - $130K *
Optimize data management operations across multiple projects, ensuring quality and timely delivery while serving as the main point of contact for sponsors and internal teams. Drive efficiency and adhe...
Reposted 1 week 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...
1 week ago
Manager of Inpatient Coding Auditing & Education
$90K - $120K *
Champion comprehensive inpatient coding audits and education initiatives, ensuring compliance and performance improvement within a dynamic healthcare environment, with leadership responsibility for a...
2 weeks ago
$70K - $95K *
Join us to lead and inspire teams in a dynamic contact center environment, focusing on performance, culture, and client satisfaction while implementing strategic initiatives for continuous improvement...
4 weeks ago
$93K - $121K *
Unlock potential by driving customer success in a collaborative role. Engage with key decision-makers to promote product adoption, measure outcomes, and identify growth opportunities, ensuring clients...
3 weeks ago
Manager, Implementation Project Management - TPA
$90K - $105K *
Empower implementation excellence by leading a skilled team in overseeing complex client projects, ensuring seamless transitions and high-quality delivery in health plan administration. Drive impactfu...
3 days ago
Utilization Management Nurse, Lead (Inpatient | Remote | Must have California LVN / RN License)
$85K - $128K *
Innovate within the healthcare industry by leading a team of Utilization Management Nurses. Ensure the timely review of inpatient requests and enhance quality outcomes through effective collaboration...
2 weeks ago
Clinical Manager, Care Management Services (Remote)
$85K - $110K *
Champion comprehensive care management services to optimize patient outcomes, lead a multidisciplinary team, and ensure regulatory compliance within integrated behavioral and medical care settings for...
Reposted today
$100K - $140K *
Transform pharmaceutical distribution by leading technical and strategic WMS architecture efforts. Drive compliance and operational excellence across multi-client environments while managing onshore a...
4 weeks ago
Program Performance Management Specialist (PPM/EVM)
$95K - $100K *
Join us to deliver critical cost and schedule analysis for programs up to $10M, ensuring optimal performance and effective decision-making within a collaborative global team dedicated to excellence...
1 week ago
$70K - $95K *
Support clients by fostering relationships and resolving challenges to ensure satisfaction. Leverage problem-solving skills to optimize service delivery and drive revenue growth while effectively mana...
3 weeks ago
Program Management Administrator
$125K - $150K *
Help us coordinate and enhance administrative operations for a 200-person contractor team. Drive efficiency and support diverse tasks such as payroll, data management, and procurement, ensuring stream...
2 weeks ago
$110K - $145K *
Join a team that's leading organizational change initiatives, implementing strategies for effective transition, and ensuring alignment with company goals while fostering collaboration across all level...
3 weeks ago
$90K - $120K *
Lead and mentor the Client Solutions team to deliver exceptional service, manage strategies, and foster a culture of continuous improvement while analyzing client needs and enhancing processes to exce...
3 weeks ago
$80K - $100K *
Optimize client solutions by leading a team to deliver exceptional service and strategy. Drive process improvement, track performance, and foster a culture of continuous development and collaboration...
3 weeks 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.