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.
$80K - $95K *
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$95K - $115K *
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$125K - $140K *
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$110K - $125K *
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$120K - $145K *
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Senior Manager, Product Data Governance & Lifecycle Management?
$135K - $175K *
Transform product data governance and lifecycle management by leading cross-functional teams, ensuring compliance, and optimizing processes for efficient product development and manufacturing across t...
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$120K - $160K *
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5 days ago
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Join a team that's redefining employee payment solutions. As an Implementation Manager, oversee the deployment of our SaaS product for diverse clients, ensuring successful integrations and fostering s...
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$122K - $203K *
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$46K - $131K *
Join a team that's dedicated to enhancing customer service and operational efficiency. Lead initiatives in finance operations, manage complex reporting, and build strong client relationships while dri...
4 days ago
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$90K - $195K *
Transform the healthcare landscape by leveraging clinical expertise to drive sales of Whole Health Solutions. Collaborate with clients to create value-driven healthcare programs, ensuring optimal outc...
3 weeks ago
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$91K - $163K *
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$140K - $180K *
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$95K - $115K *
Elevate clinical operations by leading daily workflows, managing teams, and spearheading impactful projects. Drive improvement and efficiency in healthcare delivery while fostering collaboration acros...
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Transform patient care by leading regional home dialysis operations. Collaborate with teams to enhance clinical outcomes, foster physician relationships, and drive strategic initiatives. Inspire and m...
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Oncology Registry Manager - Remote - Cancer Center
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Lead strategic initiatives and operational oversight for the Oncology Registry Program, ensuring data integrity and compliance with national standards while collaborating with healthcare professionals...
4 days 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.