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.
Electrical Manager MV - 100% Travel
$100K - $120K *
Drive excellence by overseeing electrical installations on utility-scale solar projects. Collaborate with teams to ensure quality control, safety, and efficient operations while nurturing strong relat...
Reposted 1 week ago
Manager, Revenue Cycle Analytics
$65K - $116K *
Unlock potential by leading revenue cycle analytics efforts. Collaborate to build robust data solutions and insights that drive performance across business teams, enhancing decision-making for stakeho...
Reposted 3 weeks ago
$110K - $130K *
Drive innovation in AI by designing and deploying enterprise AI solutions that enhance operations across various business functions, ensuring robust performance and scalability while applying best pra...
1 week ago
Production Manager, 1:1 Fan Engagement Marketing
$80K - $95K *
Optimize fan engagement strategies through innovative CRM campaigns, leveraging data insights to enhance audience targeting and drive measurable results across multiple marketing channels in a collabo...
2 weeks ago
Senior Manager, Operational Technology Architecture
$175K - $250K *
Lead the architectural strategy for Operational Technology, ensuring integration with enterprise objectives. Strategically influence technical decisions and guide multi-disciplinary teams in deliverin...
Reposted 6 days ago
$173K - $288K *
Pioneer strategic account growth by developing tailored solutions, enhancing customer relations, and driving revenue through expert account management. Collaborate cross-functionally to fulfill client...
1 week ago
$130K - $135K *
Transform your career by leading complex projects in a dynamic environment, supporting a key government program aimed at enhancing healthcare delivery. Drive high-quality outcomes through strategic pl...
Reposted 1 week ago
DevOps Engineer, Information Technology
$110K - $135K *
Take ownership of robust CI/CD pipelines and Azure infrastructure, ensuring seamless software delivery and security. Drive improvements in developer efficiency and lead the charge in shaping cloud pla...
5 days ago
$98K - $148K *
Elevate your career by leading financial reporting and compliance initiatives, managing a talented accounting team, and driving process improvements to ensure accurate financial operations in a dynami...
1 week ago
Manager of Project Management - Voluntary Benefits
$79K - $126K *
Lead the charge in optimizing project delivery and team performance for Voluntary Benefits. Drive strategic initiatives, foster collaboration, and enhance operational effectiveness through established...
Today
$144K - $245K *
Join a team that leads strategic oversight for Epic clinical applications, driving operational excellence and member-specific support while fostering continuous improvement in service delivery and tea...
3 weeks ago
Infrastructure Delivery Director
$130K - $180K *
Elevate your career by driving practice management and strategic growth within diverse service lines, overseeing enterprise infrastructure delivery, and enhancing client relationships while managing f...
Reposted 3 weeks ago
Bilingual Project Manager, Defined Benefit Software Implementation (remote)
$80K - $110K *
Support project delivery by managing complex software implementation initiatives across teams. Collaborate across functions while enhancing client-facing communications, ensuring adherence to PMO stan...
4 weeks ago
Senior Manager, Risk Adjustment Vendor Management
$67K - $182K *
Lead the charge in optimizing vendor management efforts, ensuring procurement excellence and performance accountability through strategic oversight and collaboration with internal and external partner...
6 days ago
Manager, CRM Applications (Salesforce & HubSpot)
$150K - $165K *
Lead the strategic transformation of the CRM landscape, driving enhancements and operational excellence within Salesforce and HubSpot. Build a high-performing team to foster collaboration and innovati...
1 week ago
Data Management Health IT Informatics Analyst II
$90K - $120K *
Drive data integrity and stakeholder management in clinical informatics projects. Manage requirements, facilitate communication, and ensure compliance with data governance standards to enhance healthc...
3 weeks ago
$94K - $98K *
Lead project management initiatives, managing all phases from planning to completion. Collaborate with clients to achieve strategic objectives through effective resource allocation and risk management...
2 weeks ago
$101K - $126K *
Partner with us to strategically manage pharmacy contracts, ensuring compliance and network efficiency. Lead negotiations, evaluate vendors, and collaborate across departments to enhance pharmacy serv...
Reposted yesterday
Senior Manager, AMS Benefits Operations
$143K - $205K *
Drive operational excellence in AMS benefits and leave programs, leveraging AI tools for efficiency. Lead a team while collaborating across functions to optimize employee experiences and compliance in...
3 days ago
Regional Home Manager (RHM) - Healthcare Operations Manager
$80K - $95K *
Partner with us to enhance patient care as a dynamic Regional Home Manager, overseeing operations in local clinics. Drive clinical outcomes, foster teamwork, and execute strategic plans to succeed in...
Reposted 3 days ago
$80K - $90K *
Join a team that's driving growth as you manage a diverse portfolio of clients. Take charge of renewals and expansion while building strong customer relationships and developing processes that enhance...
Reposted 5 days ago
$95K - $115K *
Empower quality assurance through comprehensive test planning and execution. Collaborate across teams to ensure seamless delivery, leverage AI tools for innovation, and enhance test automation process...
2 weeks ago
$75K - $95K *
Contribute to optimizing project success by managing schedules and resources for large-scale federal programs. This role requires a proactive approach to maintain the Integrated Master Schedule, ensur...
3 weeks ago
$100K - $120K *
Engage and elevate partner relationships to drive revenue growth. Lead the charge in pipeline development, co-selling, and executing go-to-market strategies in a fast-paced, evolving environment that...
Reposted 6 days ago
Senior Compliance Administrator, Medicare Claims & Payment Integrity
$87K - $157K *
Help us enforce Medicare Compliance by guiding regulatory strategies and ensuring effective implementation. Collaborate cross-functionally to track compliance issues, conduct audits, and support risk...
Reposted 3 days 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.