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.
Salesforce Developer Administrator
$80K - $110K *
Manage and optimize Salesforce Education Cloud to support strategic business needs. Collaborate cross-functionally to enhance student and partnership relationships, while ensuring effective system adm...
2 weeks ago
Lead, Patient Services - Healthcare Technical Operations for Salesforce Workflows
$99K - $118K *
Lead patient support operations, ensuring excellence in workflows, training, and technology implementation. Collaborate with teams to drive data insights and enhance patient access while promoting a c...
3 weeks ago
Sr. Director, Plan Configuration & Documentation
$150K - $165K *
Join a team that's driving health plan configuration and solution design, leading cross-functional execution in TPA. This senior leadership role guides strategic operations, ensuring excellence and in...
Today
Remote Regional Finance Director - Dallas, Tx
$120K - $150K *
Join a team that's driving financial strategy in a complex healthcare landscape. You'll partner with leadership, oversee financial operations, and lead a team to enhance performance and ensure strateg...
1 week ago
Senior Manager, Business Analysis & Consulting (Medicare)
$75K - $182K *
Empower high-value care by leading analytics and reporting strategies for Medicare patients. Collaborate cross-functionally to enhance care delivery and drive performance outcomes through data-driven...
Reposted yesterday
$94K - $142K *
Drive operational excellence by leading global RFx triage and automation initiatives. Partner with cross-functional teams to innovate processes, enhance compliance, and support business growth in a dy...
1 week ago
$75K - $125K *
Shape audit strategies and lead complex projects, ensuring compliance and effectiveness with a focus on enterprise-level impact while managing diverse audit initiatives and collaborating across functi...
Today
Director BD Excellence Innovation
$169K - $305K *
Transform innovation execution by partnering with R&D teams, driving continuous improvement, and implementing best practices across product development to enhance quality, efficiency, and cost-effecti...
2 weeks ago
$123K - $234K *
Architect innovative Salesforce solutions, driving client success through technical excellence, quality assurance, and collaborative strategies, while leveraging advanced cloud technologies for optima...
4 days ago
$70K - $95K *
Deliver exceptional account management by ensuring client satisfaction, driving revenue growth, and fostering effective utilization of our SaaS products within a defined region. Collaborate with teams...
Today
(Remote)Project Scheduler - OpenPlan
$72K - $87K *
Transform project scheduling through analytical oversight and integration. Collaborate with engineers and management to ensure detailed planning, financial analysis, and effective risk management for...
1 week ago
$70K - $120K *
Lead the charge in ensuring compliance and operational excellence in mortuary services. Oversee daily operations, manage client requirements, and foster a culture of dignity and professionalism across...
6 days ago
$80K - $120K *
Unlock potential for clients by leading them through complex sales cycles. Collaborate closely with internal teams to identify challenges and deploy tailored solutions, driving growth and impact in th...
Reposted 2 weeks ago
$96K - $120K *
Join a dynamic team that prioritizes product thinking and user empathy. Drive insights and data-driven decision-making to ensure development teams focus on impactful outcomes and user-friendly experie...
4 weeks ago
Senior Manager, Data Engineering
$140K - $155K *
Join a dynamic team to lead enterprise data technologies, ensuring robust and scalable data solutions. Manage a team and drive standardization across platforms while optimizing performance and alignin...
2 days ago
$94K - $138K *
Optimize financial operations by leveraging your leadership to drive excellence, enhance reporting, and ensure compliance within a collaborative and dynamic environment, where your expertise will open...
2 weeks ago
$78K - $131K *
Champion the development and deployment of cutting-edge O&M technologies for global Wind Services, focusing on automation and process improvements to enhance safety, quality, delivery, and cost effici...
1 week ago
Program Director, Tax Credit Compliance
$200K - $250K *
Lead the charge in scaling Tax Credit Compliance services by translating complex IRS guidance into market-leading methodologies, overseeing project delivery, and driving AI-enabled compliance solution...
3 weeks ago
$78K - $131K *
Lead the deployment of innovative technologies in Wind Services, focusing on robotics and automation. Collaborate globally to enhance safety, quality, and cost through strategic operational improvemen...
Reposted 1 week ago
Principal Compensation Analyst
$145K - $182K *
Join a team that's transforming compensation strategies by delivering expert analysis and innovative solutions in executive pay, incentive design, and broad-based compensation to drive organizational...
Today
Applications Manager Workday, IS Administration, Days, Baptist Health Medical Center
$90K - $120K *
Join a team that's dedicated to enhancing enterprise performance through strategic oversight of Workday and UKG applications. Drive initiatives to ensure efficient workflows and quality outcomes acros...
3 weeks ago
$75K - $100K *
Transform customer success by nurturing relationships and ensuring seamless journeys for 30+ clients. Drive engagement through personalized strategies, resolve challenges proactively, and elevate over...
2 weeks ago
$83K - $100K *
Join a team that's innovating digital marketing strategies to enhance public sector solutions. Leverage your expertise in SEO, PPC, and social media to drive impactful campaigns that elevate brand mes...
2 weeks ago
Principal, Payer & Risk Bearer Strategy and Stakeholder Intelligence
$189K - $316K *
Drive strategic initiatives that enhance healthcare value for payers and risk bearers. Engage with market dynamics, lead complex analyses, and influence senior decision-makers to identify growth oppor...
1 week ago
Senior Manager, Sales Investigations
$107K - $199K *
Lead the charge in building a high-performing Sales Investigations Team, guiding investigations into Medicare Advantage misconduct while ensuring compliance and operational excellence across the organ...
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.