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 *
Grow your career with a dynamic role focused on building relationships, enhancing customer experiences, and driving sales growth in the medical products sector. Leverage your expertise to meet unique...
6 days ago
$100K - $120K *
Lead the charge in managing payor negotiation analytics, ensuring compliance and profitability through detailed analysis, tracking, and collaboration with internal teams to optimize contract performan...
2 weeks ago
$105K - $132K *
Join a team that's transforming service operations for utility-scale energy storage systems. Oversee inventory, warranty processes, and warehouse logistics to ensure customer satisfaction and operatio...
3 weeks ago
Principal Product Manager (Technology)
$115K - $183K *
Transform your career by leading product strategy and execution for digital transformation platforms. Collaborate with cross-functional teams to identify key challenges, drive impactful solutions, and...
3 weeks ago
$110K - $130K *
Transform the future of hygienic sensors by leading product strategy, collaborating with engineering, and driving market success. Engage with customers and stakeholders to ensure product alignment wit...
6 days ago
Associate Manager, Clinical Claims
$109K - $136K *
Drive accurate, evidence-based clinical claims while collaborating with Marketing, Legal, and Clinical teams. Build and manage the claims framework and evidence library to support bold, compliant mark...
2 weeks ago
$90K - $125K *
Advance underwriting excellence by evaluating and pricing risk for self-funded health plans. Collaborate with cross-functional teams to ensure profitability and competitive positioning while mentoring...
4 days ago
$80K - $95K *
Optimize healthcare operations by analyzing equipment utilization, reducing unnecessary rentals, and driving impactful process improvements through data-driven insights and strong partnerships with cl...
2 weeks ago
Global Benefits and Mobility Partner
$77K - $117K *
Shape the future of global mobility and immigration by partnering with employees and leaders to streamline processes, ensuring compliance and an equitable experience throughout the employee lifecycle...
Reposted 3 weeks ago
Customer Success Manager, Enterprise - Central
$125K *
Transform customer experiences as a key advocate and technical partner, driving onboarding, adoption, and success for Enterprise clients while collaborating across teams to ensure optimal outcomes and...
5 days ago
Manager, Efficacy and Insights
$100K - $120K *
Champion strategic research initiatives to enhance product efficacy and student success. Collaborate cross-functionally to drive impactful studies, mentor a growing team, and translate findings into a...
2 weeks ago
Product Manager - Acxiom Global Capabilities
$110K - $130K *
Unlock potential by driving product strategy and execution for data and identity solutions. Collaborate across teams to deliver impactful products, ensuring alignment with business goals and customer...
1 week ago
Manager, STD & Absence Management Claims - Remote
$72K - $121K *
Lead and develop a high-performing team in managing short-term disability and absence claims. Drive operational excellence through analytics, coaching, and collaboration, ensuring compliance and excep...
1 week ago
$88K - $105K *
Join a dynamic team to oversee the implementation of technology programs, ensuring alignment with client needs and regulatory requirements. Collaborate with cross-functional teams to manage documentat...
1 week ago
$140K - $170K *
Elevate your career by managing a dynamic Palliative Care Program, providing clinical expertise, and leading a dedicated team. Drive process improvements and ensure high-quality patient care while fos...
2 weeks ago
Director, Technical Program Management
$209K - $239K *
Drive complex technical initiatives and lead multi-year integration strategies to enhance platform capabilities, ensuring alignment with business objectives and fostering a culture of excellence in Te...
3 weeks ago
$68K - $94K *
Manage client relationships and contracts, ensuring alignment with technical standards. Foster cross-departmental collaboration and oversee service delivery, driving customer satisfaction and retentio...
4 weeks ago
$71K - $103K *
Join our team to enhance healthcare operations by managing benefit configurations, ensuring accuracy in prior authorizations and process improvements while collaborating across departments to optimize...
Reposted 6 days ago
$171K - $202K *
Drive the creation and oversight of a risk framework that balances growth with security. Partner with cross-functional teams to implement risk strategies operationally, while conveying insights to exe...
4 weeks ago
Manager, Workday Financial Systems and Innovation
$104K - $140K *
Transform financial systems by leading a high-performing team to enhance Workday Financials, ensuring operational excellence and strategic alignment with business goals while driving continuous improv...
1 week ago
Manager, Return To Vendor (RTV)
$124K - $138K *
Shape the future of vendor relations by managing the RTV process, negotiating effectively, and collaborating cross-functionally to maximize recovery value and streamline operations within the supply c...
1 week ago
$102K - $146K *
Inspire innovation and drive technology strategy in Corporate Finance. Lead project delivery and application support while collaborating with business leaders to translate priorities into effective so...
3 days ago
Vice President, TPA Member Services
$200K - $270K *
Drive your career with a global service organization, leading transformation in member services through automation and smarter workflows. Shape client retention and member trust while managing perform...
1 week ago
$110K - $130K *
Take ownership of a $6M+ enterprise portfolio, driving renewals and expansions while building strategic relationships with key stakeholders. Collaborate cross-functionally to ensure account health and...
1 week ago
Enterprise MarTech Program Manager
$120K - $130K *
Manage enterprise-wide MarTech programs, aligning cross-functional teams to drive B2C marketing initiatives. Translate business priorities into actionable plans, ensuring effective collaboration and m...
2 weeks 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.