Explore Utilization Manager Jobs

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.

What Does a Utilization Manager Do?

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.

Common Skills and Qualifications

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 Manager Career Opportunities

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.

Find Utilization Manager Jobs on Ladders

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.

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$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...

Oklahoma, USRemote

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$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...

Kennesaw, GARemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Manufacturing & Automotive

$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...

RemoteRemote

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$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...

RemoteRemote

6 days ago

  •   5 - 7 years exp.  •   Manufacturing & Automotive

$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...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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...

Las Vegas, NVRemote

4 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

United StatesRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Enterprise Technology

$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...

United StatesRemote

5 days ago

  •   Less than 5 years exp.  •   Information Technology

$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...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$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...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Information Technology

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Transportation

$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...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

British Columbia, CARemote

4 weeks ago

  •   Less than 5 years exp.  •   Information Technology

$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...

Long Beach, CARemote

Reposted 6 days ago

  •   Less than 5 years exp.  •   Healthcare

$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...

United StatesRemote

4 weeks ago

  •   8 - 10 years exp.  •   Enterprise Technology

$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...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Information Technology

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Retail & Consumer Goods

$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...

United StatesRemote

3 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$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...

United StatesRemote

1 week ago

  •   11 - 15 years exp.  •   Healthcare

$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...

New York, NYRemote

1 week ago

  •   8 - 10 years exp.  •   Enterprise Technology

$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...

RemoteRemote

2 weeks ago

  •   Less than 5 years exp.  •   Business Services

Frequently Asked Questions (FAQ)

  • What does a Utilization Manager do?question toggle

    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?question toggle

    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?question toggle

    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?question toggle

    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.