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.
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
Clinical Data Manager II/Senior Clinical Data Manager
$92K - $167K *
Champion the integrity of clinical trial data by leading management efforts, ensuring compliance and quality from initiation to closure across multiple projects, while collaborating with diverse stake...
Yesterday
$150K - $175K *
Transform the cash management landscape by developing systems from scratch, ensuring liquidity, conducting cash flow modeling, and providing actionable insights to drive financial decisions for a grow...
1 week ago
$100K - $150K *
Lead the charge in establishing an effective accounting infrastructure for a growing healthcare organization, ensuring financial integrity and compliance while collaborating with cross-functional team...
2 weeks ago
$90K - $120K *
Champion innovative IT solutions at the DOJ by analyzing requirements, designing systems, and leading technical teams to support complex litigation missions in a fully remote environment...
3 days ago
Performance Marketing Channel Manager
$80K - $120K *
Grow your career with us by leading performance marketing initiatives across key paid social platforms. Drive customer acquisition through innovative strategies, budget management, and data analysis t...
2 weeks ago
$87K - $113K *
Drive customer success by managing relationships, guiding product adoption, and identifying upsell opportunities. Collaborate across teams to enhance service delivery, ensuring client satisfaction and...
1 week ago
$75K - $95K *
Transform employee benefits by enhancing program support, ensuring compliance, and driving strategic analysis in a dynamic environment. Collaborate across teams to optimize the benefits experience and...
2 weeks ago
$110K - $160K *
Lead capture strategies and drive execution for impactful aerospace opportunities. Collaborate across teams to craft technical proposals and compelling narratives, ensuring alignment with mission goal...
1 week ago
$80K - $100K *
Lead the charge in managing diverse projects with precise execution, coordinating team efforts, risk assessment, and vendor negotiations while ensuring timely delivery and client satisfaction across t...
2 weeks ago
Fleet Implementation Manager (EST)
$95K - $105K *
Manage multiple new shop launches, ensuring operations align with company and customer needs. As an Implementation Manager, you'll lead and support teams, monitor performance, and drive efficiency whi...
3 weeks ago
Program Manager - Manufacturing
$100K - $180K *
Drive strategic initiatives across multi-functional teams to enhance customer relationships and ensure success in enterprise-level projects, while managing budgets, timelines, and project performance...
Reposted 2 weeks ago
$90K - $120K *
Oversee property management functions including due diligence, lease negotiations, and acquisitions. Lead a team, ensuring high performance and satisfaction while maintaining databases and resolving p...
3 weeks ago
$80K - $103K *
Join as a Cadence Epic Analyst to lead scheduling tools and configurations, enhance client interactions, streamline workflows, and drive project success in a dynamic healthcare environment. Your exper...
1 week ago
Project Manager - Medical Publications
$70K - $95K *
Partner with us to drive the successful delivery of medical publication projects, ensuring excellence in client relations and internal communication. Manage budgets, timelines, and multidisciplinary t...
2 days ago
Campus Solutions Systems Analyst
$70K - $95K *
Support the enhancement of student information systems by leveraging technical expertise in PeopleSoft and developing solutions that improve user experience, while collaborating with cross-functional...
1 week ago
$90K - $120K *
Lead and optimize a high-performing clinical appeals team, enhancing communication and operational efficiencies while ensuring clinical accuracy in appeal processes aligned with business goals...
1 week ago
Senior Asset Manager, Commercial Special Servicing
$90K - $120K *
Join a team that's dedicated to managing complex commercial loan portfolios, focusing on loss mitigation, borrower negotiation, and asset recovery strategies. Drive success through collaboration and e...
2 weeks ago
Service Value Success Manager - Remote
$90K - $120K *
Join our team to drive customer value and success through strategic partnerships, optimizing operational goals, and ensuring measurable outcomes throughout the customer lifecycle with a focus on value...
1 week ago
Managing Director, Health Care Value Strategy
$198K - $266K *
Lead the charge in transforming business value services by developing proactive, outcome-driven engagement strategies, optimizing team performance, and integrating innovative analytics within health c...
1 week ago
$150K - $200K *
Empower strategic capture leaders to transform federal opportunities into executable contracts. Collaborate across teams to enhance win probabilities and ensure alignment from opportunity identificati...
2 weeks ago
Senior Technical Program Manager
$160K - $175K *
Drive high-visibility, cross-functional programs to transform engineering, optimizing resources and processes while ensuring stakeholder alignment and innovation in a dynamic environment...
Reposted 1 week ago
Vice President, Transportation (NEMT)
$202K - $240K *
Lead the charge in creating efficient, sustainable transportation models nationwide, driving strategic initiatives, mentoring teams, and leveraging analytics to enhance service delivery while ensuring...
Today
$127K - $160K *
Drive revenue growth by managing sales activities, engaging clients, and delivering tailored presentations. Collaborate with internal teams to execute high-quality proposals and close deals in the sof...
3 weeks ago
$115K - $125K *
Lead customer support operations to enhance service quality, ensure SLA compliance, and drive continuous improvement. Collaborate cross-functionally, manage escalations, and optimize workflows to fost...
5 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.