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.
$90K - $130K *
Transform customer engagement by leading programs that meet and exceed expectations. Drive project delivery, collaborate with teams, and ensure quality while enhancing profitability and satisfaction i...
3 weeks ago
$70K - $95K *
Transform healthcare analytics by leading data stewardship initiatives. Utilize your expertise to enhance data integrity, support clinical operations, and deliver actionable insights that foster impro...
Reposted 3 weeks ago
$110K - $130K *
Drive the execution of multiple strategic initiatives, ensuring delivery meets stakeholder expectations, within budget and timeline. Collaborate with cross-functional teams, manage risks, and communic...
Reposted yesterday
Manager, Balance Sheet Management
$74K - $103K *
Lead and develop a team of accountants managing financial reconciliations across a diverse healthcare portfolio, ensuring accuracy and compliance while driving efficiency through process improvement a...
1 week ago
Associate Medical Director - UM PT
$238K - $322K *
Innovate in healthcare by overseeing Utilization Management programs, driving clinical accuracy, and collaborating for measurable outcomes. Support strategic direction and ensure compliance while enha...
Reposted 1 week ago
$140K - $210K *
Empower clients by delivering technical expertise and forging strong relationships to enhance engagement with cutting-edge data cloud solutions. Contribute to customer success and grow your skills in...
Reposted 1 week ago
Senior Complex Claims Specialist
$103K - $164K *
Unlock potential by managing complex casualty and litigated claims nationwide, guiding teams through expert claims handling and resolution strategies, while ensuring best practices and timely communic...
2 days ago
Medicaid Program and Policy Project Manager
$110K - $125K *
Transform Medicaid initiatives by leading complex projects that enhance operational systems. Collaborate with senior management and mentor junior staff while driving impactful policy recommendations a...
3 days ago
$100K - $130K *
Champion a scalable SAP integration landscape, defining architecture, standards, and governance for S/4HANA Public Cloud. Collaborate across teams to enhance internal capabilities while managing compl...
3 weeks ago
$95K - $124K *
Take ownership of strategic marketing initiatives that drive growth for clients. Utilize data to create tailored marketing plans, collaborate with cross-functional teams, and optimize performance thro...
Reposted 2 weeks ago
Clinical Specialist USA/Canada
$80K - $95K *
Join a team that empowers sales through clinical expertise and training. Support customer interactions, enhance product knowledge, and drive improvements in evidence-based practices. Collaborate on in...
2 weeks ago
Manager, General Liability Claims
$100K - $120K *
Lead a skilled team of claims professionals in managing Commercial General Liability claims of varying complexity across multiple jurisdictions, ensuring operational excellence, customer satisfaction...
Yesterday
Education Services Manager - 11689
$104K - $145K *
Transform credentialing strategies through innovative exam design, AI integration, and efficiency in operations, driving business growth in a dynamic SaaS environment. Lead the development of impactfu...
3 weeks ago
$70K - $92K *
Empower research initiatives by developing grant proposals, managing budgets, and ensuring compliance with funding regulations. Act as a liaison between investigators and grantors while navigating the...
2 weeks ago
$110K - $130K *
Unlock potential by leading the design and development of scalable .NET and Angular applications, ensuring code excellence and collaboration with teams to deliver high-quality solutions across diverse...
1 week ago
Traveling Project Manager / Estimator (Mission Critical)
$80K - $95K *
Engage clients and manage construction projects from bidding to completion, ensuring timely delivery within budget. Foster relationships and ensure compliance while overseeing project coordination and...
Today
Manager, Field Clinical Services - Peripheral Nerve Stimulation
$110K - $130K *
Lead a national team to drive clinical excellence in PNS Therapy, ensuring optimal patient outcomes and operational efficiency. Collaborate across functions to enhance support and scale the business e...
Reposted 2 weeks ago
Project Manager (Infrastructure Focus)
$95K - $115K *
Partner with us to lead strategic initiatives driving infrastructure and technology modernization across various corporate functions. Champion risk reduction and operational excellence to achieve alig...
6 days ago
$88K - $112K *
Empower multifamily property owners through energy efficiency programs. Drive project success and customer satisfaction across Western Washington by identifying savings opportunities and managing rela...
3 weeks ago
Senior Provider Experience Program Manager - Healthcare Claims
$106K - $284K *
Drive transformation in Provider Experience by leading complex initiatives, ensuring timely delivery, and optimizing processes across diverse business lines. Collaborate with stakeholders to enhance p...
Reposted 5 days ago
Senior Principal Product Manager - Infusion
$132K - $180K *
Pioneer innovative product strategies while collaborating across teams to enhance customer solutions. Drive market analysis, functional requirements, and product lifecycle management to improve health...
Today
Manager, Capital Works Improvement
$100K - $120K *
Lead complex capital projects by blending technical expertise with administrative skills, ensuring successful design, execution, and compliance through effective stakeholder management and risk mitiga...
4 days ago
Revenue Operations Manager (Process)
$110K - $130K *
Unlock potential by automating revenue operations through AI-enhanced workflows, enabling cross-functional collaboration and optimizing team efforts to drive scalable growth and efficiency in a high-p...
5 days ago
M365 / Collaboration Platform Administrator
$108K - $183K *
Shape and govern a dynamic M365/SaaS platform environment, ensuring secure configurations and compliance for a federal technology program. Drive effective collaboration across teams while managing dat...
Reposted 2 weeks ago
Revenue Cycle Insights Management Technical Manager - Healthcare
$145K - $185K *
Champion innovative analytics solutions in healthcare, leading cross-disciplinary teams to advance data science and AI initiatives. Collaborate to design scalable processes and tools to improve consul...
3 weeks 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.