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.
$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
Manager, Billing Operations - Data Ventures
$80K - $155K *
Shape your career by leading billing operations, ensuring accuracy and compliance while driving process improvements. Collaborate with cross-functional teams to enhance workflows and deliver timely fi...
4 days ago
$110K - $135K *
Join a dynamic team to oversee tax engagements, manage client relationships, and mentor junior staff. Utilize your expertise in tax planning and compliance while contributing to various consulting pro...
5 days ago
Senior Outbound Product Manager
$165K - $215K *
Shape the future of developer portals by driving product-led growth and transformation. Own the Internal Developer Portal's success with innovative marketing and sales strategies, while establishing t...
4 weeks ago
Sr. Account Manager - Health Plans
$180K - $205K *
Champion client success by managing strategic accounts, driving growth, and enhancing relationships with health plans. Collaborate cross-functionally to deliver tailored solutions and ensure seamless...
1 week ago
Project Manager - Digital Health
$85K - $100K *
Lead the charge in transforming healthcare by managing large-scale digital initiatives. Collaborate with diverse stakeholders to ensure project success, focusing on adoption and integration of technol...
4 weeks ago
Senior Business Technical Consultant Treasury/SAP/Systems
$84K - $141K *
Champion the development of business and application architecture strategies, ensuring alignment with customer needs. Oversee project execution, collaborate with technical teams, and drive sustainable...
2 weeks ago
Medicaid Risk Adjustment Market Manager
$54K - $145K *
Lead the charge in enhancing Medicaid risk adjustment strategies, ensuring alignment between national objectives and local execution. Engage with senior leaders and stakeholders to drive performance...
4 weeks ago
$200K *
Lead the charge in building and scaling AI Data Operations, transforming emerging opportunities into commercially viable solutions. Drive strategy, partnerships, and operational excellence to support...
3 weeks ago
Senior Claims Adjuster (Workers' Compensation)
$78K - $119K *
Unlock potential by managing complex workers' compensation claims, driving investigations, and shaping strategies. Build relationships, ensure compliance, and mentor others while making a direct impac...
6 days ago
Regional OFCI Sr. Supply Chain Manager
$160K - $190K *
Transform your career with a pivotal role in supply chain management, overseeing procurement and execution of critical systems for global data center projects, ensuring quality and timely delivery whi...
Yesterday
Senior Consultant, Process Optimization & Agentic Operations
$100K - $120K *
Unlock potential by driving operational excellence through process improvement, automation readiness, and stakeholder collaboration. This role focuses on enhancing business outcomes and sustaining mea...
3 weeks ago
Senior Consultant, Process Optimization & Agentic Operations
$110K - $130K *
Drive operational excellence by leveraging consulting expertise to enhance processes, implement improvements, and prepare for automation. Collaborate with leaders to achieve measurable business outcom...
3 weeks ago
Director of Revenue Cycle Management
$165K - $175K *
Drive operational excellence by leading multi-state revenue cycle management, optimizing physician billing, and enhancing payer relationships. Collaborate with stakeholders to maximize collections and...
1 week ago
$125K - $150K *
Build high-performing software teams that drive critical project success while managing technical architecture and mentorship. Collaborate with leadership to align solutions with business needs and en...
4 weeks ago
$218K - $335K *
Shape the future of autonomous driving by leading a talented engineering team to build robust evaluation platforms and metrics that ensure AV performance is optimized, scalable, and data-driven, foste...
Reposted 5 days ago
Product Manager, File and Remit
$120K - $145K *
Transform the future of tax compliance by building a scalable filing platform and remittance infrastructure, enabling seamless global transactions and automation for international sellers. Drive innov...
3 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.