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.
$129K - $168K *
Manage and elevate accounts payable operations by leading teams, optimizing workflows, and ensuring compliance with best practices. Collaborate cross-functionally to drive operational excellence and e...
Today
$116K - $185K *
Drive the strategy and governance of the Configuration Management Database (CMDB). Ensure data accuracy and alignment with IT Service Management while collaborating with cross-functional teams to enha...
5 days ago
$120K - $145K *
Join our team to lead and enhance Security Operations, driving AI-driven strategies and incident responses while ensuring compliance and strengthening our security posture across a global organization...
4 days ago
$90K - $120K *
Transform the application landscape as you lead the design and support for Epic Radiant applications, collaborating with teams and stakeholders to ensure optimal functionality and user experience whil...
3 weeks ago
Business Development Manager - Automation (DeltaV)
$85K - $130K *
Develop strong client relationships and lead strategic initiatives to drive sales of automation solutions. Use your expertise to optimize customer satisfaction and create tailored solutions that enhan...
1 week ago
Training & Operations Excellence Manager
$90K - $120K *
Advance workforce training excellence by leading operational training initiatives across sites, ensuring effective onboarding and continuous development of frontline warehouse teams through hands-on a...
3 weeks ago
$100K - $120K *
Join a team that's shaping strategic customer relationships in North America, driving success for our Screw Compressor product line. You'll enhance client engagement and market presence while leveragi...
2 weeks ago
$80K - $95K *
Explore the world of clinical data management, overseeing data integrity and project delivery. Engage with teams to shape data management strategies, ensuring quality outcomes in clinical trials and f...
Reposted 2 days ago
SAP Plant Maintenance (PM) Solution Architect
$140K - $210K *
Transform the future of asset management solutions by leading SAP EAM architecture, guiding cross-functional teams, and ensuring alignment with best practices for maximum operational efficiency and bu...
6 days ago
Market Medical Executive - PA/NJ/NY
$242K - $404K *
Empower innovation by leveraging clinical expertise to drive client growth and articulate strategic value across diverse teams. Collaborate and build relationships to enhance healthcare outcomes for c...
3 weeks ago
$90K - $110K *
Lead global clinical laboratory projects by ensuring operational excellence, client satisfaction, and effective cross-functional collaboration while mentoring junior project managers to elevate team p...
Reposted 1 week ago
Principal Reimbursement Analyst
$138K - $207K *
Empower your career by leading reimbursement strategies in medical devices. Work cross-functionally to enhance access to innovative therapies for peripheral vascular diseases, applying your expertise...
3 weeks ago
$70K - $126K *
Drive quality improvement initiatives by leveraging data insights to elevate HEDIS, CAHPS, and HOS performance. Collaborate across teams to enhance member experiences and ensure compliance with indust...
Today
$95K - $115K *
Join a dynamic team to enhance operational workflows and elevate client service. Collaborate on fund data implementation and ensure accuracy in financial reporting, while mentoring junior staff in a f...
Reposted yesterday
$125K - $150K *
Unlock potential by leading strategic consulting projects in the pulp and paper industry. Leverage your expertise to drive client success and deliver actionable insights while managing internal collab...
5 days ago
$100K - $130K *
Lead strategic capture initiatives and collaborate across departments to enhance business development in Federal civilian agencies. Drive high-stakes partnerships, develop winning strategies, and ensu...
3 weeks ago
Project Manager, Layout Engineering (Eastern)
$101K - $138K *
Optimize project outcomes at customer sites by leading cross-functional teams to successfully implement automation solutions that drive efficiency and enhance operational excellence while maintaining...
1 week ago
$150K - $180K *
Create innovative delivery solutions for RWD data products, ensuring high-quality execution and client satisfaction. Lead a team while collaborating cross-functionally to enhance delivery platforms wi...
2 weeks ago
$105K - $150K *
Transform enterprise AI capabilities by designing and operationalizing solutions that enable scalable adoption across various teams. Collaborate with architects and engineers to implement governance-c...
1 week ago
$120K - $150K *
Join a dynamic team driving strategic customer partnerships and innovative logistics solutions, collaborating globally to enhance supply chain performance and achieve measurable growth for leading bra...
1 week ago
Director, Revenue Cycle Management
$150K - $170K *
Shape the future of revenue cycle management by leading a high-performing team. Drive collections accuracy, optimize processes, and negotiate effectively with payers, ensuring robust cash flow for sca...
2 weeks ago
$90K - $120K *
Advance IT systems while managing AI tooling and infrastructure. This hands-on role involves deploying AI solutions, maintaining traditional admin tasks, and collaborating with diverse teams to enhanc...
3 weeks ago
$150K - $180K *
Transform project management practices across the utility and energy sector. Lead PMO initiatives, providing strategic guidance to executives while enhancing governance, resource optimization, and ope...
5 days ago
Manager, Benefits Administration
$95K - $115K *
Shape the future of benefits administration by leading process improvements, compliance, and staff training. Drive the development of innovative programs while ensuring top-notch service delivery in a...
1 week ago
Director, Out of State Medicaid (REMOTE)
$110K - $130K *
Lead and optimize performance within the Out-of-State Medicaid function, driving operational excellence across teams to enhance client outcomes and achieve strategic revenue goals through effective le...
4 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.