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.
Technical Account Manager - Media Technology Solutions Skywalker Sound
$129K - $173K *
Drive enterprise partnerships with leading media and tech firms, transforming complex production challenges into substantial business successes through strategic software solutions and executive engag...
Reposted 3 weeks ago
$100K - $120K *
Grow your career with a dynamic role managing MS Exchange systems and securing access for over 50K users. Leverage your expertise in RBAC and Active Directory while enhancing IT service delivery under...
1 week ago
$100K - $120K *
Join a dynamic team as an Agile Project Manager, facilitating Scrum ceremonies, coaching teams, and managing cross-functional initiatives for effective delivery in a fast-paced engineering environment...
6 days ago
Manager, Financial Planning & Analysis
$71K - $96K *
Join a team that's dedicated to enhancing financial planning and analysis. Collaborate with leaders to drive strategic decision-making and optimize resource utilization, supporting the institution's l...
3 weeks ago
$100K - $115K *
Build and lead a vital compliance function in healthcare, driving risk management and regulatory adherence in a fast-paced, mission-driven environment. Collaborate cross-functionally to create complia...
3 weeks ago
$115K - $150K *
Join a team that's driving growth through innovative territory management and partner collaboration. Leverage data-driven insights and build strong relationships to create impactful pipeline opportuni...
5 days ago
Offshore Business Process Operations Manager (EH&B)
$93K - $173K *
Transform your career by partnering with global teams to streamline processes, enhance service quality, and drive continuous improvement in offshore operations within the Employee Health & Benefits se...
1 week ago
$110K - $130K *
Shape the future of our financial operations by overseeing accounting, reporting, and treasury functions while delivering strategic insights to drive growth and optimize financial performance across t...
Today
Internal Control Business Partner
$110K - $145K *
Shape internal controls by acting as a risk partner for Finance, guiding teams in securing processes while embracing technology and automation. Collaborate across functions to enhance operational effi...
2 weeks ago
$100K - $120K *
Unlock potential by driving strategic partnerships with MSPs and VARs. This role involves recruiting and managing channel partners to enhance market reach within the cybersecurity sector, focusing on...
1 week ago
Monitoring Services Oversight Manager (Remote)
$145K - $270K *
Unlock your potential in driving clinical trial excellence and strategic vendor partnerships. This role fosters collaboration, influences stakeholders, and ensures compliance to enhance drug developme...
3 days ago
Manager, Epic Connect - Digital Health
$90K - $120K *
Empower the Epic Connect program by overseeing operations, managing relationships, and driving strategic growth, ensuring alignment with healthcare priorities, governance compliance, and operational e...
3 weeks ago
$120K - $140K *
Shape the future of data privacy by ensuring compliance with Canadian laws, implementing privacy programs, and acting as an independent advisor to drive organizational accountability and best practice...
1 week ago
Payments Analyst (High-Risk Underwriting)
$80K - $95K *
Join us in defining the future of high-risk merchant underwriting. Collaborate with merchants and partners to evaluate and mitigate risk while driving innovative payment solutions in a dynamic environ...
2 weeks ago
Project Manager - Capital Planning
$90K - $120K *
Optimize building assessments and capital projects while leading teams and managing client relationships. Oversee project scopes, budgets, and timelines to deliver impactful outcomes in a collaborativ...
2 weeks ago
QuickCode Clinical Success Manager
$125K - $140K *
Accelerate progress at radiation oncology clinics by implementing and optimizing automated billing QA workflows. Engage with clinical teams to train, support, and ensure effective utilization of innov...
3 days ago
$90K - $150K *
Take ownership of a remote sales team, driving success through leadership, training, and effective management of inbound leads while utilizing CRM tools to enhance performance and productivity...
Today
$130K *
Shape the future of finance by leading executive communications and strategic reporting initiatives. Collaborate across functions to translate complex data into narratives that drive executive decisio...
Reposted today
$77K - $90K *
Manage comprehensive case management services for TRICARE beneficiaries, including assessments, care plans, and outcome monitoring while ensuring compliance with policies and regulations. Advocate for...
5 days ago
FSP Program Lead/FSP Leadership - Data Management
$110K - $130K *
Join a team that's leading FSP Clinical Operations, overseeing program management, and driving high-quality client deliverables. Collaborate with cross-functional teams to ensure optimal staffing and...
1 week ago
Customer Success Manager, Treasury (TMS)
$90K - $130K *
Help us drive customer success by managing key treasury relationships, ensuring customer satisfaction, and promoting product adoption to enhance user value and retention in a dynamic software environm...
1 week ago
Capital Account Manager, Sales & BD
$110K - $130K *
Champion growth by identifying and securing industrial water treatment opportunities, utilizing technical expertise and consultative sales to achieve revenue goals within targeted segments, while driv...
2 weeks ago
$90K - $150K *
Drive sales excellence by leading a remote team, managing inbound leads, and mentoring new talent. Leverage your sales expertise to foster a high-performance culture and achieve ambitious goals in a f...
Today
Project Manager, Nurse Practitioner
$86K - $168K *
Join our mission-driven team to provide clinical and operational leadership, expand healthcare access for underserved communities, and oversee grant-funded healthcare initiatives across Southern Calif...
4 days ago
$90K - $150K *
Manage a dynamic remote sales team, driving performance and closing deals while fostering team development and mentoring new talent to achieve outstanding results through a proven sales system...
Today
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.