Explore Utilization Manager Jobs

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.

What Does a Utilization Manager Do?

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.

Common Skills and Qualifications

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 Manager Career Opportunities

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.

Find Utilization Manager Jobs on Ladders

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.

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$87K - $157K *

Pioneer processes in credentialing and provider data management while leading a technical team. Oversee system updates, compliance, and training initiatives to enhance operational efficiency and suppo...

RemoteRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$150K - $225K *

Grow your career with a pivotal leadership role overseeing IT service delivery, project management, and customer engagement. Drive collaboration across teams to enhance infrastructure operations and e...

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1 week ago

  •   8 - 10 years exp.  •   Information Technology

$95K - $115K *

Shape the future of customer experience by enhancing operational efficiency and driving satisfaction. Collaborate across teams to implement strategies that elevate service quality and ensure seamless...

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6 days ago

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$90K - $110K *

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3 weeks ago

  •   5 - 7 years exp.  •   Business Services

$90K - $130K *

Engage teams in revenue cycle operations to drive performance and efficiency. Lead strategic initiatives while managing day-to-day operations, ensuring optimal service delivery and financial outcomes...

Chicago, ILRemote

4 days ago

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$110K - $130K *

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4 days ago

  •   8 - 10 years exp.  •   Energy & Utilities

$95K - $115K *

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Boston, MARemote

5 days ago

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$89K - $121K *

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6 days ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

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Yesterday

  •   Less than 5 years exp.  •   Business Services

$110K - $130K *

Grow your career by optimizing clinical applications, enhancing radiology workflows, and collaborating with healthcare teams nationwide to ensure seamless operations and technical support across syste...

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Reposted 4 days ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$90K - $103K *

Develop and optimize health and welfare plans, ensuring compliance and efficient administration. Collaborate with TPAs, oversee claims performance, and enhance employee engagement through effective co...

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4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Unlock customer potential by driving engagement and satisfaction throughout their journey. Manage accounts, foster relationships, and ensure value realization to support retention and growth in a dyna...

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5 days ago

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$110K - $130K *

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6 days ago

  •   5 - 7 years exp.  •   Hospitality & Recreation

$80K - $95K *

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Jupiter, FLRemote

1 week ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$80K - $95K *

Join a team that's dedicated to enhancing service quality through rigorous quality assurance and process audits. Collaborate with stakeholders to ensure compliance with ITIL practices and drive contin...

Chicago, ILRemote

5 days ago

  •   5 - 7 years exp.  •   Enterprise Technology

$90K - $105K *

Unlock potential by leading dealer activations and training, ensuring seamless onboarding and operational success. Collaborate with teams to drive adoption, enhance workflows, and deliver value quickl...

Boston, MARemote

1 week ago

  •   Less than 5 years exp.  •   Manufacturing & Automotive

$90K - $132K *

Lead the charge in managing and expanding customer relationships across diverse industries, driving new business opportunities and delivering tailored solutions that enhance operational efficiency and...

Pennsylvania, USRemote

Yesterday

  •   Less than 5 years exp.  •   Energy & Utilities

$88K - $147K *

Oversee project financial performance and analytics, ensuring effective management across complex contracts. Collaborate with teams to enhance processes and deliver actionable insights, driving operat...

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1 week ago

  •   5 - 7 years exp.  •   Information Technology

$90K - $110K *

Lead transformative deployments in healthcare by collaborating with executives and stakeholders. Drive operational change, manage complex projects, and enhance staffing strategies across health system...

San Francisco, CARemote

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Lead the end-to-end delivery of enterprise SaaS implementations, managing budgets, timelines, and stakeholder relationships to ensure successful project outcomes and high client satisfaction...

Charlotte, NCRemote

2 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$93K - $120K *

Transform business intelligence into actionable insights by leading product strategy and development. Collaborate across teams to create scalable solutions that enhance decision-making and drive measu...

Minnesota, USRemote

Today

  •   Less than 5 years exp.  •   Finance & Insurance

$76K - $129K *

Join us to build strong relationships with key policyholders through proactive communication and skilled negotiation. You'll bridge clients and the home office, tackling concerns and driving improveme...

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  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $130K *

Drive the design and development of enterprise ServiceNow applications, ensuring scalable solutions and adherence to best practices. Collaborate with cross-functional teams while mentoring developers...

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Yesterday

  •   5 - 7 years exp.  •   Information Technology

$75K - $100K *

Manage day-to-day billing operations and client support in the energy sector. Lead client interactions, troubleshoot technical issues, and collaborate with internal teams to enhance service delivery a...

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6 days ago

  •   5 - 7 years exp.  •   Energy & Utilities

$90K - $105K *

Drive clinical excellence by leading documentation quality and process improvement initiatives. Collaborate with teams to enhance education, compliance, and patient safety, ensuring optimal clinical d...

Missouri, USRemote

Today

  •   Less than 5 years exp.  •   Healthcare

Frequently Asked Questions (FAQ)

  • What does a Utilization Manager do?question toggle

    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?question toggle

    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?question toggle

    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?question toggle

    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.