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.
$95K - $115K *
Contribute to impactful content strategies by collaborating with clients, crafting compelling writing, and leading projects that elevate communication across digital channels. Drive insights and deliv...
1 week ago
System Manager Performance Improvement
$100K - $120K *
Transform workforce productivity through innovative benchmarking solutions, fostering collaboration with leadership to enhance operational efficiency and financial performance across healthcare facili...
1 week ago
$100K - $120K *
Grow your career with a dynamic team focused on optimizing billing processes and enhancing cash flow. Lead, mentor, and ensure compliant claim submissions while fostering an engaging environment for y...
3 weeks ago
$94K - $99K *
Drive resource optimization and capacity planning for a global workforce, ensuring the right talent is deployed for client projects. Collaborate with cross-functional teams to enhance operational effi...
Yesterday
Project Manager, Technology Transformation
$115K - $125K *
Deliver impactful technology transformation projects through effective planning, coordination, and execution. Collaborate with cross-functional teams to foster alignment and ensure timely project mile...
3 weeks ago
Project Manager, Specialty Care Program Support
$95K - $115K *
Join a team that drives strategic initiatives within the Veterans Health Administration. As a Project Manager, you'll thrive in a collaborative environment ensuring compliance with VA standards while...
4 days ago
$141K - $151K *
Pioneer the future of healthcare technology leadership by managing a team of experts who drive complex implementations and deliver client success through best practices in GuidingCare® solutions and d...
2 weeks ago
$80K - $95K *
Lead the charge in delivering impactful technology projects for clients, utilizing your project management skills to ensure successful implementation and customer satisfaction in a dynamic and collabo...
Reposted 4 days ago
$90K - $120K *
Join a dynamic team as you drive technical excellence and seamless customer implementation. Collaborate closely across functions to turn complex data into impactful solutions, ensuring client success...
3 weeks ago
$90K - $110K *
Innovate as you lead complex project implementations for public safety clients, coordinating cross-functional teams while managing scope, budget, and risks to ensure successful project deliveries from...
Reposted 6 days ago
$95K - $115K *
Manage and coordinate diverse project teams to successfully deliver complex software implementations for public safety clients, ensuring effective communication and adherence to scope, schedule, and b...
Reposted 6 days ago
Data Manager/Administrator 3 - (Remote)
$80K - $95K *
Analyze and enhance geospatial data integrity within enterprise geodatabases. Collaborate cross-functionally to support GIS tasks, implement best practices, and ensure seamless data management and acc...
4 days ago
Claims Module Senior Business Analyst
$85K - $111K *
Shape the future of healthcare with your expertise in claims processing and business analysis. Drive innovation and provide domain knowledge while leading projects, collaborating with teams, and enhan...
Reposted 2 weeks ago
Utilization Management Clinician Behavioral Health Night Shift - 4 Days
$54K - $142K *
Serve in a vital clinical role that ensures access to quality behavioral health services through effective utilization management, critical decision-making, and collaboration with care providers to en...
4 days ago
Clinical Documentation Integrity Manager
$102K - $170K *
Contribute to the improvement of clinical documentation practices by leading a team of CDI specialists, engaging with various stakeholders, and driving performance metrics to enhance accuracy and comp...
6 days ago
$80K - $95K *
Champion efficiency in the revenue cycle as you lead a dedicated billing team. Drive performance improvements, oversee compliance, and identify revenue opportunities while cultivating a culture of exc...
1 week ago
Manager, Quality Improvement, HEDIS Audit
$87K - $157K *
Manage and oversee quality improvement efforts by leading HEDIS audits, ensuring compliance with regulations and enhancing team functions while facilitating effective communication across departments...
Today
$110K - $130K *
Elevate your career by leading diverse consulting teams and driving project success across industries. Enhance client relationships while ensuring high-quality deliverables, mentorship, and adherence...
5 days ago
$80K - $95K *
Join a team that's dedicated to overseeing large-scale projects across multiple locations. You will ensure efficient coordination among teams and meet project deadlines while maintaining high standard...
1 week ago
$90K - $130K *
Contribute to transformative service delivery by leading operational enhancements, executing successful transitions, and driving measurable improvements in service quality and customer experience with...
4 weeks ago
Project Manager, University Relations
$89K - $122K *
Drive strategic initiatives and coordinate cross-functional projects, enhancing university relations and grassroots advocacy. Support leadership communications and engage teams across the organization...
1 week ago
Finance & Accounting Manager - EMR Modernization
$112K - $126K *
Grow your career with a vital role overseeing financial management in rural healthcare. Lead federal funding initiatives ensuring compliance and effective allocation for EMR modernization projects ben...
3 weeks ago
Team Manager, Implementation Services Corporate Impact
$101K - $132K *
Join a team that's at the forefront of client success by leading implementation efforts. Drive operational excellence while mentoring your team and collaborating cross-functionally to enhance customer...
Reposted 3 days ago
Client Delivery Project Manager (Commercialization) - Remote
$75K - $96K *
Partner with us to lead cross-functional product and technology projects. Drive alignment across multiple teams to ensure successful delivery of client solutions and enhancements while fostering relat...
Reposted 1 week ago
$80K - $95K *
Drive application optimization by supporting end-users, resolving issues, and collaborating with stakeholders. Enhance technology in clinical workflows while ensuring successful implementation and mai...
5 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.