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.
$100K - $125K *
Lead cross-functional initiatives to enhance revenue cycle effectiveness, optimize billing operations, and drive performance improvements while overseeing and mentoring team members in a dynamic healt...
3 weeks ago
$75K - $95K *
Lead the charge in remote technical support operations, ensuring exceptional service delivery while optimizing team performance and operational efficiency. Drive scalable growth and improve customer o...
2 weeks ago
Project Manager - Technical Support and User Engagement
$98K - $163K *
Oversee project execution for Technical Support and User Engagement tasks, coordinating daily activities and developing training materials while monitoring schedules and service metrics to enhance use...
1 week ago
Sr Clinical Project Research Manager
$100K - $130K *
Deliver impactful project leadership by guiding cross-functional teams through all phases of clinical research, ensuring compliance, effective communication, and timely project milestones that enhance...
Reposted yesterday
Manager, TPA Oversight & Operations
$89K - $134K *
Explore a pivotal role in governance and risk management, ensuring operational excellence in Third-Party Administrator relationships. Partner with cross-functional teams to enhance onboarding processe...
1 week ago
$140K - $160K *
Join a team that's redefining tax strategy by leading in-house tax functions, optimizing global compliance, and enhancing operational scalability while collaborating across Finance and Legal in a dyna...
6 days ago
$90K - $130K *
Lead and transform data management projects, ensuring client satisfaction and strategic outcomes. Collaborate with technical teams to optimize project health while managing complex initiatives across...
4 weeks ago
$90K - $120K *
Transform healthcare outcomes by leading a dynamic coding department, ensuring compliance, optimizing operations, and enhancing financial performance across multiple locations local to the organizatio...
2 weeks ago
$90K - $120K *
Lead the capture management process for federal contracts, enhancing win probability through strategic collaboration and lifecycle management. Drive initiatives in software development, cloud moderniz...
1 month ago
$66K - $145K *
Lead operational excellence by managing a claims processing team, driving productivity, ensuring compliance, and enhancing customer satisfaction through strategic initiatives and effective collaborati...
2 weeks ago
Utilization Review Registered Nurse, Case Management, FT, 07A-7:30P Local Remote
$73K - $96K *
Join a team that's dedicated to optimizing patient outcomes through effective resource utilization. You'll collaborate with healthcare teams to reduce delays, facilitate communication with payers, and...
Yesterday
Manager Revenue Management(Chargemaster / CDM)
$90K - $120K *
Drive the optimization of revenue processes through effective project management, ensuring compliance and enhancing service delivery while overseeing the Revenue Integrity department and leading cross...
Reposted 5 days ago
$90K - $120K *
Champion end-to-end manufacturing processes, driving data integrity and operational excellence. Collaborate across teams to enhance performance, improve workflows, and implement continuous improvement...
6 days ago
District Channel Manager - WOTC
$80K - $120K *
Develop and execute strategic sales initiatives, cultivate client relationships, and drive revenue growth within a defined territory by leveraging industry knowledge and sales acumen to meet customer...
1 week ago
Manager Risk Adjustment Program
$85K - $110K *
Champion the development and implementation of risk adjustment strategies while managing team performance and ensuring compliance with coding practices to improve healthcare outcomes and organizationa...
3 weeks ago
Operations Manager- Workers' Comp
$90K - $115K *
Lead the charge in managing Workers Compensation operations, ensuring compliance with best practices while driving team performance, cost containment, and quality service delivery across all claims pr...
6 days ago
$119K - $150K *
Lead a team of analysts and administrators in developing and implementing audit concepts, managing operational efficiency, and mentoring staff to enhance performance and compliance in a dynamic health...
6 days ago
$90K - $130K *
Take ownership of client relationships and project success by managing engagements with multiple clients. Leverage resources, oversee budgets, and ensure adherence to best practices to deliver excepti...
2 weeks ago
CMS and NCQA Utilization Management, RN - Florida Remote
$77K - $126K *
Champion compliance and quality in healthcare by applying expertise in utilization management. Collaborate across departments to enhance service delivery, mitigate risks, and optimize program performa...
Reposted yesterday
$90K - $120K *
Join a team that's dedicated to enhancing coding services, ensuring operational excellence, and fostering positive client relationships. Manage resources effectively while mentoring staff to meet prod...
1 week ago
$75K - $95K *
Transform provider enrollment operations by leading a dynamic team, enhancing workflows, and fostering client relationships to achieve departmental success and consistency in enrollment processes...
2 weeks ago
Account Executive (Regional Sales Manager)
$90K - $130K *
As an Account Executive (Regional Sales Manager) at Varicent, you will play a key role in driving revenue growth by developing and executing sales strategies for enterprise software solutions. You wil...
Reposted 1 week ago
UNIV - Asset Accounting Manager
$66K - $119K *
Engage in overseeing the capital asset lifecycle, from tagging to financial reporting. Manage compliance with regulations, ensure data integrity, and lead inventory processes while providing training...
3 weeks ago
$120K - $140K *
Drive customer success by managing relationships and expanding revenue within existing accounts. Leverage strategic sales execution and cross-functional collaboration to ensure customer retention and...
Yesterday
$100K - $130K *
Elevate operational excellence in cloud-native production by leading incident response, driving improvements, and coordinating releases with cross-functional teams to ensure stability and reliability...
2 weeks 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.