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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$100K - $120K *

Drive operational excellence by leading Hub programs, enhancing performance metrics, and developing Supervisors. Collaborate cross-functionally to ensure effective service delivery and continuous impr...

United StatesRemote

Today

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$120K - $175K *

Unlock potential by leading AI deployments that transform customer experiences. Collaborate with cross-functional teams to ensure projects deliver real business outcomes. Take charge of planning, exec...

United StatesRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Information Technology

$90K - $110K *

Contribute to the success of pharmaceutical programs by managing client relationships, overseeing daily operations, and driving performance. Collaborate cross-functionally to ensure program execution...

RemoteRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$80K - $113K *

Join a team that's driving operational excellence in professional billing for Oncology and Acute Medicine. Lead a dedicated team, enhance revenue cycle performance, and ensure compliance while fosteri...

Chicago, ILRemote

Yesterday

  •   5 - 7 years exp.  •   Business Services

$63K - $108K *

Manage and coordinate construction projects across various company locations, ensuring compliance with all regulations and standards. Oversee budgets, schedules, and contractor performance to deliver...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$71K - $97K *

Join a team that's dedicated to optimizing patient care through effective utilization management. Leverage your clinical expertise to coordinate services, communicate with stakeholders, and ensure adh...

Oklahoma, USRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Deliver impactful project management by leading cross-functional teams, ensuring timely and budget-friendly project delivery while enhancing team capabilities and stakeholder engagement...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Champion innovative solutions in financial services by leading complex projects, leveraging AI tools, and collaborating with top private market firms to enhance portfolio monitoring and valuation proc...

New York, NYRemote

1 week ago

  •   Less than 5 years exp.  •   Enterprise Technology

$64K - $120K *

Engage with clients to understand their business needs and risk management strategies. Drive revenue growth by coordinating coverage, servicing accounts, and ensuring high-quality client interactions...

Anchorage, AKRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$80K - $95K *

Elevate client success by managing contract renewals and negotiations. Collaborate with internal teams to retain customers, grow revenue, and ensure alignment with client objectives while achieving in...

United StatesRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Enterprise Technology

$68K - $105K *

Shape the future of performance measurement by leading audit operations, enhancing quality, and developing staff. Oversee reporting and project activities while ensuring compliance and effective feedb...

Pennsylvania, USRemote

2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$128K - $193K *

Lead the successful delivery of SAP implementation projects, ensuring client satisfaction and project profitability. Manage resources, timelines, and quality assurance while cultivating strong client...

United StatesRemote

Yesterday

  •   5 - 7 years exp.  •   Enterprise Technology

$90K - $120K *

Champion client success by building strategic relationships and delivering tailored HR solutions. Collaborate with internal teams to enhance service delivery and drive client satisfaction, ensuring al...

Beverly Hills, CARemote

1 week ago

  •   Less than 5 years exp.  •   Business Services

$115K - $130K *

Drive seamless post-merger integrations by coordinating cross-functional teams, unifying processes, and fostering alignment. Lead initiatives that enhance operational efficiency and support future acq...

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1 week ago

  •   Less than 5 years exp.  •   Enterprise Technology

$119K - $140K *

Shape the future of network partnerships by managing the lifecycle of contracts, from evaluation to negotiation. Collaborate with stakeholders to ensure alignment with operational standards while nurt...

New York, NYRemote

5 days ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $157K *

Lead the charge in enterprise-wide process improvement initiatives using LEAN/Six Sigma methodologies to enhance operational efficiency and support business performance across clinical operations and...

Missouri, USRemote

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $115K *

Elevate operational efficiency by leading shared service improvements and cross-functional collaboration to enhance patient and provider experiences while driving team performance and process excellen...

North Carolina, USRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$108K - $145K *

Join us to lead a high-performing team in designing and managing scalable, secure database architectures for medical imaging solutions, ensuring operational excellence and compliance while aligning st...

CanadaRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$123K - $165K *

Drive the database architecture strategy for healthcare imaging solutions, leading a high-performing team of engineers. Ensure systems are scalable, secure, and reliable while collaborating with cross...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $100K *

Optimize customer onboarding by managing end-to-end implementations, translating solution designs into actionable configurations, and ensuring seamless project execution while fostering strong client...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Enterprise Technology

$78K - $113K *

Join us to lead the Professional Coding Operations team, ensuring accurate coding practices and compliance. Collaborate with stakeholders, mentor staff, and drive improvements in coding efficiency and...

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1 week ago

  •   5 - 7 years exp.  •   Healthcare

$120K - $140K *

Shape the future of federal financial operations by driving user adoption and change management for a new tool. Collaborate with stakeholders to enhance user experience, streamline processes, and ensu...

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1 week ago

  •   5 - 7 years exp.  •   Information Technology

$87K - $157K *

Deliver impactful retention strategies by leading a team focused on enhancing member experience and reducing disenrollment across Medicare markets. Collaborate with cross-functional teams to drive ini...

New York, USRemote

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Shape the future of AI integration by leading complex projects, bridging technical teams and leadership. Drive Agile methodologies, manage risks, and ensure timely deliverables in a dynamic environmen...

Virginia, USRemote

1 week ago

  •   8 - 10 years exp.  •   Information Technology

$120K - $125K *

Transform data analytics initiatives by leading multiple projects, engaging stakeholders, and driving solutions from inception to delivery. Collaborate with technical teams to ensure alignment with mi...

RemoteRemote

4 days ago

  •   5 - 7 years exp.  •   Information Technology

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.