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.
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.
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 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.
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.
Cost Manager - Commercial Real Estate Construction
$100K - $135K *
Optimize project outcomes by delivering expert cost management services throughout the construction lifecycle. Collaborate with clients and teams to ensure effective financial control and strategic pl...
3 weeks ago
Cost Manager - Commercial Real Estate Construction
$100K - $135K *
Unlock potential by managing complex cost management services for major corporate real estate projects. Support large-scale workplace developments, vendor negotiations, and financial reporting to deli...
4 weeks ago
Program Manager, Quality & Commissioning, NA
$120K - $130K *
Champion quality and commissioning excellence across diverse construction projects, ensuring compliance and safety while fostering collaboration among teams and stakeholders to drive impactful results...
1 week ago
Manager, Schedule and Cost Control
$100K - $120K *
Join a team that's dedicated to optimizing project planning and cost control for renewable energy initiatives. Lead efforts in scheduling, compliance, and reporting to ensure project success from ince...
1 week ago
$108K - $162K *
Champion customer support by managing maintenance services and operations. Lead a team to ensure timely resolutions and enhance product performance while utilizing technical expertise and strategic pl...
2 weeks ago
$110K - $130K *
Transform your career by leading IT operations and team development, enhancing service delivery, and managing technology solutions for a dynamic workforce. Drive improvements and ensure seamless suppo...
Today
$110K - $144K *
Drive success by leading commissioning projects for critical facilities. Collaborate with diverse teams to ensure compliance, manage schedules, and execute testing of complex systems, all while mainta...
Yesterday
$104K - $130K *
Join a team that's driving project success in mission-critical environments. As a Project Manager, you'll oversee design and construction phases, manage stakeholder relations, and ensure project profi...
3 weeks ago
District Sales Manager (MN, IA, NE)
$80K - $95K *
Engage and develop strategic relationships to drive sales growth in the insurance sector. Utilize your expertise in crop insurance to meet and exceed sales goals while fostering key agent partnerships...
Reposted 2 weeks ago
$110K *
Champion the clinical operations team, ensuring project success through resource management, process efficiencies, and compliance. Drive training, metrics development, and mentorship to enhance team c...
Reposted yesterday
Senior Manager, Governance & Control (US)
$115K - $173K *
Oversee and lead a complex governance and control function, ensuring alignment with enterprise strategies. Manage talent development, operational direction, and strategic partnerships to enhance risk...
6 days ago
$116K - $145K *
Empower exceptional contracts management by overseeing the full lifecycle of complex U.S. Government contracts. Engage directly with customers while ensuring compliance and fostering strategic negotia...
Reposted 3 days ago
$100K - $120K *
Lead the monthly close and day-to-day accounting operations, ensuring accuracy and efficiency as the business scales. Collaborate with cross-functional teams to enhance processes and implement automat...
Yesterday
Account Manager- Central Florida
$125K - $150K *
Optimize client relationships by managing key accounts and driving growth through strategic sales initiatives. Collaborate with internal teams to enhance customer experience and ensure long-term succe...
Reposted yesterday
Manager, Client Onboarding & Operations
$145K - $160K *
Shape exceptional client experiences by leading onboarding and operations. Collaborate with cross-functional teams to manage complex projects, ensuring timely delivery and exceeding client expectation...
3 weeks ago
Optum Serve Medical Director - VA Community Care Network - Remote in US
$248K - $373K *
Play a key role in enhancing clinical quality for Veterans by overseeing community care services, collaborating with internal teams, and ensuring compliance with healthcare standards and regulations t...
6 days ago
$110K - $130K *
Lead the optimization of cross-pillar workflows, ensuring technical soundness and operational effectiveness. Collaborate with engineering and product teams to enhance product adoption and drive measur...
1 week ago
Healthcare Consulting Manager - Mid Revenue Cycle
$145K - $185K *
Transform healthcare consulting by guiding clients in optimizing service capture strategies, enhancing revenue integrity, and leading impactful projects across diverse healthcare settings. Drive opera...
1 week ago
$147K - $167K *
Join a team that's transforming enterprise workflows by guiding customers through AI-powered transitions. Leverage your expertise in process design and stakeholder alignment to drive impactful outcome...
Yesterday
Value Engineer - (Remote, USA)
$110K - $130K *
Transform customer engagement by leading value assessments and business case development. Collaborate with stakeholders to quantify outcomes and drive strategic initiatives, ensuring alignment between...
2 weeks ago
Key Account Manager (US) (m/f/d)
$80K - $100K *
Develop strategic customer relationships and expand international presence by acquiring new enterprise clients and nurturing existing accounts in the pharmaceutical and life sciences sectors...
Today
$150K - $165K *
Bring your expertise to define and deliver enterprise integration products, optimizing data flow and connectivity across manufacturing environments. Collaborate with cross-functional teams to enhance...
2 weeks ago
Commercial Manager (Cost Management)
$125K - $175K *
Drive project success by managing tender processes, overseeing costs, and resolving disputes. Collaborate with teams to ensure transparency and effective communication, while thriving in a dynamic env...
1 week ago
Critical Care Business Manager
$100K - $120K *
Shape the future of critical care by leading commercial efforts in Eastern Canada. Collaborate with medical teams to enhance device use in hospitals, drive growth, and ensure effective training for he...
2 weeks ago
$95K - $115K *
Unlock your potential as a key leader in innovative assessment development, guiding a team to create impactful educational solutions while collaborating across divisions and managing client expectatio...
3 days ago
What does a Utilization Manager do?
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?
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?
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?
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.