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.
Director of Fleet Optimization
$120K - $150K *
Join a team that drives operational excellence in energy storage projects, ensuring system reliability while managing a diverse team and fostering strong customer relationships to maximize performance...
3 weeks ago
Program Manager - Supply Chain
$90K - $115K *
Drive program success by leading cross-functional teams, managing multiple projects, and ensuring customer satisfaction. Leverage expertise in finance and contract management to improve processes, del...
3 weeks ago
$80K - $110K *
Optimize SharePoint and M365 environments through strategic administration, data migration, and user adoption initiatives. Collaborate with stakeholders to design workflows and improve digital busines...
2 weeks ago
$120K - $160K *
Join a dynamic team to manage tax compliance for private equity funds, collaborating with clients and mentors to ensure accurate reporting and compliance while enhancing your professional growth in a...
Reposted 3 days ago
Manager, Data Analytics - Remote
$98K - $167K *
Drive enterprise data initiatives by leading analytics, governance, and AI capabilities to enhance decision-making and performance in a complex federal technology environment...
2 weeks ago
Product Manager, Fluency Solutions
$143K - $196K *
Join a team that's redefining healthcare technology by leading product strategy and management for innovative documentation solutions, ensuring alignment with market needs and driving business success...
2 days ago
$90K - $120K *
Champion the execution and oversight of diverse clinical studies, ensuring efficient project management across oncology and hematology trials while collaborating with vendors and research teams to del...
Reposted 4 days ago
Commissioning Manager - Construction Management
$142K - $215K *
Help us optimize energy solutions by leading the commissioning of power plants. Drive performance and safety while collaborating with teams to ensure efficient plant operations and regulatory complian...
1 week ago
$90K - $120K *
Unlock your potential in a dynamic financial role, driving budgeting, forecasting, and variance analysis while collaborating across teams to deliver impactful insights and support business growth in a...
Reposted today
Epic Certified Professional Billing Analyst II: EPIC IT Remote
$80K - $100K *
Support the implementation and optimization of Epic Professional Billing modules, ensuring data integrity and collaborating with stakeholders to enhance system functionality and user experience. Manag...
1 month ago
$144K - $288K *
Unlock potential by leading architectural innovations and technology solutions that drive AI advancements in healthcare. Collaborate with teams to shape revenue-enhancing strategies and optimize impac...
2 weeks ago
$122K - $129K *
Drive agile project success as a Scrum Master, coordinating cross-functional teams to deliver features on time. Facilitate ceremonies, manage team dynamics, and collaborate with stakeholders to enhanc...
1 week ago
Procedural Excellence Manager - Remote USA
$145K - $160K *
Collaborate with cross-functional teams to develop procedural best practices and training materials that enhance product understanding and usage, driving customer success and engagement in revolutioni...
2 weeks ago
$84K - $105K *
Drive the innovation and development of audit platforms in a dynamic role. Collaborate with stakeholders and engineering teams to define roadmaps and deliver high-quality healthcare product solutions...
2 days ago
$120K - $150K *
Elevate fleet operations through strategic leadership, driving performance, optimizing costs, and managing a large-scale, multi-location fleet, while fostering cross-functional collaboration and data...
3 weeks ago
Client Manager, Customer Success
$136K - $144K *
Unlock your potential by leveraging automotive data to drive client success, provide deep insights, build relationships with OEMs, and support strategic decisions, all while shaping the future of auto...
2 weeks ago
$89K - $151K *
Unlock potential by leading financial reporting and analysis, driving strategic decisions, and fostering collaboration with key stakeholders for improved performance in the organization...
1 week ago
$90K - $120K *
Join a team that's dedicated to enhancing IT support by delivering strategic solutions, optimizing workflows, and ensuring secure technology experiences for employees, while also mentoring junior staf...
2 weeks ago
$68K - $126K *
Pioneer in optimizing healthcare call center operations, enhancing patient services through leadership and technology. Drive performance, ensure compliance, and support staff development to deliver an...
2 weeks ago
$127K - $190K *
Lead the design and management of innovative cloud infrastructure solutions across multi-cloud environments, ensuring optimal performance, security, and alignment with organizational objectives...
5 days ago
$80K - $110K *
Drive excellence in payment operations by leading a dedicated team to ensure accurate and timely processing. Your leadership will enhance efficiencies and uphold compliance while fostering collaborati...
2 days ago
Named Account Executive, State Government
$160K - $214K *
Shape enduring relationships with State Government clients to drive software sales. Leverage data insights to exceed business outcomes in a fast-paced environment. Collaborate with teams to deliver ta...
5 days ago
Manager, Actuarial - Personal Lines (Remote)
$130K - $180K *
Transform business performance by leading actuarial strategies across multiple states. Drive pricing strategy, develop talent, and harness data to optimize decision-making while ensuring high-quality...
1 week ago
Medical Director Aetna Duals Center of Excellence
$174K - $374K *
Reimagine healthcare delivery as a Medical Director, overseeing utilization management and appeals. Collaborate with teams to improve member services while working remotely across the US, ensuring com...
2 weeks ago
$160K - $185K *
Champion project and program management for federal IT, driving innovation, customer satisfaction, and operational excellence while overseeing cross-functional teams and ensuring high-quality, timely...
1 week 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.