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.
$90K - $110K *
Drive impactful health initiatives by managing the Elevated Risk Care Management program. Collaborate with stakeholders to enhance care for Veterans at risk, ensuring project success through rigorous...
4 days ago
$100K - $120K *
Advance your career by managing cutting-edge AI projects that enhance federal healthcare services. Collaborate with cross-functional teams, ensuring timely delivery and compliance with federal standar...
1 week ago
$100K - $120K *
Unlock potential by leading complex AI education initiatives within federal healthcare. Act as the primary contact for stakeholder engagement, driving program success through strategic management, ove...
2 weeks ago
$105K - $140K *
Drive large-scale project success by managing budgets, timelines, and customer expectations while ensuring compliance with contractual requirements and delivering exceptional results in a team-oriente...
3 weeks ago
Account Executive, Billing Company
$101K - $113K *
Accelerate your sales career as you engage healthcare partners, driving growth through effective solutions and relationship-building in a collaborative environment, while mastering our product offerin...
3 weeks ago
IT Programmer Analyst, Full Time, First Shift, IS&T
$80K - $95K *
Engineer efficient Oracle ERP Fusion solutions while defining system requirements. Analyze user needs, develop specifications, and support production systems. Collaborate with teams to ensure high-qua...
Reposted 1 week ago
IT Programmer Analyst, Full Time, First Shift, IS&T
$80K - $95K *
Serve as a vital contributor in developing and supporting complex applications that enhance customer service, streamline operations, and improve system integration within the organization using Oracle...
Reposted 2 weeks ago
Revenue Operations Staff Systems Engineer
$160K - $180K *
Join a dynamic team to architect and operate a connected GTM technology ecosystem. Leverage Salesforce, Planhat, and automation to optimize processes and drive customer success. Own end-to-end design...
1 week ago
FSA Cost Catalog Manager (no remote)
$104K - $173K *
Transform the global FSA Cost Catalog process to ensure high-quality, accurate cost inputs for the Wind Cost Modeling tool. Collaborate cross-functionally to enhance processes, support decision-making...
Reposted 3 days ago
Field Access Manager, Nephrology & Transplant - Florida
$190K - $210K *
Drive timely patient access to therapies by educating healthcare providers on reimbursement processes, building cross-functional partnerships, and navigating payer requirements in the nephrology and t...
6 days ago
Sr. Manager, Healthcare Product Commercialization
$110K - $130K *
Transform the future of healthcare by leading product commercialization strategies, driving market success through cross-functional collaboration, and ensuring dynamic product launches that resonate w...
Today
$85K - $100K *
Lead the charge in overseeing lease administration transitions through strategy, governance, and execution. Manage onboarding, offboarding, and integration to ensure data integrity and compliance acro...
1 week ago
$98K - $163K *
Unlock your potential by partnering with our team to drive business processes, enhance user experience, and lead Agile product development while conducting vital analysis to meet client operational ob...
Yesterday
Product Manager-Fluid System Analysis Software
$110K - $130K *
Join a team that transforms product management for innovative software solutions. Lead the evolution of legacy and cloud platforms, drive customer adoption, and enhance user experiences through strate...
1 week ago
$95K - $105K *
Shape innovative customer solutions leveraging your ServiceNow expertise, collaborating with stakeholders to translate business needs into technical specifications and overseeing project deliveries to...
2 weeks ago
Manager Research Regulatory Affairs
$110K - $130K *
Lead the charge in ensuring regulatory compliance for clinical operations by overseeing strategies, managing audits, and building relationships with FDA and industry partners. Drive efficiency and men...
2 weeks ago
Oracle Cloud Migration Project Manager
$100K - $130K *
Lead and innovate the migration of agency systems to Oracle Cloud, ensuring seamless project execution, compliance, and stakeholder collaboration throughout all phases, from initiation to final transi...
3 weeks ago
$90K - $120K *
Accelerate progress at customer retention by managing the renewal process and driving multi-year commitments. Collaborate cross-functionally to ensure a high renewal rate while addressing customer nee...
3 weeks ago
Information Technology Manager II
$121K - $220K *
Lead complex cyber incident investigations and enhance security capabilities across various environments. Drive digital forensics, threat hunting, and optimize security tools while mentoring junior te...
4 days ago
$108K - $148K *
Lead the charge in maximizing customer success by driving system performance through collaboration with engineering and operations, ensuring seamless automation integration and continuous improvement...
3 weeks ago
Strategic Operations Manager - EST/CST
$90K - $120K *
Optimize operational strategies and data insights to elevate the Clinical Diagnostic Liaison (CDL) program, ensuring exceptional client delivery and satisfaction while driving efficiency and collabora...
3 weeks ago
$120K - $145K *
Lead with us to drive product strategy and innovation for our ERP platform. Collaborate across teams, oversee product lifecycle, and empower a high-performing team to meet the needs of mid-market and...
2 weeks ago
Technical Account Manager, West
$100K - $120K *
Lead customer success as you guide enterprises through optimal use of cloud security solutions. Leverage your technical expertise to drive adoption, satisfaction, and successful outcomes, while servin...
1 week ago
Senior Power Systems Engineer - OMS (Remote)
$110K - $130K *
Elevate your career by driving innovative OMS and ADMS solutions for electric utilities. Collaborate with diverse teams to enhance grid management from implementation to go-live, ensuring efficient di...
1 week ago
Marketing Orchestration Manager
$100K - $120K *
Shape and enhance an efficient account engagement model, coordinating efforts across Marketing, SDRs, and Sales to target high-value accounts. Drive improved pipeline performance and provide visibilit...
4 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.