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.
$80K - $96K *
Join a team that's dedicated to transforming client needs into effective solutions. As a Business Analyst I, you'll bridge teams, support integrations, and enhance processes within the Financial Servi...
6 days ago
ServiceNow CMDB Operations Developer
$75K - $158K *
Bring your expertise to optimize and maintain the ServiceNow CMDB, ensuring data accuracy and reliability. Collaborate with IT teams to enhance service delivery across 187 bases, supporting a high-qua...
Reposted 1 week ago
$110K - $130K *
Transform client engagement by leading diverse teams to deliver high-quality projects. Drive business development through strong client relationships and oversee technical delivery, ensuring complianc...
4 weeks ago
Account Manager Sr -Orlando, FL
$80K - $95K *
Champion client success by managing relationships and ensuring optimal use of solutions. Drive operational excellence through collaboration and compliance, while delivering impactful reporting and sup...
2 weeks ago
$85K - $95K *
Transform processes and drive accountability by leading cross-functional projects. Manage initiatives from scoping to completion while maintaining clear communication across teams and ensuring stakeho...
3 weeks ago
$90K - $120K *
Unlock potential by leading day-to-day accounting operations, ensuring accurate financial reporting, and driving process improvements in a dynamic e-commerce environment. Collaborate across teams to e...
2 weeks ago
$129K - $168K *
Manage and elevate accounts payable operations by leading teams, optimizing workflows, and ensuring compliance with best practices. Collaborate cross-functionally to drive operational excellence and e...
Reposted 2 weeks ago
Treasury Manager, Capital Markets
$110K - $130K *
Manage key capital markets activities, overseeing debt operations, cash flow forecasting, and financial risk management. Collaborate with stakeholders to prepare executive materials and support pensio...
Today
Test Manager, Professional Services
$132K - $198K *
Elevate quality assurance practices by leading test strategy and execution for customer implementations. Collaborate with teams to enhance product quality, mitigate risks, and establish scalable testi...
Reposted yesterday
Solutions Sales Executive, Actimize
$125K - $150K *
Empower the sales force by driving AML solution strategies, analyzing market trends, and enabling value-based selling. Collaborate with internal teams to advance competitive approaches, ensuring succe...
Reposted 3 weeks ago
$84K - $126K *
Empower customers by driving product adoption, optimizing utilization, and ensuring value realization through strategic technical guidance and relationship management across a diverse mid-market portf...
4 weeks ago
Applications Analyst- Epic Professional Billing
$67K - $111K *
Elevate your career by providing critical analysis and programming support for application software, ensuring a comprehensive and integrated information network that meets diverse customer needs and e...
Today
Implementation Project Manager
$100K - $120K *
Champion project excellence by managing multiple global implementations, ensuring timely delivery and customer satisfaction while promoting best practices and continuous improvement throughout the pro...
3 weeks ago
$84K - $105K *
Drive project success by managing client relationships and leading implementation strategies. Collaborate with teams to assess needs, develop plans, and ensure timely delivery while navigating challen...
4 days ago
$84K - $105K *
Deliver exceptional client engagement by managing project success, assessing needs, and developing strategic plans. Lead cross-functional teams to ensure timely and budget-compliant implementations wh...
2 weeks ago
$110K - $130K *
Develop and execute multi-year commodity strategies for mechanical equipment, ensuring capacity and lead times align with production needs. Negotiate agreements and manage supplier performance to miti...
1 week ago
Fabric Maintenance Planner/Coordinator
$80K - $95K *
Join a team that's dedicated to optimizing offshore fabric maintenance programs. Leverage your planning expertise to enhance asset reliability and ensure safe, efficient execution of maintenance activ...
Yesterday
Oracle EPM Senior Project Manager
$120K - $145K *
Lead Oracle Cloud EPM projects, ensuring timely delivery and high quality. Collaborate with stakeholders and manage resources to achieve project objectives, fostering team success and effective commun...
Reposted 1 week ago
$95K - $115K *
Lead global clinical laboratory projects by ensuring operational excellence, client satisfaction, and effective cross-functional collaboration while mentoring junior project managers to elevate team p...
Reposted today
Lead Consultant CDH Implementation
$105K - $149K *
Transform complex Consumer-Directed Health implementations for major employers. Lead strategy, execution, and client engagement while serving as a subject-matter expert to ensure operational excellenc...
Yesterday
$134K - $241K *
Engage in the safe and efficient management of large-scale construction projects. Oversee field activities, ensure compliance with safety and environmental standards, and coordinate resources to achie...
6 days ago
Senior Executive Administrator
$80K - $95K *
Lead the charge in providing high-level administrative support to senior leaders, managing complex schedules, facilitating strategic initiatives, and ensuring effective communication across department...
1 week ago
$117K - $160K *
Champion profitable growth by managing E&S commercial property and casualty underwriting. Leverage strong technical skills and relationships to assess risks, deliver competitive quotes, and optimize p...
1 week ago
Project Manager III - Energy/Solar
$95K - $115K *
Lead the successful delivery of automation projects by managing scope, budget, and client expectations. Collaborate with teams to ensure project profitability and client satisfaction while maintaining...
1 week ago
Project Manager - Power Solutions
$165K - $185K *
Grow your career with us by leading complex electrical power solutions projects. Collaborate with diverse teams to deliver innovative solutions for mission-critical facilities, ensuring projects meet...
2 weeks 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.