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.
TASC-Director of Customer Service
$110K - $130K *
Unlock exceptional customer experiences by leading lifecycle operations, enhancing service delivery, and driving retention strategies. Oversee teams and processes to ensure seamless onboarding and ong...
1 week ago
$100K - $120K *
Transform client experiences by owning end-to-end implementations, managing diverse workflows, and collaborating with cross-functional teams to ensure successful launches and ongoing improvements in a...
3 weeks ago
$110K - $130K *
Lead strategic capture initiatives for federal opportunities, driving comprehensive strategies and collaboration across teams to enhance win probability and secure contracts. Shape the future of busin...
2 weeks ago
Senior Manager, Field Reimbursement Operations
$110K - $130K *
Lead a dynamic team of Field Reimbursement Managers, ensuring operational excellence and strategic support while managing key provider accounts. Drive program performance and compliance, fostering a c...
1 week ago
Senior Customer Support Service Delivery Program Manager
$138K - $173K *
Lead high-impact programs to optimize customer experience support, focusing on BPO partnerships and evolving service delivery models. Collaborate across teams to ensure smooth transitions and enhance...
1 week ago
$90K - $110K *
Transform healthcare project management by leading complex construction initiatives. Collaborate with clients to ensure project success from planning to completion, while managing resources, budgets...
2 weeks ago
$96K - $144K *
Manage relationships and drive sales growth within Analytical and Scientific research accounts, utilizing technical expertise to provide tailored solutions. Collaborate with internal teams to enhance...
3 weeks ago
Project Manager - Capital Planning
$90K - $120K *
Optimize building assessments and capital projects while leading teams and managing client relationships. Oversee project scopes, budgets, and timelines to deliver impactful outcomes in a collaborativ...
Reposted 5 days ago
$110K - $130K *
Champion the delivery of large-scale data center projects, overseeing field operations, client coordination, and compliance across multiple sites. Drive project success through effective management of...
Today
$120K - $145K *
Elevate healthcare through strategic AI product management, driving innovation and lifecycle management of AI solutions. Collaborate cross-functionally to align business objectives with customer needs...
1 week ago
Supervisor, Cloud Technical Account Management
$110K - $120K *
Lead the charge in driving growth and performance of Cloud Technical Account Management, overseeing a team to enhance service delivery, manage financial metrics, and partner with sales for customer su...
1 week ago
$80K - $90K *
Champion project success by managing timelines, resources, and stakeholder communication. Drive seamless implementation experiences while collaborating with cross-functional teams to deliver value-dri...
3 weeks ago
$99K - $155K *
Unlock potential by managing external financial reporting, ensuring compliance with U.S. GAAP and IFRS. Collaborate cross-functionally to prepare SEC filings and support complex accounting areas, driv...
3 weeks ago
Senior Manager, Solution Engineering - DocV
$135K - $160K *
Drive customer success and system reliability by leading a high-impact, agile engineering team focused on short-term initiatives that enhance product adoption and solve complex integration challenges...
Reposted 3 weeks ago
Financial Services Ops Manager
$81K - $122K *
Transform documentation processes by ensuring compliance, accuracy, and accessibility. Collaborate with cross-functional teams to enhance operational efficiency and support seamless integration of doc...
4 days ago
$71K - $119K *
Shape the future of global benefits administration by managing health, welfare, and retirement programs. Collaborate with vendors and internal teams to enhance compliance, resolve complex issues, and...
Today
$100K - $165K *
Join a dynamic team to craft compelling technical narratives that illuminate product innovations and customer stories, enhancing understanding for AI engineers and technical leaders. Collaborate close...
2 weeks ago
Product Management Senior Advisor
$113K - $188K *
Champion the development of innovative tools for customer service teams, enhancing agent efficiency and service quality. Collaborate across departments to drive product strategy, leveraging data and u...
4 days ago
Benefitfocus Service Delivery Manager
$100K - $110K *
Elevate client service delivery by managing technical solutions and operations. Collaborate with teams and vendors to ensure excellence, drive innovation, and enhance client satisfaction throughout th...
6 days ago
$100K - $120K *
Champion clinical monitoring excellence by leading project teams, ensuring adherence to standards, and fostering collaboration. Drive operational success through effective oversight, training, and str...
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Associate Claims Manager - Dental/Medmal
$120K - $160K *
Lead the charge in transforming claims management by leveraging your expertise to drive data-informed decisions, enhance processes, and foster collaboration across teams, ensuring exceptional service...
4 days ago
Advisory Services Manager - EDS - Remote
$112K - $193K *
Accelerate healthcare transformation by leading complex consulting engagements, leveraging AI-driven tools, and collaborating with diverse teams to enhance operational performance and deliver measurab...
1 week ago
$150K - $240K *
Optimize coding workflows by leveraging your 10+ years of leadership in coding, compliance, and revenue cycle management. Collaborate with AI and engineering teams to drive innovation and enhance oper...
5 days ago
$95K - $115K *
Partner with us to drive sales operations excellence, ensuring effective workflows, data integrity, and actionable insights in a dynamic environment while supporting strategic initiatives and enhancin...
Reposted 1 week ago
$65K - $285K *
Advance your career by driving sales growth in a dynamic territory. Manage distributor relationships, achieve sales quotas, and provide essential training while ensuring profitability and maintaining...
5 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.