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.
Manager, Anaplan Systems & Operations
$92K - $203K *
Collaborate with key stakeholders to maintain and enhance financial models while driving innovation in processes and technology within a center of excellence, ensuring governance standards and effecti...
2 weeks ago
Mission Critical Project Manager - Automated Logic
$96K - $192K *
Drive successful project execution of large-scale, mission-critical automation initiatives while ensuring safety, quality, and financial performance across multiple teams and stakeholders. Provide exp...
2 weeks ago
$80K - $120K *
Engage in a dynamic role managing client accounts, driving performance, and executing impactful Meta campaigns. Own client relationships while crafting persuasive ad copy and executing technical setup...
1 week ago
Quality & Performance Specialist
$80K - $110K *
Accelerate quality assurance excellence in corporate banking applications. Lead functional, integration, and security testing while collaborating in Agile teams to enhance application security and str...
2 days ago
Professional Services Contract Manager
$100K - $130K *
Champion end-to-end contracting for Professional Services, leading complex SOW drafting and negotiations. Collaborate cross-functionally to define scope, mitigate risks, and enhance outcomes with a fo...
Reposted 1 week ago
$146K - $234K *
Lead and inspire cloud operations teams in managing secure AWS and Azure environments. Ensure platform reliability, security, and compliance while delivering exceptional customer service and operation...
Yesterday
$70K - $95K *
Transform client relationships and enhance satisfaction by leading retirement plan services, expert consulting, and proactive management for diverse clients while collaborating cross-functionally to a...
2 weeks ago
Manager, Training and Enablement
$105K - $145K *
Partner with us to empower our customer training initiatives using your medical economics expertise. Leverage your knowledge in value-based care to enhance training programs that drive customer adopti...
2 weeks ago
$110K - $122K *
Join our team to support mission-critical PostgreSQL database operations, optimize performance, and ensure data integrity across enterprise environments. Your expertise in ETL and Oracle administratio...
1 week ago
Customer Success Manager, Strategic
$104K - $139K *
Unlock potential by driving success for strategic accounts; build lasting partnerships, enhance product adoption, and deliver tailored solutions while managing multiple projects to ensure customer sat...
3 weeks ago
Program Manager, Implementation (Enterprise)
$90K - $130K *
Transform healthcare implementation by overseeing complex projects and ensuring seamless integration for enterprise clients. Collaborate across teams to deliver effective solutions, enhancing EHR work...
3 weeks ago
Program Manager, Empower & Protect
$75K - $86K *
Contribute to the effective implementation of a program focused on state-based power-building ecosystems, ensuring strong coordination and aligning with strategic goals across multiple states to drive...
2 weeks ago
Senior Program Manager, Brokerage Automation
$100K - $130K *
Redefine operations by bridging Brokerage and tech teams. You’ll lead transformative initiatives, translating complex needs into actionable plans to optimize back-office functions, ensuring seamless p...
2 days ago
$135K - $150K *
Transform client engagement by leading strategic digital campaigns for healthcare brands. Collaborate across teams to drive initiatives and enhance client relationships in a dynamic, remote setting th...
Reposted 1 week ago
$97K - $102K *
Lead care coordination services by supervising staff, ensuring compliance, and enhancing operations. Collaborate with team members to improve performance and deliver quality case management in alignme...
1 week ago
Principal AI Transformation Consultant
$136K - $160K *
Reimagine the future of project workflows by partnering with architecture and engineering firms to drive AI-powered business transformations, enhancing decision-making and operational efficiency throu...
2 weeks ago
$70K - $95K *
Unlock the potential of federal health IT by crafting and maintaining comprehensive project schedules, ensuring alignment and support across complex programs that serve Veterans and their families whi...
3 weeks ago
$120K - $150K *
Lead the charge in optimizing our CRM strategy to enhance user engagement and support business growth. Collaborate cross-functionally to drive adoption, streamline processes, and deliver insightful an...
6 days ago
$121K - $176K *
Make your mark at the forefront of renewable energy by leading federal construction projects. Utilize your expertise to drive successful outcomes while managing teams and fostering relationships in th...
2 weeks ago
Diagnosis-Related Group (DRG) Manager
$100K - $120K *
Lead a dynamic team in the execution of DRG audit programs, overseeing operations and ensuring compliance with coding guidelines and regulations, while driving process improvement and fostering cross...
6 days ago
Manager, Identity and Signals - Ads DSE
$500K+*
Transform data into impactful insights as you lead a high-performing team of Machine Learning Scientists and Data Engineers. Collaborate cross-functionally to enhance ad tech and optimize advertising...
Reposted 2 days ago
Manager, Service & Repair, Global Business Product Owner (BPO)
$102K - $177K *
Lead the charge in transforming Service & Repair capabilities by driving adoption and optimization initiatives. Collaborate globally across teams to ensure solutions meet business needs, enhancing eff...
3 days ago
Enterprise Account Manager - Clinical Outcome Assessments
$108K - $159K *
Elevate your career by managing strategic relationships with top pharmaceutical companies, driving enterprise-level engagements and orchestrating complex commercial deals that enhance clinical trial o...
5 days ago
Research & Resolution Specialist II - Remote
$75K - $96K *
Optimize Client Service Delivery by leading strategic resolutions, process improvements, and training development. Engage in complex inquiries, collaborate with cross-functional teams, and influence e...
1 week ago
$120K - $150K *
Help us drive financial excellence by leading our finance team, shaping strategic decisions that enhance profitability, and fostering a culture of collaboration and growth in a dynamic business enviro...
3 weeks 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.