Explore Utilization Manager Jobs

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.

What Does a Utilization Manager Do?

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.

Common Skills and Qualifications

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 Manager Career Opportunities

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.

Find Utilization Manager Jobs on Ladders

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.

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1
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$78K - $113K *

Join us in transforming Revenue Cycle Management by leveraging analytical skills to enhance operational excellence across various RCM functions, driving process improvements and supporting financial p...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Elevate global post-market surveillance by leading a team focused on safety, compliance, and performance of medical devices. Drive field actions, analyze data, and collaborate cross-functionally to en...

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1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$131K - $182K *

Empower revenue teams by leading a dynamic group of Revenue Enablement Managers. Drive ongoing performance through strategic coaching, hands-on training, and AI-first initiatives, ensuring alignment a...

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1 week ago

  •   5 - 7 years exp.  •   Enterprise Technology

$130K - $150K *

Optimize IT operations by managing systems, enhancing security, and leading projects. Ensure seamless network infrastructure and provide technical support while coordinating with vendors and maintaini...

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Yesterday

  •   5 - 7 years exp.  •   Information Technology

$80K - $100K *

Shape and drive the growth of Empower's Field Sales Program by recruiting, training, and managing sales contractors in new markets, while optimizing processes and ensuring effective team workflows for...

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2 weeks ago

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$120K - $145K *

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6 days ago

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$80K - $95K *

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5 days ago

  •   5 - 7 years exp.  •   Telecommunications & Hardware

$110K - $130K *

Drive customer success by leading a dynamic team in delivering high-quality SaaS implementations. Collaborate across functions to enhance performance, navigate challenges, and embrace innovative solut...

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2 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$110K - $130K *

Join a dynamic team to optimize technical solutions across the customer lifecycle, bridging Growth and Post-Sales. Drive complex enterprise implementations, enhance team capabilities, and ensure succe...

San Francisco, CARemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$87K - $157K *

Lead the charge in managing complex, large-scale programs and projects, ensuring strategic objectives are met through effective planning, execution, and cross-functional collaboration. Drive success b...

Missouri, USRemote

4 days ago

  •   8 - 10 years exp.  •   Healthcare

$115K - $160K *

Unlock business value by driving AI-native strategies and financial insights. Collaborate with stakeholders to shape enterprise decisions, enhance deal structures, and deliver quantifiable outcomes in...

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1 week ago

  •   5 - 7 years exp.  •   Information Technology

$110K - $130K *

Drive your career with a Senior Program Analyst role focused on solving complex cross-functional challenges. Utilize analytical skills to enhance pricing, agreements, and program performance while col...

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1 week ago

  •   Less than 5 years exp.  •   Aerospace & Defense

$75K - $100K *

Manage a dynamic Customer Support team, driving service quality and operational efficiency. Oversee daily operations, enhance performance metrics, and implement automation to elevate customer satisfac...

CanadaRemote

1 week ago

  •   5 - 7 years exp.  •   Enterprise Technology

$80K - $95K *

Grow your career by managing strategic accounts, driving revenue, and fostering long-term relationships. Leverage expertise in solution selling and account management to deliver customer-centric strat...

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Reposted 1 week ago

  •   Less than 5 years exp.  •   Enterprise Technology

$100K - $166K *

Champion project execution and risk management in complex energy infrastructure, driving operational efficiency and digital innovation while collaborating with cross-functional teams to enhance projec...

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4 days ago

  •   5 - 7 years exp.  •   Business Services

$73K - $115K *

Unlock the potential of clinical documentation integrity by driving ICD-10-CM coding accuracy and enhancing provider education. Collaborate with cross-functional teams to support risk adjustment initi...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$142K - $180K *

Lead the delivery of innovative healthcare solutions, managing teams and projects from design to deployment. Ensure adherence to stakeholder goals while fostering collaboration and optimizing performa...

Cary, NCRemote

1 week ago

  •   11 - 15 years exp.  •   Business Services

$88K - $105K *

Lead the management of pharmaceutical programs, ensuring client satisfaction and operational excellence. Oversee daily activities, supervise staff, and drive strategic planning while maintaining stron...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$90K - $110K *

Transform client operations by leading teams, optimizing processes, and enhancing service delivery. Drive business results through strategic project management and data analytics while fostering a cul...

Texas, USRemote

Yesterday

  •   5 - 7 years exp.  •   Information Technology

$90K - $140K *

Join a team that's driving project success by leading technical initiatives, resolving complex challenges, and aligning outcomes with client objectives. Your expertise will enhance profitability and o...

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1 week ago

  •   5 - 7 years exp.  •   Enterprise Technology

$100K - $120K *

Take ownership of logistics operations across multiple sites, ensuring timely delivery of materials and efficient inventory management. Collaborate with teams to optimize procurement strategies and dr...

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1 week ago

  •   Less than 5 years exp.  •   Enterprise Technology

$91K - $152K *

Join us to lead complex outage events in the power generation sector, ensuring safety, quality, and efficiency. Drive best practices and enhance operational excellence while managing teams and custome...

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1 week ago

  •   Less than 5 years exp.  •   Business Services

$108K - $180K *

Shape the future of product development, leading cross-functional teams to execute strategic initiatives and optimize customer engagement through innovative data solutions and market insights. Drive i...

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Reposted 4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$73K - $125K *

Transform clinical review processes by conducting thorough prepayment and post-payment assessments of inpatient admissions. Leverage your expertise to ensure compliance, support appeals, and enhance q...

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2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$73K - $88K *

Accelerate progress at expanding customer accounts by driving annual recurring revenue and enhancing retention through structured sales strategies and digital engagement, while managing a high-volume...

United StatesRemote

6 days ago

  •   Less than 5 years exp.  •   Media

Frequently Asked Questions (FAQ)

  • What does a Utilization Manager do?question toggle

    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?question toggle

    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?question toggle

    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?question toggle

    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.