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.
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
$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
$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
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
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...
2 days 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...
5 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
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
$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
Manager, Security Engineering & Operations
$123K - $175K *
Build and lead a top-tier security engineering and operations team. Oversee the implementation of robust security measures, drive automation efforts, and communicate effectively with cross-functional...
3 weeks ago
$90K - $130K *
Unlock potential by leading the tender and bid process while ensuring precise cost management and project oversight. Collaborate effectively with teams and clients to foster transparency and support d...
2 days ago
Associate Director of Cost Management
$170K - $210K *
Shape the future of cost management by leading a skilled team, driving excellence in service delivery, and fostering client engagement across diverse real estate sectors while ensuring growth and inno...
2 weeks ago
Senior OneStream Solution Architect
$189K - $346K *
Lead innovative OneStream solutions, guiding complex implementations while developing high-performance financial applications. Collaborate with a team to translate requirements into technical designs...
4 weeks ago
$90K - $120K *
Empower our clients by supporting the sustainment of Oracle Cloud applications. Drive effective migrations and resolve issues in a multitenant environment while collaborating with stakeholders to ensu...
3 weeks ago
$100K - $115K *
Engage with hiring managers to attract and recruit top talent across various levels, while building and maintaining a pipeline of qualified candidates for leadership and sales roles in a fast-paced en...
5 days ago
$130K - $195K *
Pioneer innovative service offerings in the Ultrasound and IGT sectors, driving growth through market insights and strategic collaborations. Lead cross-functional teams to enhance product activation a...
4 days ago
EPIC ODB Engineer / Architect - Remote
$120K - $150K *
Elevate your career by joining our dynamic team to design, optimize, and maintain Epic's critical database infrastructure. Collaborate with technical experts to ensure top performance and seamless int...
4 days ago
Associate Federal Project Manager - US Remote
$100K - $110K *
Drive successful implementation of mission-critical communication systems by leading complex projects from inception to completion, ensuring on-time delivery, budget adherence, and high customer satis...
3 weeks ago
Senior Technology Operations Center (TOC) Analyst
$100K - $130K *
Support advanced troubleshooting within the Technology Operations Center, optimizing monitoring systems like SolarWinds, leading incident management, and mentoring junior analysts to enhance operation...
2 weeks ago
Senior Manager, Enterprise Compliance Corrections
$87K - $157K *
Join a team that's driving compliance excellence in healthcare. Lead initiatives to resolve regulatory non-compliance, enhance program performance, and influence organizational goals. Your expertise w...
Reposted 2 weeks ago
Change Manager - IT Project Manager III- Digital and Technology Partner - Remote
$140K - $202K *
Shape the future of technology initiatives by leading complex change management efforts. Drive successful project adoption through strategic planning, stakeholder engagement, and effective communicati...
1 week ago
$75K - $113K *
Empower patients by guiding them through the complex cardiology care continuum. Collaborate across teams to enhance program performance and patient outcomes while acting as a clinical expert and advoc...
4 weeks ago
Equipment Configurator Functional Analyst
$90K - $120K *
Drive collaboration across teams to streamline product configuration development, enhancing the inquiry to remittance process while ensuring quality and functionality through comprehensive testing and...
Yesterday
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.