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.
$63K - $108K *
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Client Manager- Media & Entertainment
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Drive growth by managing key relationships and delivering innovative media solutions. Collaborate with internal teams to address customer needs, leading large sales opportunities and providing expert...
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Accelerate growth by driving new software sales, building client relationships, and tailoring solutions to meet unique business needs. Collaborate with cross-functional teams to ensure a seamless cust...
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Process Owner, Clinical Optimization - Clinical Informatics/Information Solutions
$100K - $120K *
Lead optimization governance efforts to enhance clinical system effectiveness, improve clinician satisfaction, and implement process improvements through collaboration, analytic oversight, and perform...
4 weeks ago
$78K - $128K *
Lead the product lifecycle for health plans, driving strategy, development, and market alignment. Collaborate with cross-functional teams to enhance offerings and ensure compliance, while identifying...
Reposted today
$81K - $92K *
Drive thorough property valuation reviews to ensure compliance with regulations and adequate loan collateral. Utilize analytical skills to collaborate effectively across departments, maintain relation...
Reposted 1 week ago
$152K - $202K *
Drive patient access by leveraging your expertise in reimbursement and market access. Collaborate with healthcare providers to navigate complex payer landscapes, ensuring timely access to therapies wh...
3 weeks ago
$135K - $170K *
Shape the future of environmental planning by leading complex CEQA reviews, managing multidisciplinary teams, and advising clients on sustainable practices. Drive impactful projects from inception to...
2 weeks ago
Customer Account Manager, Strategic Accounts
$125K - $145K *
Elevate customer success by managing and expanding a portfolio of complex, multi-entity accounts. Collaborate with finance and IT leaders to drive digital transformation and enhance adoption of paymen...
2 weeks ago
Customer Account Manager, Strategic Accounts
$115K - $135K *
Lead the charge in driving customer success and growth by managing a portfolio of complex accounts, collaborating with finance and IT leaders to enhance digital transformation and optimize payment sol...
3 weeks ago
$125K *
Engage with clients as a strategic sales leader, driving new logo sales in the mid-market and enterprise sectors. Leverage your expertise in HRMS/Payroll solutions to exceed quotas and foster long-ter...
1 week ago
Sr Advanced Program Performance Management Analyst & Scheduler
$130K - $140K *
Unlock your potential as a leader in program performance management, guiding teams in cost and schedule development for high-value engineering programs. Collaborate across functions to drive success i...
1 week ago
Medical Case Manager - Delaware
$72K - $116K *
Lead the charge in delivering comprehensive case management services, ensuring quality care and optimal health outcomes for members. Collaborate with healthcare teams to assess needs, develop care pla...
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Commercial & Industrial Account Manager
$80K - $95K *
Join a team that's focused on driving growth and customer satisfaction in the commercial and industrial sector. Leverage your sales expertise to manage accounts, resolve customer issues, and identify...
4 days ago
Project Manager, Core Banking Implementations
$90K - $110K *
Lead core banking system conversions for credit unions, ensuring seamless project delivery through effective stakeholder communication, data migration, and interface integration, while managing risks...
3 weeks ago
$62K - $103K *
Shape the future of client relationships by leading global capital markets administration for high net-worth clients. Drive strategic decisions, enhance client experiences, and ensure compliance while...
1 week ago
Computer System Quality Validation Engineer
$95K - $115K *
Drive quality assurance initiatives by overseeing computer system validation processes, ensuring compliance with GxP regulations, and collaborating with cross-functional teams to enhance validation pr...
3 weeks ago
HIM Outpatient Coding Supervisor
$68K - $113K *
Lead the charge in optimizing coding accuracy and compliance by analyzing complex patient care documentation, providing expert guidance, and enhancing coder education to ensure adherence to ethical st...
3 weeks ago
Sr. Marketing Manager - Healthcare
$102K - $170K *
Accelerate healthcare innovation by leading product marketing strategies for pharmacy, PBM, and health plan solutions. Drive customer engagement and product adoption through market insights and compel...
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$120K - $140K *
Drive your career forward by leading a dynamic PMO team, overseeing complex projects in healthcare technology. Collaborate cross-functionally to ensure strategic alignment and successful execution of...
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$80K - $95K *
Shape the future of customer engagement by leading automated, data-driven programs that enhance retention and drive growth for a diverse portfolio of clients, ensuring they achieve measurable business...
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$140K - $176K *
Lead the charge in managing a high-performing PMO team, driving project success through strategic financial oversight, talent development, and cross-functional collaboration to enhance operational eff...
3 weeks ago
$150K - $205K *
Join a team that's driving M&A success by leading financial strategy, target evaluation, and integration planning. Collaborate with senior leaders to identify opportunities and execute critical phases...
1 week ago
$112K - $143K *
Drive product innovation by overseeing the lifecycle of our flagship car wash software. Collaborate with cross-functional teams to define strategy, prioritize features, and ensure high-quality deliver...
4 days ago
Manager, Deal Desk Management - REMOTE
$96K - $120K *
Take ownership of the Deal Desk function, driving operational excellence and cross-functional collaboration to enhance revenue impact and team performance throughout the quote-to-cash lifecycle...
Today
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.