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.
$174K - $205K *
Manage and enhance the commission structure, ensuring efficient calculation and administration while collaborating across teams. You will establish scalable processes and mentor staff, aiming for cont...
2 days ago
$91K - $163K *
Drive innovation in pharmacy workflows by utilizing your Epic Willow expertise to enhance patient care and operational performance across multiple healthcare organizations nationwide. Collaborate with...
2 days ago
$125K - $150K *
Shape the future of business growth by leading capture strategies, building client relationships, and mentoring teams in a dynamic environment focused on strategic opportunities and innovative service...
1 week ago
$79K - $132K *
Empower your career as you lead quality improvement initiatives, enhance member experiences, and drive compliance across diverse healthcare lines. Manage a dynamic team to implement outreach programs...
2 weeks ago
$80K - $95K *
Manage innovative design processes for new restaurant environments, overseeing project teams and ensuring alignment with brand standards while adapting to unique site constraints and operational workf...
Reposted today
Director of Account Management Mass Market
$125K - $150K *
Drive success in customer relations by leading strategic account management, mentoring teams, and navigating complex partnerships to enhance growth and client satisfaction in the Government Solutions...
2 weeks ago
$110K - $130K *
Join a team that's redefining healthcare technology by leading the product roadmap for clinical documentation and operational workflows in a fast-paced, collaborative environment. Shape the future of...
1 week ago
Contact Center Platform Manager (Omnichannel)
$80K - $95K *
Lead initiatives to enhance member experience through effective management of contact center technologies and digital platforms. Drive operational excellence by optimizing service delivery, data analy...
2 weeks ago
$90K - $130K *
Own and drive product strategy for AI-driven land development insights. Collaborate with cross-functional teams to enhance workflows, define problems, and deliver customer-focused solutions in land ac...
3 weeks ago
$110K - $130K *
Build robust Adobe Experience Manager solutions leveraging your 6+ years of expertise. Play a key role in managing full-cycle implementations by integrating diverse web content strategies and collabor...
2 weeks ago
$101K - $120K *
Transform the marketing landscape by leading operations, technology, and cross-functional teams to drive performance, efficiency, and integration efforts. Be a central connector that enhances planning...
Reposted 1 week ago
$120K - $150K *
Architect comprehensive electrical protection systems, ensuring quality, cost-efficiency, and adherence to client specifications. Collaborate across teams, mentor engineers, and lead technical discuss...
3 weeks ago
Executive Administrative Assistant
$99K - $120K *
Lead the charge in enhancing organizational efficiency by supporting senior leadership. You'll ensure seamless operational execution and project management within a dynamic, fully remote environment...
3 days ago
$90K - $110K *
Optimize critical business applications through expert IT policies and 24x7 support. Collaborate with teams to ensure software readiness and manage high-priority projects for mission-critical systems...
3 weeks ago
Enterprise Relationship Manager (ERM)
$110K - $130K *
Manage relationships with large accounts to exceed sales targets. Develop C-level connections and drive growth through a strategic sales approach. Collaborate with a high-performance team while naviga...
6 days ago
$130K - $150K *
Unlock potential by serving as a Senior Application Consultant, responsible for integrating and optimizing the AVEVA PI system across diverse industries, offering expert support and consulting to ensu...
2 weeks ago
Clinical Consulting Manager - State Hospitals
$100K - $120K *
Empower state hospitals with your clinical expertise. Define workflows, enhance EHR adoption, and drive transformation in complex, high-acuity environments while ensuring alignment with regulations an...
1 week ago
$80K - $95K *
Engage stakeholders to enhance our Salesforce platform, ensuring its efficiency, security, and optimal use. Drive automation, reporting, and user support while fostering continuous improvements across...
2 days ago
Project Manager, Informatics (Communications Lead)
$110K - $130K *
Join a dynamic team as you take ownership of managing IT projects that enhance healthcare communications and support vital informatics initiatives, ensuring effective collaboration and change manageme...
2 weeks ago
Senior Program Manager - Provider Programs
$105K - $165K *
Manage strategic portfolio execution, guiding multi-program initiatives to achieve enterprise goals. Collaborate with business leaders, ensuring consistency in performance, risk management, and commun...
Reposted 3 weeks ago
$80K - $120K *
Support customer success by owning relationships, ensuring measurable outcomes, and driving engagement for value realization, retention, and growth. Collaborate with sales to identify upsell opportuni...
3 weeks ago
$93K - $110K *
Partner with us to drive financial leadership and operational insights across regions, enhancing budgeting, reporting, and business performance. Collaborate with teams to support profitable growth and...
2 weeks ago
Application Sys Analyst IV - Healthy Planet, Primary Architect (Remote)
$97K - $146K *
Take ownership of the Healthy Planet application, guiding design, governance, and strategic direction. Collaborate across Epic platforms, lead initiatives, and ensure alignment with best practices to...
1 week ago
Project Manager (Professional Services)
$95K - $171K *
Champion customer success by leading enterprise solution implementations with Adobe Experience Cloud. Collaborate across teams, own project deliverables, and ensure value-driven outcomes in a complex...
Reposted 4 days ago
$108K *
Transform marketing strategies by leveraging data analytics to optimize campaign performance, drive ROI, and enhance customer engagement across multiple departments while mentoring junior analysts and...
4 days 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.