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.
$90K - $120K *
Drive your team to success as you lead, mentor, and empower sales professionals in a dynamic environment. Foster growth and collaboration while achieving ambitious targets in the Canadian tech market...
4 weeks ago
Professional Services Consultant
$75K - $101K *
Create impactful solutions as you deliver consulting projects, ensuring client satisfaction through effective workflow adoption and expert guidance while traveling to client sites and leveraging advan...
Reposted 2 days ago
Professional Services Consultant
$75K - $101K *
Join us in delivering impactful consulting projects in healthcare. Leverage your expertise to mentor clients on workflows, drive adoption of best practices, and ensure satisfaction through tailored im...
Reposted 2 days ago
Manager of Professional Services
$90K - $120K *
Join a team that's dedicated to delivering software solutions by leading diverse functional teams, optimizing client engagement, and ensuring exceptional service quality while driving client satisfact...
6 days ago
Product Manager - Customer Engagement & Education
$90K - $120K *
Drive meaningful product execution in a B2B2C SaaS environment, enhancing resident engagement through innovative waste management solutions while collaborating with cross-functional teams and leveragi...
6 days ago
$116K - $191K *
Accelerate growth by shaping and scaling innovative product strategies that enhance market presence and revenue, while leveraging clinical expertise and competitive insights to support commercial init...
4 days ago
Project Manager - Data Analytics Lead
$100K - $130K *
Unlock potential by leading data analytics initiatives that drive program insights and improvements for federal transition assistance programs supporting Service members, Veterans, and families throug...
3 weeks ago
$90K - $120K *
Unlock potential by driving growth through innovative sales strategies while promoting diagnostic solutions to healthcare professionals. Make a tangible impact in patient care across a defined territo...
Reposted 6 days ago
$91K - $129K *
Support project delivery by managing multiple capital planning initiatives. Cultivate client relationships while overseeing all project phases from initiation through completion, ensuring quality and...
Yesterday
Manager Coding Education and Denials
$80K - $104K *
Shape the future of healthcare by leading coding education and teams dedicated to enhancing documentation quality and reimbursement accuracy within a dynamic, collaborative environment...
Reposted 2 weeks ago
$75K - $95K *
Drive information assurance initiatives by sustaining and upgrading systems while providing vital IT and cyber support for projects, ensuring the operational efficiency and security of Navy networks a...
Today
$90K - $120K *
Take ownership of Workday HCM configuration and support, collaborating with teams to optimize business processes in payroll, benefits, and analytics. Leverage your expertise to ensure data integrity a...
Reposted yesterday
$90K - $120K *
Drive growth and exceed targets by promoting diagnostic solutions to healthcare professionals, ensuring quality support and education while fostering strong relationships within your territory...
6 days ago
UT Health ET Home Health RN Clinical Manager
$75K - $95K *
Empower clinical excellence by leading home health operations, ensuring top-notch, compliant care. Drive performance improvements, enhance patient outcomes, and foster interdisciplinary collaboration...
4 weeks ago
CDI Outsourcing Manager - Remote (Solventum)
$125K - $172K *
Engage in managing outsourced CDI operations, ensuring effective vendor relationships, quality control, and team supervision while driving revenue goals and operational improvements to enhance healthc...
3 weeks ago
Senior Government Affairs Manager
$107K - $199K *
Join us to shape health policy through strategic advocacy, collaborating with key Congressional stakeholders to influence legislation and drive Centene's priorities in the ever-evolving healthcare lan...
Reposted 3 days ago
New Markets Business Leader (State HHS, Medicaid Managed Care) (Remote)
$120K - $150K *
Empower growth by leading state market strategy, focusing on health programs. Drive client relationships, capture strategies, and ensure successful delivery while expanding IntegrityM's presence and c...
1 week ago
National Accounts Manager - East
$100K - $130K *
Champion strategic relationships with major national customers, driving sales growth through C-suite engagement. Manage a portfolio generating $50M-$100M in revenue while executing account strategies...
1 week ago
$140K - $165K *
Empower your career by driving growth in leading Integrated Health Networks. Collaborate with sales teams to elevate business performance while providing strategic insights and fostering relationships...
1 week ago
Insurance Product Management Principal - Supplemental Benefit Operations
$126K - $173K *
Join a team that's redefining supplemental benefits by leading complex projects, influencing cross-functional collaboration, and driving strategic initiatives for hearing benefits to enhance member ex...
6 days ago
$90K - $130K *
Lead the charge in executing AI product projects through cross-functional collaboration and clear communication. Thrive in a fast-paced, ambiguous environment while maintaining accountability and driv...
2 days ago
Senior Finance Analyst, Corporate FP&A
$90K - $120K *
Drive excellence in finance operations by owning Planful administration, ensuring data accuracy, facilitating process improvements, and leading training efforts. Partner with teams to elevate analytic...
2 weeks ago
Patient Dining Mobilization Manager - Travel + Remote
$85K - $110K *
Lead implementation by managing patient dining program transitions, ensuring standards and policies are met while fostering stakeholder relationships through innovative solutions and hands-on support...
1 week ago
$94K - $157K *
Lead the design and implementation of scalable OneStream solutions, translating functional needs into technical realities while guiding a team in delivering high-quality, mission-critical applications...
Yesterday
$90K - $120K *
Drive operational excellence by overseeing GTM reporting and analytics across Marketing, Sales, and CX teams. Partner with stakeholders to deliver insights that enhance processes, boost efficiency, an...
1 week 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.