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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$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...

Atlanta, GARemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

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3 weeks ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$135K - $170K *

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2 weeks ago

  •   8 - 10 years exp.  •   Technical Services

$125K - $145K *

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2 weeks ago

  •   5 - 7 years exp.  •   Information Technology

$115K - $135K *

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3 weeks ago

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$125K *

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1 week ago

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2 weeks ago

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$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...

Delaware, USRemote

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$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...

United StatesRemote

4 days ago

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$90K - $110K *

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3 weeks ago

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$62K - $103K *

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1 week ago

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$95K - $115K *

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Kentucky, USRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$68K - $113K *

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3 weeks ago

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1 week ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$120K - $140K *

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1 week ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

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United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$140K - $176K *

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United StatesRemote

3 weeks ago

  •   8 - 10 years exp.  •   Information Technology

$150K - $205K *

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1 week ago

  •   Less than 5 years exp.  •   Information Technology

$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...

Akron, OHRemote

5 days ago

  •   Less than 5 years exp.  •   Enterprise Technology

$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...

Pittsburgh, PARemote

Today

  •   5 - 7 years exp.  •   Healthcare

$153K - $183K *

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4 weeks ago

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$90K - $150K *

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6 days ago

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$114K - $167K *

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1 week ago

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$100K - $120K *

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2 weeks ago

  •   8 - 10 years exp.  •   Energy & Utilities

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.