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.
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
$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
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
$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
$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
$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
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
$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
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
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
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
Project Manager - Medical Communications
$80K - $110K *
Accelerate progress at managing diverse medical communications projects, ensuring they meet client expectations while adhering to budget and timelines. Leverage exceptional communication and financial...
2 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
$94K - $157K *
Join a team that empowers you to architect innovative OneStream solutions, guiding complex implementations and enhancing financial systems for government clients while collaborating with associates to...
3 days ago
Senior Denials Prevention Process Improvement Advisor
$69K - $104K *
Lead transformational initiatives to reduce clinical and technical denials, leveraging analytics and process improvement. Collaborate with stakeholders to create actionable solutions, support recommen...
2 weeks ago
$90K - $130K *
Empower your career by leading the billing operations, focusing on ABA billing and revenue cycle management. Drive accuracy, compliance, and performance in a collaborative environment and make a signi...
Today
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
$85K - $100K *
Advance your career leading large-scale Food Service programs. Utilize your project management expertise to drive operational success and collaborate across divisions, ensuring exceptional customer re...
Reposted yesterday
$134K - $166K *
Develop impactful digital healthcare products through collaboration and innovation. Lead, mentor, and manage a diverse team to enhance quality reporting across vital CMS programs, ensuring user-center...
2 weeks ago
$90K - $120K *
Manage the comprehensive content strategy across B2B and B2C marketing. Drive creative direction, oversee production workflows, and ensure engagement with multi-touch content journeys aimed at maximiz...
Today
Project Manager, Survey Research Science and Operations (Remote)
$74K - $125K *
Lead the charge in managing diverse survey projects for commercial and federal clients. Collaborate with teams to ensure timely delivery of high-quality results while also supporting business developm...
2 weeks ago
$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.