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, Integrated Data Analytics
$110K - $130K *
Transform data operations by leading teams to develop, maintain, and enhance Enterprise Data Assets. Collaborate with various stakeholders to ensure high-quality data analytics and support organizatio...
Yesterday
Cloud Operations Manager / O&M Service Delivery Manager
$125K - $189K *
Lead transformative cloud operations, enhancing performance in complex environments. Oversee service delivery, strategic planning, and cross-team collaboration to achieve excellence in customer satisf...
Reposted 3 days ago
$70K - $106K *
Lead the charge in enhancing IT security measures and policies across multiple functional areas, while mentoring junior analysts. Ensure compliance with information security standards and respond to i...
5 days ago
Commercial Insurance Territory Manager (East)
$140K - $220K *
Shape sales growth and agency relationships in a defined territory, driving profitable revenue and market share through strategic partnerships and data-driven decision-making. Foster collaboration and...
6 days ago
$90K - $130K *
Shape the future of enterprise AI by driving strategic solutions in data governance, cybersecurity, and platform modernization to help organizations maximize their IT capabilities and achieve operatio...
3 weeks ago
Senior Engineer - Software/Info Platform - SAP BTP
$125K - $178K *
Unlock potential by leading the strategic deployment of SAP BTP services, ensuring high availability and implementing security frameworks across global accounts. Collaborate with diverse teams to opti...
5 days ago
$100K - $150K *
Empower client success by managing relationships and driving growth within the mortgage industry, leveraging insights to optimize platform usage and ensure client satisfaction throughout the post-impl...
1 week ago
Director, Revenue Operations - Credits
$115K - $183K *
Drive strategic oversight of credits operations, enhancing performance, compliance, and risk management while fostering a culture of continuous improvement and cross-functional collaboration to achiev...
Reposted 4 days ago
Account Executive, Public-Sector (Northeast)
$130K *
Accelerate your career as the key contact managing strategic relationships and driving revenue growth within Public Sector accounts. Utilize your expertise to enhance partnerships and navigate complex...
Reposted 1 week ago
$78K - $195K *
Empower the future of healthcare analytics by leading AI-driven product development, from ideation to launch. Collaborate with stakeholders and engineering teams to deliver innovative solutions that t...
Reposted 2 weeks ago
Epic Senior Analyst, Cadence/Referrals
$90K - $120K *
Champion the implementation and optimization of complex applications while collaborating with stakeholders to enhance function and access. Support junior staff and address technical issues, contributi...
3 weeks ago
Start-Up Operations Manager, Cross Dock Launch
$100K - $120K *
Lead a team that ensures operational excellence in automated cross-dock sites. Manage high-velocity workflows, validate systems, and oversee large teams during pre-launch, go-live, and stabilization p...
2 weeks ago
Senior Downstream Product Manager, Remote Monitoring and Analytics - Acute Care and Monitoring
$133K - $200K *
Optimize global commercialization strategies for remote monitoring and analytics, driving adoption across healthcare systems. Lead cross-functional teams to craft tailored marketing approaches that en...
1 week ago
Account Manager, ENT - Philadelphia
$80K - $120K *
Accelerate sales growth by executing direct strategy in designated territories, guiding clinicians during procedures, and driving product feedback to enhance offerings. Collaborate within a team to ac...
3 weeks ago
Care Manager - Nursing (Field) Leominster and surrounding Area
$87K - $130K *
Drive optimal care management by collaborating with members and providers to enhance wellness. Leverage strong clinical skills to create personalized care plans, facilitate transitions, and support he...
Reposted 2 weeks ago
$88K - $116K *
Join a team that transforms client outcomes by delivering exceptional ERP solutions. Lead full lifecycle implementations, streamline processes, and enhance client operations while providing expert gui...
2 weeks ago
Director, Enterprise Warehouse Management
$149K - $186K *
Optimize inventory control and warehouse processes to enhance operational efficiency. Interact with cross-functional teams to define standards, improve service levels and lead change management initia...
3 weeks ago
AVP Underwriting, Inland Marine
$110K - $130K *
Drive underwriting success by leading a dynamic team, managing broker relations, and achieving profitability goals while fostering professional development and market awareness in the Inland Marine se...
2 weeks ago
Senior Denials Prevention Process Improvement Advisor
$69K - $104K *
Join a team that tackles denial prevention through deep analysis and process improvement. Leverage analytics tools to identify trends, drive best practices, and establish strong client relationships t...
4 weeks ago
Intermediate AI Transformation Process Analyst
$125K - $140K *
Accelerate progress at the intersection of process innovation and AI, partnering with stakeholders to design and implement transformative AI solutions that enhance operational efficiency and business...
2 weeks ago
Cost Control Manager, Capital Projects
$90K - $130K *
Accelerate project success by overseeing financial control for capital engineering efforts. Align cost forecasting and budget management across teams to protect profitability and ensure timely, accura...
3 weeks ago
Senior Implementation Project Manager
$84K - $113K *
Transform enterprise solutions as a Senior Implementation Project Manager, leading SaaS projects with global impact. Drive engagement and outcomes by coordinating diverse teams and managing executive...
Reposted 4 days ago
$110K - $130K *
Unlock transformation by delivering best-practice project management for medium to large scale initiatives, effectively juggling resources, stakeholder communication, and operational change to drive s...
Reposted 5 days ago
$80K - $100K *
Lead the charge in enhancing service delivery excellence for Managed Services clients. Drive performance, improve processes, and foster client relationships to ensure top-tier service and operational...
3 days ago
$85K - $128K *
Drive growth by managing key accounts within a national territory, delivering on sales goals, forging relationships, and collaborating cross-functionally to implement strategic business plans and mark...
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.