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.
Engagement Lead - Senior Enterprise Systems Analyst
$110K - $150K *
Unlock potential by leading complex enterprise system transformations, guiding teams, and building strong client relationships to deliver high-quality BPMN process architectures for large-scale digita...
1 week ago
Institutional Product Lead, Cycles Prime
$130K - $190K *
Engage in shaping institutional fintech products that revolutionize capital management for trading firms. Drive user-centered design and strategic product development, transforming complex workflows i...
Today
Claims and Remit Support Developer - X12 Healthcare transactions (Remote)
$90K - $120K *
Join a team that's innovating healthcare technology by developing and supporting claim processing solutions, ensuring high-quality software, and enhancing provider-specific environments for optimal ef...
2 weeks ago
$90K - $120K *
Unlock customer success by managing enterprise relationships, driving product adoption, and ensuring alignment with key business objectives. This role focuses on proactive communication and strategic...
1 month ago
FS GMS Business Operations Lead
$98K - $163K *
Advance operational excellence by leading GMS internal business functions, managing resources, forecasting and reporting to enhance decision-making and drive growth through cross-functional collaborat...
1 week ago
$110K - $130K *
Empower high-impact enterprise clients by managing seamless implementations, ensuring quality execution and stakeholder satisfaction throughout the project lifecycle. Be the trusted advisor in a fast...
1 week ago
Case Manager - Registered Nurse - Southeast Region
$60K - $129K *
Join a dynamic team that manages complex cases for chronic patients, ensuring optimal care and wellness through coordination with healthcare providers, insurers, and families while developing tailored...
Today
Senior Engineering Manager, Controls Management (Remote Pennsylvania)
$130K - $160K *
Inspire progress at the forefront of engineering by leading a diverse team, managing complex projects, and driving innovation in Controls Management to elevate product performance and customer satisfa...
1 week ago
TRICARE Proposal and Transition Manager
$90K - $120K *
Unlock potential by overseeing comprehensive program management in Federal Healthcare, including end-to-end solution development and operations. Lead proposal efforts, ensure compliance, and drive con...
4 weeks ago
$150K - $200K *
Champion operational excellence by leading global delivery teams and driving AI transformation. Engage with executive leadership to align strategies and elevate performance across sourcing, delivery...
1 week ago
Application Configuration Lead
$92K - $153K *
Drive the configuration and optimization of court case management platforms, ensuring custom solutions meet judicial needs. Collaborate with stakeholders, manage agile processes, and mentor teams for...
2 weeks ago
Senior Project Manager (Systemwide/Higher Education/SaaS/ERP)
$100K - $130K *
Champion transformative projects by leading SaaS implementations across diverse teams. Ensure timely delivery and alignment with client goals while managing risks and resources effectively, promoting...
3 weeks ago
$90K - $130K *
Engineer high-quality testing processes to ensure success in complex software applications. Collaborate with clients and development teams, creating strategic test plans, executing rigorous testing, a...
Today
$80K - $124K *
Empower a field team through leadership and strategic guidance, ensuring optimal program delivery and client satisfaction while driving performance metrics and fostering team development in a dynamic...
2 weeks ago
$90K - $130K *
Help us drive new business and expand our reach across enterprise finance organizations by managing the full sales cycle. Collaborate with teams to refine our approach and influence product direction...
Reposted 1 week ago
$112K - $196K *
Take ownership of engineering and construction schedules, optimizing timelines and ensuring compliance with project specifications. Collaborate with teams to manage risk, analyze impacts, and create i...
1 week ago
Property Accounting Supervisor
$75K - $95K *
Elevate your career by overseeing accounting operations, guiding a team, and ensuring financial accuracy. Bring your expertise to enhance processes and support effective monthly close activities while...
Today
$91K - $163K *
Unlock your potential as a key contributor to medical expense analytics, driving improvements in reporting and forecasting through data analysis, collaboration, and innovative solutions that enhance t...
3 weeks ago
Workflow Solutions and Business Development Manager – GRS
$131K - $153K *
Strategize and drive market development for innovative robotic and workflow solutions. Engage with integrators and key accounts to foster opportunities, enhance customer relationships, and position th...
2 weeks ago
$67K - $102K *
Join a team that's committed to enhancing patient care through education and support. Foster relationships with healthcare providers and effectively navigate patient programs while ensuring seamless a...
Today
$90K - $130K *
Innovate and enhance IT service management by optimizing Salesforce solutions, driving AI adoption, and improving incident response processes. Elevate team collaboration and deliver scalable technical...
1 week ago
Salesforce Agentforce Architect (Technical Architect)
$94K - $266K *
Engineer impactful technical solutions focused on Agentforce, collaborating with cross-functional teams to design, develop, and deploy innovative applications that elevate user experiences and drive b...
6 days ago
Engineering Director, Automation
$150K - $180K *
Lead and scale a dynamic engineering organization to enhance our Developer Platform, driving seamless integrations that improve customer satisfaction and streamline development processes in a high-gro...
Reposted 5 days ago
Senior Technical Product Manager, GPU Orchestration
$130K - $165K *
Join a team dedicated to transforming AI infrastructure through innovative GPU orchestration solutions. Leverage your deep technical expertise to drive product strategy and enhance operational efficie...
2 weeks ago
$85K *
Join a team that's dedicated to transforming gastrointestinal care through innovative medical solutions. As a Territory Manager, you'll educate healthcare professionals, drive product use, and foster...
4 weeks 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.