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.
Senior Manager, Medicaid Provider Performance
$82K - $182K *
Tackle strategic provider relationships to enhance value-based care in Medicaid. Drive improvement in health outcomes and compliance through data analysis, stakeholder engagement, and innovative initi...
3 days ago
Manager, IDR and Industry Relations
$100K - $120K *
Transform the healthcare reimbursement landscape by leveraging your expertise in Federal IDR regulations. Collaborate cross-functionally, monitor industry trends, and educate stakeholders, all while m...
1 week ago
$100K - $120K *
Transform health systems through AI by enhancing governance, workforce, and data infrastructure. Collaborate with Ministries of Health, manage stakeholder relations, and drive innovative solutions in...
1 week ago
Senior Manager, Clinical Data Operations & Integration
$150K - $248K *
Unlock your potential as you lead data integration initiatives in healthcare, partnering with cross-functional teams to deliver reliable and efficient solutions that enhance client outcomes and operat...
Today
Senior Relationship Manager, Equipment Finance
$107K - $179K *
Drive strategic customer relationships and financing solutions in construction, leveraging superior service and deep industry expertise to enhance margins and expand opportunities across Louisiana, Mi...
2 weeks ago
Data Center COE Operations Manager
$119K - $190K *
Optimize day-to-day operations of service activities in the Data Center Services sector, ensuring exceptional customer satisfaction and operational excellence in a remote capacity across the United St...
Reposted 3 weeks ago
$60K - $145K *
Join our dynamic underwriting team to oversee analysis and risk assessment for client proposals, guiding underwriters while enhancing processes. Drive consistency, support strategic goals, and collabo...
Reposted 3 weeks ago
Sr. Technical Product Manager - Payment Integrity - Remote
$112K - $193K *
Drive strategic product initiatives for payment integrity, aligning platform capabilities with business objectives and leading cross-functional teams to innovate solutions that enhance operational eff...
2 weeks ago
$100K *
Help us drive success by delivering innovative HCM/WFM solutions, exceeding sales quotas, and cultivating relationships with key decision-makers while leveraging your expertise in the SaaS industry...
3 days ago
$100K *
Drive the sales process for HCM/WFM products, identifying opportunities and delivering tailored proposals to meet client needs while exceeding quotas in a dynamic, results-oriented environment...
1 week ago
$100K *
Grow your career by consistently exceeding sales quotas and presenting cutting-edge HCM/WFM solutions to decision makers. Partner with clients to develop tailored proposals, leveraging your industry e...
1 week ago
$100K *
Champion your career with innovative sales strategies that drive growth and success. Leverage HCM/WFM solutions to engage clients, exceed quotas, and collaborate across teams to revolutionize workforc...
Reposted 3 weeks ago
$100K - $150K *
Champion the sales of cutting-edge Identity and Access Management solutions. Drive revenue growth by nurturing relationships and closing deals within large institutions in the Mid-Atlantic region thro...
3 weeks ago
Implementation Project Manager
$130K - $150K *
Partner with us to oversee enterprise-scale supply chain implementations, managing budgets, timelines, and resources while fostering strong stakeholder relationships across multiple projects to ensure...
3 weeks ago
$150K - $170K *
Advance your career by managing complex programs and leading diverse teams while ensuring seamless execution of all Assessment & Authorization activities. Drive strategic oversight, foster collaborati...
3 weeks ago
$100K - $110K *
Lead strategic proposal efforts to drive contract awards by managing the entire development lifecycle, ensuring compliance and quality through effective collaboration with team members and stakeholder...
1 week ago
Engineering Manager, Salesforce
$125K - $150K *
Join a dynamic team as a hands-on Engineering Manager, leading Salesforce engineers to enhance core business operations, drive technical improvements, and foster collaboration between technology and s...
Today
Engineering Manager, Salesforce
$125K - $150K *
Lead and develop a talented Salesforce engineering team, optimizing solutions and driving impactful results through hands-on technical contributions and effective stakeholder collaboration...
Today
$90K - $110K *
Engage with key customers to drive strategic growth, manage relationships, and ensure operational excellence. Oversee the execution of account plans and lead cross-functional initiatives to meet custo...
Reposted 2 days ago
$120K - $150K *
Drive financial excellence by leading consolidated reporting, integration of acquisitions, and process improvements. Collaborate across teams and act as a key IFRS escalation point while managing inte...
3 weeks ago
Diabetes Virtual Patient Navigator
$61K - $112K *
Support patients and healthcare professionals by providing educational resources and comprehensive assistance in diabetes care, ensuring compliance with best practices and enhancing overall health out...
Reposted 5 days ago
$90K - $130K *
Join a team that's shaping innovative strategic programs by leading cross-functional initiatives and driving alignment with organizational goals, ensuring projects are delivered on time, within budget...
3 weeks ago
Reimbursement Access Manager II
$103K - $138K *
Drive timely patient access to life-changing therapies by leading reimbursement initiatives, collaborating across teams, and navigating healthcare reimbursement challenges in rare disease markets to e...
3 weeks ago
Revenue Integrity Anesthesia Auditor
$73K - $110K *
Support comprehensive auditing of anesthesia records, ensuring accuracy, compliance, and quality standards. Collaborate across departments to enhance documentation processes, uphold regulatory require...
3 weeks ago
$110K - $130K *
Empower critical federal IT systems by leading QA strategies to ensure secure, high-performing applications. Collaborate across teams to enhance testing and compliance in a dynamic DevSecOps environme...
5 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.