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.
$90K - $130K *
Empower key CX customers by owning relationships from pre-launch to ongoing success. As a Technical Account Manager, resolve complex issues, provide top-notch service, and ensure satisfaction and rete...
2 weeks ago
Solution Performance Manager, Dealer Solutions
$90K - $120K *
Advance dealership operations by engaging with clients to optimize product utilization and performance. Leverage data-driven insights and hands-on training to drive adoption, improve customer success...
4 weeks ago
$75K - $95K *
Empower client relationships by leading a dedicated service team, ensuring exceptional delivery and continuous improvement, while identifying growth opportunities to enhance client satisfaction and pr...
1 week ago
Coordinator Payment Processing
$75K - $94K *
Join a team that's critical to maintaining financial accuracy and integrity. Oversee payment processing, reconcile complex data, and collaborate with internal and external partners to ensure efficient...
6 days ago
$76K - $127K *
Join a team that's dedicated to navigating patient reimbursement by providing education and support services to healthcare providers, making a significant impact on patient access and care...
Reposted 6 days ago
$76K - $127K *
Join a team that's dedicated to navigating reimbursement challenges and enhancing patient services. You'll manage an assigned territory, deliver training sessions, and build vital relationships with h...
Reposted 6 days ago
US- Technical Program Manager (PEO)
$150K - $170K *
Partner with us to drive impactful product outcomes by orchestrating complex initiatives across diverse teams and domains, aligning strategy with execution, and fostering a culture of empowered delive...
Reposted 1 week ago
Director of Care Management Client Reporting
$100K - $231K *
Transform healthcare reporting by leading a dynamic team to deliver innovative analytics and insights. Collaborate across disciplines to enhance client experiences and guide strategic decisions throug...
2 weeks ago
Sr Staff Technical Product Manager - Inbound Logistics
$131K - $174K *
Transform your career by leading the architecture and strategy of Oracle WMS inbound processes, collaborating with diverse teams to enhance product features, streamline development, and drive effectiv...
2 weeks ago
REMOTE Project Manager (Mergers & Acquisitions)
$90K - $120K *
Join a team that's driving transformative projects to enhance operational excellence, delivering results that optimize client outcomes and scalability while ensuring seamless communication across team...
4 days ago
$120K - $140K *
Drive excellence in patient care as you lead and develop a high-performing clinical team, ensuring exceptional service delivery while aligning clinical practices with commercial goals for optimal pati...
2 weeks ago
Manager, Global Financial Reporting
$100K - $130K *
Shape the future of financial integrity by enhancing our reporting processes and ensuring compliance. Collaborate across functions to deliver accurate financial statements while fostering a robust, sc...
Reposted 6 days ago
Epic Applications Analyst [Professional Billing]
$80K - $100K *
Lead the charge in optimizing healthcare IT systems by becoming a Subject Matter Expert in Epic applications, driving projects, troubleshooting issues, and guiding workflow improvements that enhance p...
2 days ago
$90K - $120K *
Join a team that's dedicated to fostering talent and driving operational excellence! As an Enablement Manager, you'll design impactful training programs to ensure new hires thrive and deliver results...
1 week ago
$80K - $120K *
Shape the future of technology-driven manufacturing as a Project Manager, overseeing project execution, quality assurance, and team leadership to optimize operations, ensure budget compliance, and dri...
Reposted 1 week ago
Program Manager - Technical Support and User Engagement
$85K - $141K *
Join a team that's shaping the future of federal data access by leading technical support and user engagement for a vital program. Drive operations, manage reporting, and ensure compliance while worki...
1 week ago
$54K - $145K *
Shape the future of provider audit and compliance efforts by executing detailed audits, engaging with stakeholders, and driving effective resolution of findings, ensuring accurate and compliant financ...
1 week ago
$120K - $150K *
Champion the development of essential data infrastructure, ensuring reliability, security, and scalability. Lead and manage a team through the software development lifecycle, driving technical excelle...
4 weeks ago
Collections Risk Management Lead
$150K - $250K *
Transform collections risk management to elevate credit card portfolio performance, driving end-to-end strategies from early delinquency to charge-off recovery while ensuring alignment across function...
3 weeks ago
Optichannel Engagement Manager
$100K - $115K *
Drive marketing success by leading strategic initiatives, elevating client engagement, and maximizing brand visibility through effective optichannel solutions. Collaborate across teams to deliver inno...
3 weeks ago
Client Service Manager - Mission Critical
$160K - $195K *
Shape the future by fostering client relationships and overseeing engineering projects from inception to delivery, ensuring quality, compliance, and innovation in a dynamic environment. Lead teams to...
1 month ago
Manager, Clinical Services Consultant
$90K - $120K *
Drive strategic customer success initiatives by managing mid-market client relationships, ensuring product adoption, fostering upselling opportunities, and collaborating cross-functionally to achieve...
Reposted 4 days ago
Sr. Manager - Program Operations - Copay Assistance
$100K - $130K *
Lead impactful coordinating center projects while managing and developing a team committed to delivering excellence in copay assistance for specialty pharma programs, ensuring top-notch customer servi...
Reposted 2 days ago
$100K - $130K *
Deliver operational excellence in Total Rewards while leading a team to enhance compensation and benefits. Collaborate with cross-functional partners to streamline processes, support strategic initiat...
2 weeks ago
Senior Manager - Data Analyst for Medical Health Claims
$120K - $125K *
Analyze health care data to drive insights and support business decisions, collaborating with stakeholders to enhance product quality and trends. Utilize strong analytical skills in a fast-paced envir...
3 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.