Explore Utilization Manager Jobs

Utilization Managers help organizations make informed, consistent decisions about how services and resources are used. In healthcare, they often oversee utilization review, care coordination, and processes that support appropriate, evidence-based care. Explore vetted Utilization Manager opportunities on Ladders, including positions with salaries of $100,000 or more.

What Does a Utilization Manager Do?

Responsibilities vary by employer and industry. Healthcare Utilization Managers may lead teams that review care requests, assess cases against clinical guidelines and organizational policies, monitor service utilization, and coordinate with clinicians, insurers, and other stakeholders. They may also track performance measures, identify workflow improvements, and help ensure regulatory and documentation requirements are met.

Common Skills and Qualifications

Employers commonly seek experience in utilization management, utilization review, case management, or healthcare operations. Helpful qualifications may include a nursing or other relevant clinical background, familiarity with clinical criteria and payer processes, leadership experience, and strong analytical, communication, and problem-solving skills. Requirements differ by role, so review each job description for specific credentials and experience.

Utilization Manager Career Opportunities

Utilization Managers work across health plans, hospitals, health systems, and other healthcare organizations. Depending on the employer, roles may focus on clinical review, care management, quality, compliance, or team leadership. Search current openings to compare responsibilities, work arrangements, and compensation, and find a position aligned with your experience and career goals.

Find Utilization Manager Jobs on Ladders

Ladders features vetted professional opportunities with salaries of $100,000 or more. Browse Utilization Manager jobs to discover senior-level openings and explore opportunities to make an impact on healthcare delivery and organizational performance.

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$91K - $152K *

Join us to lead complex outage events in the power generation sector, ensuring safety, quality, and efficiency. Drive best practices and enhance operational excellence while managing teams and custome...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Business Services

$108K - $180K *

Shape the future of product development, leading cross-functional teams to execute strategic initiatives and optimize customer engagement through innovative data solutions and market insights. Drive i...

RemoteRemote

Reposted 4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$73K - $125K *

Transform clinical review processes by conducting thorough prepayment and post-payment assessments of inpatient admissions. Leverage your expertise to ensure compliance, support appeals, and enhance q...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$73K - $88K *

Accelerate progress at expanding customer accounts by driving annual recurring revenue and enhancing retention through structured sales strategies and digital engagement, while managing a high-volume...

United StatesRemote

6 days ago

  •   Less than 5 years exp.  •   Media

$118K - $196K *

Deliver optimized Workday solutions through assessments, deployments, and client engagements. Lead design sessions, streamline processes, and enhance customer satisfaction in a collaborative and innov...

United StatesRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Business Services

$54K - $116K *

Empower patients by leveraging your clinical expertise as a Utilization Management Nurse Consultant. Collaborate with providers to ensure timely, medically necessary care through thorough clinical rev...

Missouri, USRemote

3 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$100K - $120K *

Champion best practices in vendor management with a focus on strategic sourcing, risk mitigation, and client relationship cultivation to drive operational excellence and maximum value across client en...

United StatesRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$85K - $111K *

Drive the claims module for health care projects, providing domain expertise and analysis. Collaborate with teams to ensure quality processes, meet customer expectations, and assist in implementation...

RemoteRemote

3 weeks ago

  •   8 - 10 years exp.  •   Business Services

$80K - $95K *

Champion efficiency in the revenue cycle as you lead a dedicated billing team. Drive performance improvements, oversee compliance, and identify revenue opportunities while cultivating a culture of exc...

United StatesRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$91K - $163K *

Champion the production of high-quality Medicaid proposals, ensuring compliance and excellence from RFP release to submission. Collaborate with stakeholders and vendors to enhance processes and delive...

Minnetonka, MNRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$100K - $120K *

Drive impactful projects by collaborating across teams to enhance operational efficiency and deliver innovative solutions. Leverage your expertise to influence strategic decisions and contribute to a...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Optimize site operations by managing complex projects, ensuring compliance, and fostering collaboration among teams to drive clinical study success. Lead recruitment, training, and project implementat...

North Carolina, USRemote

4 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$120K - $145K *

Unlock potential by driving co-sell strategies with AWS, Microsoft, and Google Cloud. This role is pivotal in enhancing partner relationships and generating revenue through effective go-to-market plan...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Enterprise Technology

$90K - $110K *

Lead multi-discipline collection planning and execution to enhance border security operations. Collaborate with analysts and partners to translate intelligence requirements into actionable tasks, ensu...

United StatesRemote

4 days ago

  •   Less than 5 years exp.  •   Information Technology

$91K - $163K *

Lead transformative credit operations by optimizing workflows, enhancing AI integration, and driving process excellence. Collaborate across functions to manage multi-million-dollar portfolios and ment...

Draper, UTRemote

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$101K - $132K *

Join a team that's at the forefront of client success by leading implementation efforts. Drive operational excellence while mentoring your team and collaborating cross-functionally to enhance customer...

United StatesRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Information Technology

$105K - $163K *

Lead and manage client-facing teams to deliver high-quality card processing projects, ensuring successful implementations and client satisfaction through effective project management and strategic ove...

United StatesRemote

4 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$105K - $150K *

Lead the charge in executive support and strategic sales initiatives, managing schedules, communications, and events for the EVP of Global Client Services. Drive efficiency and stakeholder engagement...

United StatesRemote

4 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$100K - $130K *

Join a dynamic team to lead and enhance billing and coding operations, ensuring quality and compliance across multiple markets. Drive performance, coach leaders, and collaborate cross-functionally to...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$80K - $95K *

Educate healthcare providers on patient support programs and reimbursement strategies, addressing access barriers while navigating payer landscapes. Collaborate with internal teams to ensure complianc...

RemoteRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$90K - $110K *

Accelerate program implementation and stakeholder engagement in pharmaceutical market access. Oversee daily operations, client relations, and staff management while ensuring adherence to budgets and p...

United StatesRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$80K - $95K *

Drive the success of training programs by leading daily operations, ensuring effective onboarding, and adapting training to meet evolving client and operational needs while fostering trainer developme...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Business Services

$100K - $120K *

Champion client success by managing relationships with institutional accounts, ensuring seamless onboarding and engagement. Collaborate across teams to enhance service delivery and drive measurable re...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$65K - $117K *

Transform fleet maintenance operations by leading a team to ensure vehicle safety, compliance, and efficiency. Drive preventative maintenance programs and vendor management while supporting operationa...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Transportation

$145K - $156K *

Optimize resource allocation in a dynamic creative studio, ensuring efficient talent management and fostering strong relationships with artists and project leads. Drive proactive planning and problem...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

Frequently Asked Questions (FAQ)

  • What does a Utilization Manager do?question toggle

    A Utilization Manager oversees processes for reviewing and managing the use of services and resources. In healthcare, this can include leading utilization review, supporting care coordination, monitoring performance, and ensuring decisions follow applicable clinical guidelines and policies.

  • What qualifications are commonly required for Utilization Manager jobs?question toggle

    Qualifications vary by employer. Many roles ask for experience in utilization management, utilization review, case management, or healthcare operations. Some may require a clinical credential, relevant degree, leadership experience, or knowledge of payer and regulatory requirements.

  • Where do Utilization Managers work?question toggle

    Utilization Managers may work for health plans, hospitals, health systems, and other healthcare organizations. Their focus can include clinical review, care management, quality, compliance, or team leadership.

  • How can I find Utilization Manager jobs paying $100,000 or more?question toggle

    Browse Utilization Manager listings on Ladders, where professional jobs are vetted and pay $100,000 or more. Review each listing for salary details, qualifications, responsibilities, and work arrangement.