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, Data Engineering - CAN
$110K - $130K *
Unlock potential by leading a skilled engineering team to enhance and modernize the Data & Observability Platform, driving efficiency and reliability in a cutting-edge data ecosystem that supports ana...
2 weeks ago
Registered Nurse (RN) Lead, Home Health Utilization Management
$130K - $170K *
Join a dynamic team as you lead Home Health Utilization Management, balancing clinical reviews and team leadership to drive compliance, quality, and continuous improvement in patient care delivery...
5 days ago
Manager, Quality Assurance Process Analysis
$66K - $106K *
Lead the charge in ensuring quality standards across a major federal program. Oversee a comprehensive Quality Assurance framework and collaborate with diverse teams to drive continuous improvement, co...
4 days ago
Client Services Business Systems Analyst IV
$95K - $169K *
Partner with us to optimize business systems solutions through collaboration, analysis, and technology integration that meets operational needs and enhances service excellence for both internal and ex...
Today
$75K - $95K *
Lead and inspire a team of Loan Assumption Processors, ensuring exceptional pipeline management and adherence to compliance standards while driving team performance and improving operational efficienc...
Reposted 4 weeks ago
$109K - $136K *
Drive customer success by managing a high-velocity portfolio, enhancing value through onboarding, adoption, and renewal processes while ensuring a seamless customer experience and providing actionable...
6 days ago
$80K - $120K *
Elevate sales performance by driving growth in fiber-optic and Ethernet solutions. Engage with key infrastructure customers, build relationships, and manage complex sales cycles to unlock new business...
3 weeks ago
Complex Claims Manager - Construction Defect
$100K - $120K *
Analyze and resolve complex Construction Defect claims, ensuring compliance with standards while guiding junior staff. Collaborate across teams to negotiate settlements and prepare reports on claims s...
4 days ago
$260K - $275K *
Shape the future of channel management by driving partner growth, optimizing strategic relationships, and enhancing sales execution. Collaborate closely with leadership to meet corporate objectives an...
4 days ago
$125K - $150K *
Optimize CICS operations by leveraging 10+ years of mainframe expertise. Lead installation and maintenance of CICS TS, ensuring exceptional performance and efficiency across the platform while collabo...
3 days ago
$80K - $95K *
Join a dynamic team to oversee inventory management and procurement processes. Ensure optimal inventory levels, minimize costs, and collaborate cross-functionally to support operations and enhance sup...
Today
Senior Manager, Global P2P Accounting Operations
$170K - $200K *
Unlock your potential by leading global P2P Accounting Operations, enhancing procurement integration, optimizing AP processes, and fostering cross-functional collaboration to drive financial excellenc...
2 weeks ago
Sr. Manager, Messaging Channels & Deliverability
$150K - $200K *
Join us to lead and optimize our vital communication delivery engine, transforming email, SMS, and messaging into key corporate assets while managing a high-performing team for operational excellence...
2 weeks ago
$130K - $160K *
Join a collaborative team to drive independent audit functions for RCM and RPM, ensuring accurate coding, compliance, and risk mitigation. Design strategies, lead audits, and partner cross-functionall...
2 weeks ago
$90K - $110K *
Drive operational excellence in remote MRI scanning by managing workforce scheduling, coaching technologists, and improving image quality across multiple command center hubs for optimal performance an...
3 days ago
Client Project Manager Ops - Central
$71K - $102K *
Unlock potential by effectively managing high-revenue projects for complex clients. Collaborate with internal teams to develop solutions, enhance client satisfaction, and drive successful outcomes in...
2 weeks ago
Manager, Contracts & Legal Operations
$95K - $115K *
Contribute to effective healthcare operations by managing contracts and legal processes, addressing compliance, and supporting stakeholders in risk assessment and governance initiatives. Thrive in a f...
2 weeks ago
Clinical Pharmacy Specialist (Remote)- Care Management Team
$95K - $115K *
Shape the future of healthcare as you provide clinical expertise in pharmacy management, improve care quality, and collaborate with interdisciplinary teams to enhance member outcomes and pharmacy serv...
4 days ago
$110K - $130K *
Play a key role in managing transition projects to ensure seamless IT service delivery across the organization, coordinating with diverse teams to align operational needs and timelines for effective p...
1 week ago
$120K - $150K *
Take ownership of enterprise-wide database operations to ensure optimal performance, compliance with security controls, and the overall reliability of critical data systems across various environments...
Reposted 3 weeks ago
Senior Fraud Strategy Analyst - Rules Engine & Decisioning
$100K - $150K *
Help us elevate fraud detection and prevention strategies to maximize performance while mitigating risks. Be an integral part of enhancing our fraud capabilities in a dynamic and evolving environment...
1 week ago
Manager, Enterprise Applications
$120K - $145K *
Innovate and lead the evolution of enterprise applications by managing a high-performing team, optimizing Salesforce platforms, and aligning technology roadmaps with business objectives across various...
5 days ago
Principal Resource Planning Manager
$131K - $251K *
Shape the future of aerospace by leading resource planning strategies. Collaborate across teams, manage complex schedules, and deliver innovative solutions to meet program goals in a dynamic environme...
3 weeks ago
Project Manager, Salesforce Portfolio
$105K - $179K *
Manage end-to-end project delivery for Salesforce and Sales Operations initiatives. Utilize analytical skills to drive visibility, prioritization, and measurable outcomes across projects, ensuring col...
3 days ago
$80K - $95K *
Drive customer loyalty by developing and implementing retention strategies. Analyze data to enhance engagement and reduce churn, collaborating across teams to optimize retention campaigns and support...
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.