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.
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.
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 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.
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.
$108K - $181K *
Engineer innovative commercial strategies that drive growth and enhance contract management for a fast-evolving portfolio in the controls services domain. Collaborate with cross-functional teams to op...
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Lead the charge in managing cross-functional programs that enhance AI data quality and evaluation. Collaborate with diverse teams to translate product needs into actionable plans, ensuring efficient d...
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$105K - $125K *
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5 days ago
$105K - $158K *
Manage the successful delivery of healthcare IT projects, coordinating stakeholders and ensuring compliance with standards while driving customer engagement and adoption across acute care environments...
6 days ago
Senior Business Analyst (Billing)
$64K - $147K *
Shape the future of healthcare by collaborating with stakeholders to document and analyze business requirements, ensuring innovative solutions and best practices are implemented throughout the project...
3 weeks ago
$115K - $192K *
Engineer trusted, reusable data products by transforming architectural designs and business requirements into production-grade solutions. Collaborate with cross-functional teams to deliver innovative...
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$136K - $163K *
Build and lead a high-performing QA team, developing automation frameworks and testing strategies for AI-driven products. Collaborate with engineering to enhance quality and efficiency in a fast-paced...
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Product Manager - Endpoint Management & Security
$150K - $200K *
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4 weeks ago
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$144K - $211K *
Drive engineering excellence by leading a high-performing team in implementing and scaling industrial control systems. Collaborate across functions to ensure reliable, maintainable solutions that supp...
Yesterday
$140K - $170K *
Pioneer innovative compensation strategies to enhance pay equity and governance while leading performance-driven pay cycles. Collaborate with HR and finance to optimize compensation structures and ens...
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$65K - $109K *
Partner with us to foster strategic relationships, optimize account performance, and drive engagement with key stakeholders, leveraging your knowledge of healthcare technology to deliver impactful sol...
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Resource Management & Digitization Leader
$91K - $152K *
Lead workforce planning, optimize resources, and drive digital transformation initiatives while enhancing operational visibility and efficiency across global service operations in a remote capacity...
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Escalation Manager - Technical Support
$131K - $180K *
Drive customer satisfaction as an Escalation Manager, overseeing technical support for high-value accounts. Collaborate with teams to resolve issues, advocate for clients, and enhance service delivery...
1 week ago
$100K - $120K *
Drive enterprise sales by building relationships with large dealership groups. Identify opportunities, navigate complex decision-making processes, and collaborate with internal teams to deliver tailor...
2 weeks ago
$140K - $165K *
Empower our mission by developing and maintaining integrated master schedules, ensuring timely delivery and compliance across multiple stakeholders in a dynamic environment. Your expertise will drive...
1 week ago
$80K - $100K *
Play a key role in financial leadership, guiding strategic priorities and ensuring compliance within a dynamic business unit. Collaborate with diverse teams to deliver insightful analysis and foster o...
1 week ago
$85K - $135K *
Support growth by coaching client-facing professionals to enhance pipelines, advance opportunities, and strengthen client relationships. Collaborate with leaders to execute strategies and drive measur...
2 weeks ago
Senior Manager, Sales Operations
$115K - $120K *
Lead the charge in driving operational excellence and strategic enablement across global Inside Sales teams, enhancing commercial effectiveness and delivering exceptional client value through innovati...
1 week ago
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$115K - $140K *
Accelerate progress at our inverter field services by leading technical direction, managing operations, and ensuring safety and quality for utility-scale solar projects across North America, with a fo...
2 weeks ago
$87K - $93K *
Oversee lease administration, managing teams and processes to drive effective service delivery and client relations for multiple accounts while ensuring quality control and compliance with complex lea...
4 weeks ago
HCS Apps Systems Analyst - Epic Cheers
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Empower healthcare access by providing technical support for Epic Cheers Call Management. Enhance user experience through issue resolution, workflow optimization, and the introduction of digital engag...
4 days ago
Services and Evaluation Coordinator
$83K - $99K *
Empower a dedicated team to coordinate therapy and educational services, ensuring compliance with IEPs and IFSPs while fostering collaboration among parents, educators, and healthcare professionals fo...
2 weeks ago
$175K - $185K *
Lead high-performing software engineering teams to modernize customer-facing applications, enhance operational efficiency, and drive AI-enabled practices, ensuring alignment with business objectives a...
2 weeks ago
$70K - $117K *
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1 week ago
What does a Utilization Manager do?
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?
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?
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?
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.