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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1
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$80K - $95K *

Elevate customer success by building strong relationships, understanding needs, and driving satisfaction. Collaborate with cross-functional teams to ensure clients maximize value from our solutions an...

Tampa, FLRemote

6 days ago

  •   Less than 5 years exp.  •   Enterprise Technology

$75K - $107K *

Lead the administration and optimization of the SAP Ariba platform, ensuring effective procurement operations. Collaborate with cross-functional teams to enhance system functionality, support user tra...

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2 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$100K - $120K *

Elevate online performance by owning CRO strategies and executing A/B tests. Collaborate with cross-functional teams to enhance user experiences and drive conversions through data-driven insights and...

United StatesRemote

4 days ago

  •   Less than 5 years exp.  •   Legal & Accounting

$110K - $130K *

Lead the charge in Partner Success by managing high-priority portfolios, fostering strong relationships, and executing strategic plans while collaborating with cross-functional teams to drive growth a...

RemoteRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$87K - $157K *

Optimize compliance processes by leveraging your expertise in Medicare regulations. Collaborate with leadership to ensure adherence to CMS requirements, conduct risk assessments, and support audit rea...

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Reposted today

  •   5 - 7 years exp.  •   Healthcare

$90K - $189K *

Unlock the potential of end-to-end logistics! Lead SAP Yard Logistics and EWM initiatives, optimizing operations and facilitating seamless integration. Collaborate cross-functionally to drive solution...

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Reposted 1 week ago

  •   5 - 7 years exp.  •   Information Technology

$91K - $163K *

Shape and enhance AI-driven intelligence systems by developing, operating, and optimizing workflows and knowledge structures that facilitate effective decision-making and external communications acros...

Eden Prairie, MNRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $120K *

Elevate your career by leading financial planning and analysis, managing budgets, and driving strategic insights. Collaborate with cross-functional teams to enhance operational performance and deliver...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$125K - $181K *

Lead the charge in enhancing market and provider performance through strategic initiatives, project management, and cross-functional collaboration, ensuring operational excellence and improved member...

Long Beach, CARemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$133K - $237K *

Contribute to patient safety by overseeing medical product surveillance, analyzing data, and ensuring compliance with regulations. Collaborate on risk management and support clinical studies to enhanc...

United StatesRemote

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$125K - $150K *

Unlock your potential by leading the development of innovative DRGV services, enhancing billing and coding optimization. Collaborate across teams to create scalable solutions that drive operational ex...

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2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$98K - $134K *

Join a team that's driving growth by managing key accounts, building relationships, and executing sales strategies. Collaborate with internal stakeholders to enhance customer satisfaction and achieve...

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3 weeks ago

  •   Less than 5 years exp.  •   Food & Beverages

$140K - $150K *

Shape the future of IT by leading a high-performing team to integrate AI and automation, enhance operational efficiency, and drive strategic technology initiatives in a dynamic environment...

United StatesRemote

2 weeks ago

  •   8 - 10 years exp.  •   Information Technology

$110K - $130K *

Drive the future of logistics by leading strategic partnerships in autonomous inventory solutions. Collaborate with sales teams and partners to enhance real-time visibility, execution, and success acr...

San Francisco, CARemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Media

$118K - $196K *

Optimize team performance by leading analysts and software engineers in enhancing Clinical and Provider applications. Collaborate with stakeholders to ensure high system availability and streamline wo...

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3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Join our team to drive sales across a defined portfolio, engaging healthcare organizations with our innovative solutions. Own the sales cycle from prospecting to closing while collaborating with inter...

United StatesRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$142K - $178K *

Lead the charge in strategic financial planning, driving insights and forecasts that shape growth. Collaborate with executives and teams to enhance financial models and reporting processes in a dynami...

United StatesRemote

2 days ago

  •   5 - 7 years exp.  •   Enterprise Technology

$140K - $160K *

Grow your career with a dynamic team focused on project management excellence. Lead initiatives, manage stakeholder expectations, and drive project success through effective planning and execution in...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Business Services

$142K - $168K *

Transform client experiences by leveraging deep expertise in healthcare solutions. Lead strategic initiatives, enhance client relationships, and drive impactful outcomes for high-value accounts throug...

United StatesRemote

5 days ago

  •   11 - 15 years exp.  •   Healthcare

$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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Reposted 3 weeks ago

  •   8 - 10 years exp.  •   Business Services

$132K - $165K *

Shape the future of billing and collections by driving product strategy and enhancing user experiences. Collaborate with cross-functional teams to deliver reliable payment solutions that boost revenue...

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2 weeks ago

  •   8 - 10 years exp.  •   Business Services

$120K - $145K *

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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4 days ago

  •   5 - 7 years exp.  •   Enterprise Technology

$105K - $125K *

Take ownership of safety initiatives across multiple construction sites, ensuring compliance and fostering a culture of safety. Collaborate with teams to educate and implement best practices while con...

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6 days ago

  •   5 - 7 years exp.  •   Business Services

$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...

Minneapolis, MNRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$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...

Lansing, MIRemote

3 weeks ago

  •   5 - 7 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.