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.
$110K - $130K *
Elevate patient access by educating healthcare providers on reimbursement tools and processes. Collaborate with HCPs to navigate payer policies and enhance understanding of specialty medicine access c...
2 weeks ago
$98K - $126K *
Empower customer success by managing renewals, driving growth, and mitigating risks. Collaborate with cross-functional teams to enhance client relationships and ensure satisfaction while maximizing co...
Yesterday
$95K - $115K *
Drive sales growth by cultivating relationships, managing territory, and providing technical expertise to customers while ensuring market share and sales goals are achieved in a dynamic environment...
Reposted today
$82K - $131K *
Elevate customer engagement by driving successful project delivery, fostering collaboration across teams, and ensuring satisfaction through proactive communication and effective management of complex...
Reposted 2 weeks ago
Project Manager (Capital Project)
$178K - $195K *
Lead critical recovery and rebuild projects from inception to completion, ensuring alignment with scope, budget, and stakeholder needs while coordinating with various agencies and contractors in a fas...
1 week ago
$110K - $130K *
Shape the future of education by owning content strategy for assessments. Collaborate with experts and district leaders to enhance quality and drive adoption, leveraging insights to inform product dir...
5 days ago
$95K - $115K *
Champion product marketing by driving launches, pricing strategies, and sales enablement for key therapy lines. Collaborate cross-functionally to ensure compliance and optimize performance metrics, pa...
1 week ago
$110K - $130K *
Transform quality assurance by leading a dedicated team, ensuring compliance, and managing complex client projects. Drive excellence in drug importation and quality documentation while fostering stron...
1 week ago
Scheduler, Technical Program Management
$85K *
Advance your career by managing the integrated master schedule for AI infrastructure and HPC programs. Collaborate cross-functionally to ensure timely delivery and effective communication of project m...
Reposted 5 days ago
Product Owner 360e Facility Coding
$125K - $172K *
Unlock potential by leading product initiatives for 360e Facility Coding, collaborating with diverse teams to enhance customer experiences and drive business value through innovative solutions and eff...
3 days ago
Principal Renewal Account Manager
$90K - $105K *
Support complex, high-value customer renewals while leading strategic negotiations. Engage at C-suite level to build relationships, drive consensus, and mentor team members towards continual improveme...
Reposted 1 week ago
Epic Solutions Architect (Cardiology)
$110K - $130K *
Join a team that's redefining healthcare technology by designing and deploying innovative clinical applications. Leverage your expertise to enhance workflows and improve patient experiences in a dynam...
Reposted 3 days ago
$90K - $130K *
Drive project success by overseeing earthwork, cap closure, and environmental remediation, ensuring safety, efficiency, and compliance across all phases. Collaborate with teams to achieve project goal...
Reposted 2 weeks ago
IT Administrator, Business Applications
$115K - $151K *
Administer and enhance collaboration platforms, ensuring seamless integration and automation across teams. Collaborate with cross-functional departments to optimize workflows and improve operational e...
Today
Field Reimbursement Manager - Parkinson's
$110K - $130K *
Join a team that empowers healthcare providers with expert guidance on patient access and reimbursement for specialty medications. This field-based role focuses on educating HCPs and addressing access...
3 days ago
Senior Denials Prevention Process Improvement Advisor
$68K - $103K *
Shape the future of revenue cycle management by driving process improvements and reducing denials. Collaborate with teams to analyze trends, implement best practices, and enhance client satisfaction t...
1 week ago
$110K - $130K *
Take ownership of IT infrastructure and security operations, driving the migration to a Nutanix-based IaaS environment. Collaborate with teams to enhance security, compliance, and automation, utilizin...
3 weeks ago
Corporate Health Senior Manager
$110K - $130K *
Shape the future of workplace safety by managing a comprehensive workers' compensation program across multiple states, ensuring compliance, and driving effective return-to-work initiatives for a diver...
3 weeks ago
$90K - $110K *
Transform Medicaid programs by managing initiatives, coordinating stakeholders, and driving quality improvements. Leverage your expertise to implement policies and enhance operational efficiency in a...
2 weeks ago
Project Manager (Guidewire) - REMOTE
$120K - $145K *
Lead the charge in transforming core insurance technology platforms, overseeing a large team while ensuring operational excellence and driving modernization from legacy systems to Guidewire solutions...
1 week ago
Territory Manager- Orange County/North San Diego
$90K - $100K *
Join a team that's dedicated to transforming behavioral health through strategic business development. You'll connect with healthcare communities, drive patient admissions, and expand market share in...
3 weeks ago
Manager, Market Access & Reimbursement
$145K - $218K *
Architect innovative market access strategies to enhance U.S. reimbursement for cutting-edge healthcare solutions. Collaborate across functions to drive payer engagement, coding, and coverage initiati...
1 week ago
$250K *
Grow your career with a strategic role focused on developing long-term partnerships with key industrial customers, enhancing relationships across multiple service lines, and driving revenue growth thr...
4 days ago
Product Management Senior Manager - Express Scripts - Remote
$131K - $219K *
Transform product strategy and performance by leading a dynamic team, driving innovation, and enhancing patient experiences through effective portfolio management and cross-functional collaboration...
4 days ago
Organizational Development Analyst
$72K - $135K *
Champion the design and delivery of impactful learning initiatives, ensuring alignment with business needs while enhancing the learner experience across a global Operations organization...
5 days 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.