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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$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...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

Ontario, CARemote

2 weeks ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$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...

Vancouver, BCRemote

Reposted 5 days ago

  •   Less than 5 years exp.  •   Information Technology

$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...

United StatesRemote

4 days ago

  •   8 - 10 years exp.  •   Healthcare

$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...

United StatesRemote

Reposted 1 week ago

  •   8 - 10 years exp.  •   Enterprise Technology

$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...

Miami, FLRemote

Reposted 3 days ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$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...

Newark, NJRemote

Reposted 2 weeks ago

  •   8 - 10 years exp.  •   Energy & Utilities

$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...

United StatesRemote

Yesterday

  •   Less than 5 years exp.  •   Information Technology

$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...

Omaha, NERemote

4 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$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...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$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...

RemoteRemote

3 weeks ago

  •   Less than 5 years exp.  •   Enterprise Technology

$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...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$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...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$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...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Business Services

$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...

United StatesRemote

4 days ago

  •   5 - 7 years exp.  •   Manufacturing & Automotive

$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...

United StatesRemote

4 days ago

  •   8 - 10 years exp.  •   Healthcare

$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...

United StatesRemote

5 days ago

  •   5 - 7 years exp.  •   Telecommunications & Hardware

$80K - $95K *

Manage and optimize Epic Professional Billing workflows, focusing on Claims and Remittance. Serve as a key resource for end-users, troubleshooting issues and enhancing billing processes to ensure accu...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Unlock potential by leading a dynamic team of developers to deliver high-quality software solutions, collaborating with stakeholders, and driving strategic project initiatives while fostering a cultur...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Business Services

$110K - $130K *

Drive impactful clinical consulting by bridging expertise in real-world data with strategic insights. Collaborate across teams to enhance health outcomes research and contribute to thought leadership...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$95K - $115K *

Champion a high-performing support operations team, ensuring exceptional customer service and efficient processes. Lead incident management, oversee technical engineers, and drive continuous improveme...

Dallas, TXRemote

1 week ago

  •   Less than 5 years exp.  •   Information Technology

$150K - $180K *

Help us drive innovative product strategies in patient services, focusing on access, adherence, and affordability. Lead cross-functional teams to translate business needs into impactful technology sol...

Massachusetts, USRemote

Reposted 2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$110K - $150K *

Take ownership of the SAP Concur platform, ensuring efficient travel and expense processes. Collaborate with cross-functional teams to enhance system functionality, resolve issues, and support complia...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Aerospace & Defense

$110K - $130K *

Engage in strategic partner ecosystem development to drive revenue growth and create innovative channel programs for sustained business success. Manage regional channel business and enhance existing p...

United StatesRemote

Reposted 3 weeks ago

  •   8 - 10 years exp.  •   Enterprise Technology

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.