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.
$95K - $115K *
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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...
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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
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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...
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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
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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
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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
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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
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Champion the design and delivery of impactful learning initiatives, ensuring alignment with business needs while enhancing the learner experience across a global Operations organization...
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Clinical Consulting Manager, RWD
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Manager, Support Operations (Remote/Second Shift)
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Sr. Director, Product Management - Patient Access Technology
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$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...
3 weeks ago
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Reposted 3 weeks 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.