Choose from a comprehensive collection of Utilization Manager jobs that pay more than $100,000 a year. Our list includes positions in healthcare policy, insurance, and clinical resources management.
As a Utilization Manager, you will have the opportunity to make a significant impact on healthcare settings by ensuring the effective use of resources and improving patient care. Your role includes evaluating the appropriateness of care, auditing patient records, coordinating with physicians and staffing.
Typical qualifications for these roles include a nursing degree, excellent organizational skills, understanding of medical terminologies and procedures, and strong communication skills. Experience with healthcare databases and patient management systems is also a plus.
$90K - $120K *
Unlock potential by leveraging your mobile app development skills to enhance enterprise mobility solutions. Collaborate within a secure, mission-driven environment focused on iOS and Android applicati...
3 days ago
Sr. Manager- Software Engineering- Healthcare IT
$156K - $235K *
Drive technical excellence as you lead a 10-15 person software engineering team. Shape the adoption of generative AI tools to enhance developer productivity and deliver top-notch enterprise SaaS solut...
1 week ago
Senior Director, Service Delivery - Account Management - Remote
$134K - $230K *
Lead strategic service delivery for Health Plan clients, driving operational excellence and client satisfaction. Foster multi-level client relationships, oversee team performance, and ensure contract...
1 week ago
Client Delivery Analyst III (Credit Conversions) - Remote
$75K - $96K *
Champion successful financial project implementations by leading client consultations and technical executions. Oversee complex projects, ensure quality deliverables, and guide stakeholder communicati...
Yesterday
$145K - $156K *
Empower your career by leading Oracle EPM implementations! We seek a skilled consultant to enhance and maintain the EPM suite, partnering with Finance and IT to drive financial excellence and efficien...
2 weeks ago
Financial Systems Senior Manager - U.S. Based Remote Opportunity
$131K - $147K *
Accelerate progress at our finance team by optimizing financial systems integration and reporting. Lead a cross-functional effort to enhance our ERP architecture, ensuring scalability and efficiency a...
1 week ago
Head of Collections and Loss Mitigation
$128K - $177K *
Elevate internal collections and loss mitigation operations by leading a high-performing team to enhance recovery outcomes, operational efficiency, and borrower experiences through strategic and data...
2 weeks ago
Senior Revenue Cycle Analyst-East
$75K - $95K *
Elevate revenue cycle operations by leading analysis, improving claim rates, and driving data-informed strategies that enhance operational performance and reduce denials while partnering across depart...
1 week ago
$90K - $130K *
Contribute to impactful sales strategies by owning technical pre-sales engagements, collaborating with teams, and crafting customized solutions that elevate client satisfaction and drive business grow...
2 weeks ago
$90K - $120K *
Lead the charge in forensic accounting, conducting analysis and compliance research while preparing detailed reports. Collaborate independently and support the team to enhance financial integrity and...
1 week ago
$90K - $120K *
Join a dynamic team as you oversee the daily operations and performance of Nurse Audit staff, driving continuous quality improvement and compliance to optimize charge capture and prevent revenue loss...
3 weeks ago
Manager, Revenue Operations - Partnerships
$110K - $152K *
Drive the operational foundation for complex partnerships at scale, ensuring seamless integration across channels and systems. Own attribution modeling, pipeline management, and analytics to optimize...
2 weeks ago
Cloud Technical Account Manager
$108K - $120K *
Join a team that acts as the key technical contact for strategic accounts while driving service delivery and managing complex solutions, ensuring customer satisfaction and project success across vario...
3 weeks ago
$107K - $161K *
Develop strategic financial plans and analyses, driving impactful projects while collaborating with cross-functional teams to enhance reporting and decision-making processes across the organization...
Reposted yesterday
Staff Software Engineer | United States | Remote
$174K - $209K *
Take ownership of the Quote-to-Order process, ensuring accuracy, scalability, and compliance while collaborating with Sales, Finance, and Product teams to deliver an exceptional quoting experience as...
Reposted yesterday
$90K - $130K *
Engage with enterprise clients to drive platform adoption and optimize performance by tackling technical challenges. Collaborate with cross-functional teams to ensure long-term success and enhance cus...
3 weeks ago
$70K - $95K *
Drive efficient database management and engineering through migrations, upgrades, and security enhancements. Collaborate across development, testing, and production environments to ensure optimal perf...
3 weeks ago
Physical Therapy Assistant (PTA)
$72K - $89K *
Reimagine rehabilitation as a Physical Therapist Assistant, providing in-home therapy to empower older adults. Collaborate with healthcare teams to deliver personalized care, ensuring patient independ...
2 weeks ago
DSNP Account Manager (CLEVELAND, OHIO)
$83K - $132K *
Lead a field-based initiative serving DSNP-participating providers and facilities, fostering trusted relationships and ensuring operational alignment. Drive program success through onsite education, s...
5 days ago
$90K - $120K *
Partner with us to enhance our payment gateway services by developing and maintaining microservices in Java/Spring Boot, collaborating across teams to deliver reliable solutions for our diverse custom...
2 weeks ago
Principal Affera Mapping Specialist - CAS
$145K - $155K *
Innovate within a dynamic team to transform cardiac mapping solutions, driving impactful results in patient care and medical outcomes. Your expertise will guide clinicians while promoting safe product...
3 weeks ago
$70K - $95K *
Transform federal audit processes by conducting FISMA and FedRAMP assessments. Enhance your expertise through proprietary training, engaging in evidence review and communication, while managing projec...
2 weeks ago
Senior Manager, AI/ML Engineering - Remote
$112K - $193K *
Lead the charge in architecting enterprise-scale AI/ML solutions, ensuring robust development and application of AI capabilities to enhance health care technology, while driving security, reliability...
2 days ago
Business Development Manager - Automation
$120K - $140K *
Shape the future of industrial markets by driving business growth, building client relationships, and managing opportunities. Seek out new prospects while enhancing existing partnerships for sustained...
3 weeks ago
Associate Project Manager, East, NA
$100K - $110K *
Join our dynamic team to support early-stage energy strategy projects, ensuring efficient organization and coordination across multiple initiatives while maintaining accurate documentation and facilit...
3 weeks ago
What is a Utilization Manager?
A Utilization Manager is a healthcare professional who is responsible for ensuring that all health and medical services, procedures and facilities are being used in a cost-effective way in the healthcare setting.
What are the typical duties of a Utilization Manager?
Utilization Managers typically review patient services to determine efficiency and necessity, work to enhance the cost-effectiveness of health management strategies, and determine if a case or treatment plan is clinically appropriate based on a patient’s needs and overall health.
What qualifications do I need for a Utilization Manager job?
Most Utilization Manager positions require a degree in nursing and relevant experience in a clinical setting. You should also have a good understanding of medical terminologies and procedures.