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.
Senior Analyst - Technical Project, National Reimbursement
$92K - $110K *
Drive technical evaluations of reimbursement projects, ensuring compliance and feasibility while collaborating with cross-functional teams to advance strategic recycling and operational priorities...
2 weeks ago
$110K - $130K *
Drive payer engagement and secure coverage for innovative oncology products while collaborating with key stakeholders to enhance market access and support strategic growth objectives in the healthcare...
6 days ago
$88K - $103K *
Transform daily operations of case management services, leading and developing staff to ensure quality service delivery while ensuring compliance and promoting best practices in care management...
2 weeks ago
$80K - $95K *
Grow your influence by driving sales performance enhancements through strategic training and collaboration in retail environments. Lead field training efforts, identify growth opportunities, and empow...
1 week ago
Territory Manager - Hackensack
$100K - $175K *
Shape the future of cardiac care by driving sales of innovative non-invasive wearable defibrillators and diagnostic solutions to healthcare professionals. Support effective use and educate clinicians...
Reposted today
Grants and Contracts Manager, Campus Grants Management Team (Remote)
$69K - $118K *
Lead and manage a complex portfolio of grants while overseeing a dedicated team of administrators. Ensure compliance and support faculty through all stages of research proposals and contracts, driving...
4 days ago
$100K - $120K *
Transform client operations by implementing and optimizing PTC Windchill solutions. This remote role requires collaboration with clients to ensure successful delivery within budget and timelines, offe...
Today
$100K - $130K *
Transform incident management by leading our organization's response efforts, ensuring effective communication and coordination among teams while driving change towards structured workflows in a fast...
3 weeks ago
$280K - $320K *
Tackle strategic leadership in hospital operations while collaborating with staff to ensure quality patient care and achieving both financial and non-financial goals through innovative business soluti...
4 weeks ago
$200K - $300K *
Oversee hospital operations and strategic leadership to enhance patient care and business performance. Collaborate with staff to attract talent, ensure compliance, and drive revenue growth while meeti...
4 weeks ago
Manager, Enterprise Phlebotomy Operations
$101K - $139K *
Drive efficiency in enterprise mobile phlebotomy operations, ensuring quality patient access and cost-effectiveness. Lead teams and vendor relationships, optimizing workflows while collaborating acros...
Reposted 1 week ago
Manager, Leave & Benefits Administration
$110K - $115K *
Lead and develop a team overseeing employee benefits and leave management, ensuring compliance with regulations while enhancing operational efficiency and employee satisfaction. Drive process improvem...
5 days ago
ITSM Operations Analyst - IT - Full Time
$80K - $95K *
Unlock potential by delivering insightful communication and data analysis for IT services, ensuring stakeholders have timely access to vital information that supports strategic decision-making and val...
1 week ago
Research Manager, Distributed Research
$110K - $130K *
Lead the charge in managing a high-performing Distributed Research team, defining strategy and collaboration for large-scale data collection, while enhancing operational processes and ensuring impactf...
2 weeks ago
$111K - $183K *
Engage with partners to drive sales growth in the IT Channel. Leverage strategic planning, customer relationships, and deep industry knowledge to enhance operations and foster new business opportuniti...
1 week ago
Information Assurance Cyber Cloud Admin
$110K - $130K *
Take ownership of a vital IA Cyber Cloud Administrator role, securing and managing cloud environments, ensuring compliance with federal standards while supporting CI/CD practices and risk management a...
5 days ago
Director, Global Accounts Payable (Virtual, US)
$120K - $150K *
Drive optimization and leadership in global accounts payable operations, ensuring timely vendor payments and adherence to financial controls. Champion process improvements and system enhancements to s...
3 days ago
Senior Salesforce Business Analyst
$106K - $176K *
Unlock potential by leading Salesforce solution developments and refining customer requirements. Collaborate with stakeholders to deliver tailored solutions that enhance business outcomes through inno...
1 week ago
$100K - $120K *
Shape the future of data quality assurance by leading QA practices across data pipelines and analytics. Collaborate with cross-functional teams to ensure data integrity and empower data-driven decisio...
1 week ago
Marketing Manager, Medicare Consumer Education Strategy - Remote
$91K - $163K *
Join a team that's transforming Medicare education by crafting strategic content that engages consumers across various channels, optimizing performance, and driving measurable outcomes for educational...
Today
$90K - $120K *
Empower healthcare organizations by enhancing residency programs, ensuring compliance, and supporting workforce initiatives through expert project management, data analysis, and collaborative problem...
3 weeks ago
$95K - $115K *
Play a key role in evaluating AI education initiatives for the Veterans Health Administration by designing and implementing comprehensive assessment systems to measure impact, guiding data-driven deci...
1 week ago
Health Systems Analyst (Integrator)
$100K - $120K *
Lead the charge in enhancing healthcare processes by providing expert analysis and support to optimize clinical and business functions across the Veterans Health Administration, ensuring alignment wit...
5 days ago
Territory Manager - Vanderbilt
$100K - $194K *
Elevate healthcare solutions by driving sales of non-invasive cardiac products. Engage with medical professionals to educate and promote the vital role of wearable defibrillators, ensuring optimal pat...
3 days ago
Clinical Manager - Cleveland, Cincinnati, or Columbus, OH
$85K - $100K *
Join a team that's dedicated to optimizing clinical outcomes while ensuring effective product training, feedback collection, and technical support across departments to meet customer needs and enhance...
4 days 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.