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 Marketing Operations Manager
$130K - $150K *
Optimize the marketing tech stack and integrations to empower the go-to-market strategy, ensuring scalability, data governance, and efficiency for marketing and sales teams in a dynamic SaaS environme...
Reposted 2 weeks ago
TECHNICAL PRODUCT MANAGER - LOW VOLTAGE
$90K - $130K *
Join a team that's redefining low-voltage infrastructure solutions. Lead product strategy and technical enablement while collaborating with engineering, sales, and vendor partners to deliver future-re...
2 weeks ago
Regional Manager (East), End-User Team - Building Protection Solutions
$164K - $201K *
Join a team that's shaping the future of the Commercial Construction industry. As a Regional Manager, you'll lead a talented team, driving sales and building key partnerships across multiple product p...
3 days ago
Account Manager - Flexibles (East Coast)
$70K - $95K *
Join a team that's shaping the future of packaging by driving strategic account management. Collaborate with cross-functional teams and clients to enhance business growth, address customer needs, and...
Reposted 1 week ago
Outbound & Automations Manager (Remote)
$70K - $95K *
Elevate outbound strategies by leading AI-driven campaigns and managing a dynamic team to achieve exceptional KPI performance across diverse clients.
4 weeks ago
Senior Program Manager, Operating Systems
$100K - $130K *
Support continuous improvement in operations by leading the design, standardization, and execution of systems across multiple locations, driving enhancements in safety, productivity, and customer sati...
4 weeks ago
$100K - $130K *
Unlock your potential by leading complex clinical projects, mentoring junior staff, and enhancing client relationships. Drive operational excellence within a dynamic team environment, utilizing strate...
3 weeks ago
Commercial Card Implementation & Operations Leader
$128K - $214K *
Drive impactful Commercial Card Implementations while collaborating cross-functionally to enhance client experiences, improve operational efficiency, and achieve revenue goals. Your leadership will be...
Reposted 3 days ago
Director, ECM Training & Quality
$100K - $130K *
Transform operations by building a robust quality framework for Enhanced Care Management, overseeing compliance, and driving educational initiatives to ensure operational excellence across multiple he...
1 week ago
Federal Market Solutions Client Operations Program Manager
$143K - $196K *
Drive client success by overseeing Federal market programs, managing project teams to deliver innovative solutions, and ensuring strategic alignment with government health agencies. Collaborate cross...
3 days ago
$83K - $185K *
Transform the Part D landscape by developing and maintaining advanced actuarial models. Collaborate with cross-functional teams to enhance processes, analyze data, and communicate strategic insights t...
3 weeks ago
Senior Manager, Regional Sales Enablement NAM
$100K - $130K *
Shape the future of sales enablement by driving execution and adoption initiatives across North America, collaborating with leadership to ensure alignment and consistency in seller performance and beh...
2 weeks ago
$159K - $215K *
Join a team that's committed to developing and managing innovative compensation programs aligned with business objectives, ensuring market competitiveness and compliance while fostering top talent att...
6 days ago
$70K - $95K *
Champion HR excellence by enhancing operations, ensuring compliance, and fostering a positive employee experience across US and Canadian teams. Collaborate to create adaptable solutions in a fast-pace...
4 weeks ago
Sr Director, Enterprise Architecture (IT)
$148K - $234K *
Champion the evolution of Enterprise Architecture, ensuring alignment with modern standards and driving innovation in IT strategies. This role leads governance, solution design, and technology assessm...
3 weeks ago
$220K - $260K *
Lead the charge in driving revenue growth by closing high-value deals with key enterprise clients, leveraging innovative AI solutions to create impactful marketing strategies and fostering strong rela...
3 weeks ago
$110K - $140K *
Join a team that's shaping market growth through strategic channel partnerships. You'll develop and execute channel strategies, optimize networks, and enhance customer solutions across diverse segment...
2 weeks ago
Director Revenue Cycle Management - Remote
$120K - $150K *
Drive revenue cycle excellence by leading strategic initiatives, enhancing efficiency, and collaborating with diverse teams to ensure financial performance and accountability across healthcare operati...
6 days ago
$88K - $244K *
Analyze complex technical challenges and craft tailored B2B solutions. Leverage process intelligence and data engineering expertise to guide enterprise clients in their AI adoption journey, driving im...
Today
$70K - $95K *
Drive supplier onboarding and elevate content quality by leading a small, dedicated team while collaborating cross-functionally to enhance processes, support partner success, and ensure seamless platf...
3 weeks ago
Remote Healthcare IT Project Manager
$85K - $95K *
Champion the successful delivery of healthcare IT projects, managing key workstreams in EHR implementation while ensuring compliance and alignment with project goals, timelines, and budgets through ef...
1 week ago
$103K - $162K *
Join us to lead the operational strategy and execution of clinical studies with a focus on quality, compliance, and timely delivery while collaborating with cross-functional teams and external partner...
1 week ago
Senior Complex Claim Specialist, Professional Liability
$114K - $165K *
Join an impactful team to evaluate coverage issues and drive resolution strategies. You'll foster communication while managing risk transfer opportunities and ensuring optimal outcomes in professional...
2 weeks ago
$80K - $110K *
Unlock potential by guiding product strategies through market analysis, supplier performance, and sales collaboration. Play a pivotal role in driving efficient negotiation strategies and enhancing cus...
1 week ago
$80K - $110K *
Join a team that's focused on strategic development and market analysis to enhance product strategies. Collaborate with specialists and drive supplier negotiation processes while monitoring performanc...
1 week 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.