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 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
Access Optimization Analyst III - Epic Cadence
$85K - $100K *
Accelerate progress at healthcare access by optimizing EPIC systems and workflows. Support operational excellence through project leadership and collaboration with IT teams, ensuring efficient patient...
2 days ago
Business Product Manager - Customer Success and Service
$100K - $120K *
Join a team that's dedicated to enhancing customer experiences through innovative digital solutions. Drive the implementation and optimization of technologies that bolster operational efficiency and s...
2 weeks ago
Business Product Manager - Customer Success and Service
$95K - $115K *
Elevate customer experiences by deploying innovative digital solutions. Collaborate with cross-functional teams to enhance operational efficiency and drive measurable results in a dynamic pharmacy env...
2 weeks ago
$80K - $95K *
Empower workplace safety by consulting on risk management, OSHA compliance, and hazard evaluation for diverse clients, while delivering tailored training and documentation to enhance overall safety st...
4 days ago
Senior Automation Project Manager - Critical Infrastructure
$120K - $144K *
Transform the future of automation in critical infrastructure by leading large-scale projects. Coordinate cross-functional teams, manage budgets, and drive innovative solutions to ensure success from...
2 weeks ago
Manager Strategic Sourcing - Remote
$110K - $130K *
Join us to strategically lead and optimize supply chain operations, ensuring alignment with business goals while collaborating across regions to enhance efficiency and drive cost reductions through ex...
Reposted 3 days ago
ISSO Support / IA Compliance Analyst
$95K - $115K *
Support security compliance and management for IT environments, ensuring effective implementation and validation of security controls while cooperating with audits and overseeing security documentatio...
1 week ago
$111K - $185K *
Join a team that's passionate about benefits management for the Americas. Drive the design and implementation of comprehensive benefits programs while collaborating with HRIT and ensuring compliance a...
1 week ago
$145K - $155K *
Join our team as a Program Manager, leading strategic technology programs that drive business value. Collaborate cross-functionally to ensure project alignment and operational excellence while mentori...
3 days ago
$110K - $130K *
Lead a high-performing team of accountants to optimize accounting processes, ensure compliance with U.S. GAAP, and oversee financial reporting accuracy in a dynamic, growth-oriented environment...
2 weeks ago
$80K - $95K *
Oversee claims operations by managing worker's compensation, auto, and property claims. Ensure compliance, monitor liabilities, and provide insights to leadership, enhancing processing efficiencies an...
4 days ago
$80K - $95K *
Empower clinical solutions by driving the development and implementation of EDC tools and SAS programming, while enhancing data management processes across global projects. Lead analytics through visu...
1 week ago
$129K - $175K *
Shape the future of technology by defining enterprise architecture strategies that align IT and business priorities, guiding technology investments to enhance operational efficiency, innovation, and s...
3 weeks ago
Senior Manager, Software Engineering - Remote
$112K - $193K *
Manage multi-team engineering initiatives, driving accountability for delivery and quality. Elevate engineering practices within a hybrid Agile model while mentoring teams to embrace ownership and fos...
6 days ago
Business Intelligence Data Systems Architect
$73K - $96K *
Contribute to innovative Power BI solutions to enhance reporting capabilities. This role involves design, implementation, security, and management of data systems, ensuring performance and alignment w...
5 days ago
$140K - $180K *
Join a team that's shaping tax compliance strategies and reporting. Oversee federal, state, and local filings while managing quarterly income tax provisions in a dynamic and supportive environment...
2 weeks ago
$79K - $175K *
Elevate financial security by analyzing risk and underwriting proposals while fostering strong producer relationships. Collaborate across teams to ensure growth and exceptional customer service within...
Reposted today
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.