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.
Customer Success Manager (Employee Benefits)
$80K - $95K *
Elevate customer success through proactive engagement and partnership in the Employee Benefits sector, managing the journey from onboarding to renewal while driving adoption and strategic relationship...
6 days ago
IT Platform Staff Product Manager
$120K - $145K *
Lead the charge in enterprise product management for core business applications, driving Salesforce implementation, optimizing systems integration, and ensuring compliance while fostering collaboratio...
6 days ago
Senior Financial Analyst, GTM Finance
$110K - $130K *
Drive strategic financial analysis and operational rigor to enhance growth, profitability, and resource management for key product lines, while engaging with senior leadership and guiding capital plan...
3 weeks ago
Senior Service Upgrade Specialist
$87K - $119K *
Unlock potential by leading field upgrades and retrofits, collaborating cross-functionally to optimize robotic systems. Drive execution with focus on safety, operational excellence, and customer satis...
2 weeks ago
$150K - $162K *
Transform developer experiences by creating real-world pipeline templates and self-serve tutorials. Focus on solving CI/CD pain points, validating solutions, and delivering clear documentation that em...
2 weeks ago
Integrated Study Timeline Manager
$90K - $120K *
Elevate project management by leading the development and maintenance of Integrated Study Timelines for clinical trials, collaborating with cross-functional teams to optimize timelines and improve ove...
3 weeks ago
$80K - $90K *
Join a team that supports pediatric mental health by building relationships and driving growth in emerging markets through virtual outreach and education. This role focuses on engaging providers and p...
2 weeks ago
$85K - $141K *
Drive innovative pricing strategies to enhance proposal development and compliance. Collaborate with teams to assess requirements, produce detailed cost models, and ensure alignment with government co...
5 days ago
Director, Business Continuity Management
$125K - $150K *
Join a team that leads business continuity strategy and operations across diverse sectors. Drive collaborative efforts with leadership to implement effective recovery plans and enhance resilience agai...
5 days ago
Medical Director, Prior Authorization
$180K - $220K *
Champion quality care by leading clinical assessments for Medicare beneficiaries. Engage with teams to enhance compliance, improve service delivery, and ensure adherence to CMS guidelines while workin...
Reposted 2 weeks ago
VP, Client Supply Chain Solutions
$170K - $285K *
Advance client partnerships by leading strategic account growth and developing tailored supply chain solutions. Collaborate with cross-functional teams to drive operational improvements and enhance cl...
6 days ago
$88K - $132K *
Lead the charge in optimizing billing operations partnerships to enhance cash collections, reduce denials, and improve overall efficiency across a dynamic multi-client healthcare environment while ins...
4 days ago
$91K - $172K *
Empower your career by delivering expert tax advisory services to nonprofits. Collaborate closely with firm leadership, build client relationships, and mentor talented staff while enhancing your skill...
1 week ago
Senior Customer Experience Manager (CXM) - Strategic
$110K - $130K *
Elevate customer relationships by driving AI solution adoption, ensuring effective onboarding, and providing strategic support to enhance user engagement across various departments while collaborating...
3 days ago
$80K - $95K *
Optimize client relationships and drive sales growth through strategic account management, from opportunity identification to contract negotiation and closing. Collaborate with teams to enhance servic...
1 week ago
$80K - $123K *
Drive publisher partnerships while enhancing revenue growth through strategic account management, performance insights, and collaborative problem-solving in the evolving programmatic advertising lands...
2 weeks ago
$80K - $120K *
Drive progress at a dynamic firm by managing cost strategies across diverse projects. Collaborate with passionate teams to ensure transparency in disputes and deliver best value solutions for clients...
4 weeks ago
REMOTE - Senior Project Manager (Food Service Programs)
$85K - $100K *
Lead complex customer programs for Food Service, driving operational excellence and collaboration across divisions. Foster strong relationships with clients while managing timelines, budgets, and team...
2 weeks ago
Clinical Research Manager III, Real-world Science
$105K - $115K *
Contribute to high-impact clinical research projects, leading teams to ensure quality and client satisfaction while managing finances and developing strong client partnerships for efficient project de...
Reposted 1 week ago
Field Sales Executive, CP & ESG Indirect Corporate Tax
$85K - $149K *
Accelerate sales growth by leveraging your expertise in customer needs and financials. Engage key accounts, refine negotiation strategies, and cultivate relationships to achieve revenue targets while...
Reposted 3 weeks ago
$90K - $110K *
Manage and optimize revenue cycle processes by leading innovative projects and improvements. Collaborate across departments to drive efficiency and maximize revenue, ensuring that operational best pra...
4 days ago
$90K - $130K *
Elevate application quality by executing thorough testing for MuleSoft and Salesforce systems. Collaborate with teams to enhance DevSecOps processes and ensure secure, reliable software solutions that...
2 weeks ago
$79K - $122K *
Join a team that ensures quality assurance across IT services, managing compliance and performance to enhance user satisfaction and operational effectiveness for the Department of State's mission...
Yesterday
$125K - $171K *
Drive results by leading cross-functional teams to deliver complex automation projects. Your proactive communication and risk management skills will ensure timely, high-quality execution that aligns d...
1 week ago
$68K - $113K *
Champion the enhancement of data security services by managing complex projects and day-to-day operations. Utilize technical expertise to safeguard sensitive information and ensure compliance with ind...
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.