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.
$120K - $150K *
Lead critical incident management for AI infrastructure, driving rapid resolution and operational resilience through effective coordination, communication, and analysis across technical teams and data...
Today
$90K - $120K *
Transform our internal tech landscape by leading IT operations and strategy. Build a secure, efficient infrastructure from scratch, ensuring compliance and productivity as you navigate day-to-day oper...
1 week ago
MGR, Contracting - Health Plan Relations (East Region)
$90K - $120K *
Partner with us to enhance managed care contracting by leading negotiations and supporting payer relationships to advance center priorities and ensure client satisfaction while driving operational per...
2 weeks ago
$101K - $169K *
Lead independent internal reviews of appraisals, ensuring compliance with standards. Act as a resource to staff, manage departmental duties, validate existing appraisals, and provide recommendations t...
2 weeks ago
Auditor Clinical Validation Outpatient Specialty Clinical
$95K *
Explore a dynamic role auditing outpatient and specialty claims, ensuring coding accuracy and compliance while applying clinical expertise. Contribute to process improvement and collaborate effectivel...
2 weeks ago
$122K - $171K *
Lead business operations initiatives by analyzing data, enhancing processes, and managing cross-functional strategies to drive performance and efficiency. Collaborate in a dynamic environment, deliver...
1 week ago
$90K - $120K *
Transform project finances by managing cost tracking and reporting for exploration efforts while collaborating with a dedicated team in a fast-paced, remote construction environment...
1 week ago
$120K - $150K *
Lead the charge in the integrity of financial reporting and accounting operations. Manage a shared services team to ensure timely close processes, compliance with GAAP, and effective internal controls...
2 weeks ago
Associate Manager, Organizational Change Management - AI / M365 / D365 Adoption
$105K - $155K *
Transform organizational capabilities by leading change management initiatives for AI-enabled and ERP programs. Engage stakeholders, assess readiness, and develop training to drive adoption and busine...
2 weeks ago
Microsoft Dynamics CRM Technical Lead
$102K - $170K *
Elevate your career by designing and implementing scalable Dynamics 365 and Power Platform solutions. This senior role involves technical leadership, solution architecture, and collaboration to transf...
6 days ago
$75K - $90K *
Transform complex hardware failures into reliable solutions by analyzing GPU, CPU, and server environments. Collaborate with cross-functional teams to enhance RMA processes, vendor interactions, and l...
2 weeks ago
Corporate OP Coding Manager - Remote based in the US
$85K - $136K *
Elevate coding quality and leadership by managing outpatient coding operations, mentoring teams, and ensuring compliance with standards across multiple facilities, while driving productivity and proce...
6 days ago
FMBT Senior Requirements Analyst-CGI Momentum Implementation
$90K - $120K *
Analyze and optimize federal financial management processes with expertise in Momentum Financials. Collaborate with clients to define and implement functional requirements for successful project execu...
2 weeks ago
Risk Manager (P&C Insurance) - Tulsa
$80K - $100K *
Empower your career by conducting risk assessments and delivering expert insights to evaluate property exposures. This role requires independent judgment and technical expertise, building vital relati...
Yesterday
Client Solutions Manager - Remote
$90K - $130K *
Inspire client growth and delivery excellence by managing mid-market accounts, fostering relationships, and executing strategies that drive impactful application solutions and business outcomes across...
4 weeks ago
Senior Business Analyst (Commercial Ops)
$120K - $140K *
Engage stakeholders across functions to drive business process improvements and technology enhancements, ensuring alignment with organizational goals. Lead, analyze, and document requirements for opti...
2 weeks ago
$100K - $130K *
Unlock potential by leading complex commercial construction projects nationwide. Oversee vendor relations, manage project profitability, and implement best practices while ensuring high-quality result...
3 weeks ago
Project Scheduling Manager, PV East
$128K - $157K *
Lead scheduling teams to optimize project timelines, ensure efficient resource management, and drive strategic planning efforts in a complex construction environment. Collaborate closely with operatio...
1 week ago
$75K - $127K *
Champion innovative software solutions by developing applications, optimizing efficiency, and analyzing user needs. Collaborate with teams and optimize operational specifications, all while ensuring h...
2 days ago
$114K - $135K *
Lead a skilled team as we optimize solar operations, providing guidance, training, and ensuring safety standards. Drive excellence in maintenance and troubleshooting while promoting a culture of safet...
Yesterday
Senior Business Systems Analyst
$87K - $161K *
Join a team that drives collaboration between business and IT to transform complex requirements into clear technical specifications, ensuring alignment with strategic goals and enhancing overall proje...
3 days ago
$172K - $211K *
Join us to lead strategic initiatives and enhance customer success in home care software. Collaborate across teams, define product roadmaps, and cultivate strong customer relationships while ensuring...
2 weeks ago
$110K - $120K *
Champion a diverse portfolio of higher education products, blending data-driven strategy and market insights to drive growth and enhance student outcomes in an evolving educational landscape...
1 week ago
$120K - $150K *
Develop and lead global automation strategies to enhance manufacturing solutions, ensuring effective deployment across diverse sites. Collaborate with cross-functional teams to improve productivity, q...
Reposted 3 days ago
E-Discovery Application Administrator III
$90K - $120K *
Pioneer the future of litigation support as you manage IT systems for DOJ, optimizing automated resources for complex legal proceedings. Join our remote team to enhance system performance and ensure c...
Yesterday
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.