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.
$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
FM Audit Remediation Support - Senior Consultant
$100K - $150K *
Lead the charge in financial management excellence, providing audit readiness and remediation support for DoD clients. Leverage your expertise to enhance internal controls, ensure adherence to policy...
2 weeks ago
$120K - $165K *
Lead the charge in managing a real estate transaction team to negotiate leases, ensure compliance, and drive client satisfaction in strategic real estate activities for commercial properties...
2 weeks ago
$110K - $130K *
Lead the charge in enhancing cybersecurity measures and governance to protect digital assets, while collaborating with multidisciplinary teams to mitigate risks and respond effectively to incidents, e...
Reposted 3 days ago
Ecosystem Presale Business Manager
$80K - $90K *
Join a dynamic team to support the presale process for public safety solutions. Assist with project management, documentation coordination, and solution design to ensure timely, high-quality proposals...
3 weeks ago
Senior Application Systems Administrator
$90K - $120K *
Join a team that's driving operational excellence by leveraging AI to optimize application systems. Take ownership of critical initiatives in a fast-paced, regulated environment while fostering strate...
1 week ago
$106K - $132K *
Empower sales teams by driving enablement strategies that enhance pipeline conversion, strengthen coaching frameworks, and leverage data insights for exceptional performance across various revenue seg...
Reposted 1 week ago
Inpatient Care Management Nurse RN - Remote
$60K - $107K *
Take ownership of inpatient care management by ensuring effective utilization of health services while supporting members' health through assessment and collaboration with healthcare professionals...
Today
$70K - $95K *
Analyze market opportunities and drive revenue growth by strategically managing customer accounts, optimizing product and service usage, and developing impactful sales plans within your territory...
Reposted 5 days ago
Alternate Medical Coding Contract Manager
$80K - $120K *
Lead the charge in overseeing medical coding operations, ensuring compliance and quality assurance while supporting the management of MEDCOM contracts. Enhance performance through effective audits, tr...
1 week ago
Project Manager - Curriculum Design and Development Lead
$80K - $110K *
Elevate the learning experience by managing and developing engaging curriculum for federal clients. Collaborate with cross-functional teams, analyze performance metrics, and ensure delivery of high-qu...
3 weeks ago
Project Manager, Technical Consulting Services
$90K - $120K *
Lead complex technical projects from conception to completion, managing cross-functional teams to ensure timely delivery and client satisfaction while driving the growth of services and business reven...
2 weeks ago
Senior Manager, Revenue Operations
$105K - $120K *
Drive growth as a pivotal Senior Revenue Operations Manager, enhancing systems and analytics. Partner cross-functionally to build scalable processes, deliver insights, and enable data-driven decision...
2 weeks ago
Revenue Cycle Managed Services Director - Client Delivery
$180K - $260K *
Champion operational excellence in medical group revenue cycle management, ensuring strategic client relationships and driving team performance. Lead financial accountability and deliver impactful sol...
2 weeks ago
$115K - $183K *
Contribute to product strategy and execution, addressing user needs through research and collaboration. Drive outcomes by defining product vision and success metrics, while managing cross-functional p...
2 weeks ago
$353K - $364K *
Join a team that's elevating clinical standards and enhancing patient care. Utilize your expertise as a Medical Director to lead utilization management and optimize decision-making processes in a dyna...
3 weeks ago
$85K - $128K *
Join a dynamic team as you oversee daily operations for client accounts, ensuring workflow continuity, compliance with processes, and achievement of performance expectations. Collaborate with manageme...
1 week ago
$90K - $130K *
Engage in the installation and management of SAP systems while ensuring optimal performance, reliability, and security across diverse platforms for enterprise applications, supporting critical busines...
1 week ago
Account Manager, Payer & PBM - Life Sciences & Healthcare
$84K - $106K *
Tackle customer engagement and growth by leading strategies that enhance relationships and drive revenue. Collaborate across teams to develop solutions tailored to client needs while ensuring satisfac...
Reposted 1 week ago
US Tech - AI Engineering Manager
$73K - $212K *
Lead the charge in developing AI-powered platforms, integrating cutting-edge technology while mentoring engineers to optimize robust systems for enhanced client and employee experiences across the org...
Reposted 1 week ago
IT Service Management Analyst, Specialist
$70K - $95K *
Transform the way we manage IT services by executing change enablement, incident resolution, and problem management processes, ensuring operational excellence while supporting and enhancing our techno...
1 week ago
Senior Manager, Oracle Planning Systems and Financial Analytics
$94K - $152K *
Drive corporate financial analysis and strategic initiatives, overseeing performance management and recommending improvements based on detailed financial insights while partnering with management to e...
3 weeks ago
$141K - $173K *
Lead the charge in delivering transformative data-centric programs on the ServiceNow platform. Drive successful ITAM, CMDB, and audit initiatives while enhancing stakeholder engagement in a complex, g...
2 weeks 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.