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 *
Unlock potential by leading client relationships and executing impactful omni-channel marketing strategies, ensuring data-informed campaigns achieve business objectives while collaborating with cross...
1 week ago
$95K - $115K *
Lead the charge in delivering complex automation projects, balancing customer relationships, financial management, and team leadership. Collaborate with diverse teams to ensure successful project exec...
1 week ago
Oracle Product Information Management (PIM) Business Analyst
$110K - $140K *
Lead the technical implementation and management of Oracle PIM solutions, ensuring data integrity and system performance. Collaborate across teams to optimize product data systems, driving efficiency...
3 weeks ago
$60K - $129K *
Drive change by managing comprehensive case management for diverse healthcare needs remotely, leveraging clinical expertise and collaboration to improve member health outcomes effectively and compassi...
6 days ago
$90K - $120K *
Join a team that designs and optimizes Zoho solutions for manufacturing, enhancing production planning, inventory control, and order fulfillment to drive operational efficiency and visibility...
Reposted 3 weeks ago
Behavioral Health Navigation Team Manager
$88K - $92K *
Join a team that transforms behavioral health engagement through leadership, training, and process optimization. Manage performance metrics, enhance service delivery, and foster collaboration to ensur...
1 week ago
Internal Communications Manager
$110K - $130K *
Advance robust internal communications operations by building effective programs and utilizing AI tools to ensure employees are informed and engaged. Drive strategic initiatives and empower leadership...
Reposted 3 days ago
$100K - $120K *
Transform agile delivery as an experienced Scrum Master, leading integrated teams through effective development and sustainment of Oracle Cloud applications while aligning with government strategies a...
1 week ago
$120K - $145K *
Elevate enterprise marketing by crafting compelling narratives that drive complex deals. Collaborate with sales teams to translate technical details into accessible business value content, enabling im...
2 weeks ago
$80K - $95K *
Join a dynamic team as you drive new business sales and exceed quotas. You'll engage with healthcare professionals in the Surgical Ophthalmology market, creating lasting relationships while managing a...
2 weeks ago
Gestionnaire, développement des affaires, data, ia et agentique
$80K - $95K *
Unlock potential by driving complex sales cycles and developing opportunities in Data & AI. Work closely with clients and internal teams to deliver innovative solutions that align with business needs...
1 week ago
Primavera Unifier Solution Architect
$110K - $130K *
Unlock potential by designing and delivering Oracle Primavera Unifier solutions that streamline project management processes, partnering with stakeholders to ensure effective implementation and govern...
Reposted 3 days ago
Director, Provider Data Operations
$147K - $205K *
Join a team that's dedicated to ensuring accuracy and integrity in provider data. Lead strategic initiatives that enhance data quality, support regulatory compliance, and drive operational efficiencie...
3 weeks ago
$85K - $127K *
Empower customer success by delivering sustainable solutions while managing relationships and driving sales growth. Collaborate with cross-functional teams to support clients and optimize processes, c...
2 weeks ago
Epic Application Analyst III - Cadence/SER
$89K - $142K *
Transform healthcare solutions as an Epic Application Analyst, driving system analysis, design, and support for applications. Collaborate with teams and clients to enhance workflows while managing pro...
5 days ago
Vascular Surgery Coder - Remote
$65K - $108K *
Advance surgical coding excellence by accurately applying ICD-10 and CPT codes for trauma and vascular surgery cases, ensuring compliance with guidelines while optimizing efficiency and reimbursement...
Yesterday
$113K - $188K *
Advance data-driven insights at the intersection of analytics and business intelligence. Collaborate with cross-functional teams to design, build, and deliver impactful analytical solutions using SQL...
Reposted yesterday
Treasury Management Revenue and Billing Manager
$81K - $135K *
Optimize Treasury Management strategies to drive revenue growth, ensure accurate billing, and lead a high-performing team. Collaborate with cross-functional departments to enhance profitability and cl...
2 weeks ago
Digital Project Manager - Implementation
$95K - $115K *
Join a team that's driving enterprise digital initiatives to accelerate operational performance and customer experience. Lead cross-functional delivery and ensure compliance while leveraging AI for ef...
2 weeks ago
$100K - $120K *
Maximize operational efficiency while leading a team of General Managers. Foster talent development, enhance customer experiences, and deliver strategic insights to drive success across multiple locat...
Reposted 6 days ago
Sr. Director, Payments Platform - Optum Financial - Remote
$159K - $273K *
Lead the charge in transforming payment platforms by defining a scalable, AI-native solution. Collaborate with cross-functional teams to modernize and streamline end-to-end healthcare payment experien...
2 weeks ago
Senior Director, Strategic Product Solutions
$185K - $234K *
Transform portfolio strategy by defining solutions and aligning value streams. Collaborate across functions to drive impactful product initiatives, leveraging market insights to shape long-term vision...
Reposted 3 weeks ago
Business Analyst, Business Technology
$80K - $95K *
Collaborate with stakeholders across HR, Finance, and tech teams to gather requirements, support system configuration, and enhance processes using AI tools. Drive improvements in business operations w...
1 week ago
Principal Program Manager, Public Sector Compliance
$245K - $260K *
Transform public sector compliance by leading a high-impact program that aligns regulatory standards with organizational strategy. Collaborate with cross-functional teams to ensure adherence to federa...
Reposted 3 weeks ago
Manager Technical Operations (Implementation and Support)
$89K - $128K *
Drive success by leading Technical Operations to enhance client experience, optimize processes, and manage high-volume projects while fostering team growth through effective leadership and collaborati...
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.