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.
Project Manager, Governance Forums
$212K - $291K *
Drive effective governance by prioritizing agendas for senior leadership forums, ensuring strategic focus, and facilitating impactful discussions that lead to clear, actionable decisions, ultimately o...
4 days ago
BMS/OT Technology Support Specialist
$100K - $137K *
Unlock the potential of building technology operations, providing expert support across BMS systems and enhancing overall technology performance for client accounts, while collaborating closely with o...
1 week ago
Strategic Sourcing Category Manager - Remote
$95K - $115K *
Elevate your career by leading strategic sourcing for impactful health initiatives. Drive value through competitive sourcing processes, negotiate high-stakes contracts, and analyze market trends to op...
Reposted 3 days ago
Senior Product Manager, Platform Services and Third -Party Capabilities - Optum Financial - Remote
$112K - $193K *
Elevate your career by leading the strategic direction and integration of innovative platform services. Drive platform modernization while ensuring compliance and scalability in external partnerships...
3 weeks ago
Principal Analyst - Technical Project, National Reimbursement
$110K - $130K *
Shape the future of reimbursement project assessments by leading technical reviews, guiding analysts, and establishing impactful frameworks, standards, and processes. Collaborate cross-functionally to...
2 weeks ago
$100K - $120K *
Join a team that's shaping the future of healthcare technology by leading a transformative Microsoft 365 and Exchange Online project within a clinical environment, ensuring effective implementation an...
Today
Director, Digital Transformation
$150K - $180K *
Empower clinical research through strategic digital transformation, leading AI integration and enhancing operational efficiency. Collaborate with experts to drive innovation and optimize user experien...
Reposted 4 days ago
$85K - $115K *
Unlock potential by serving as the technical liaison for clients, driving implementations and resolving complex issues through collaboration with internal teams to maximize platform value and enhance...
1 week ago
$115K - $183K *
Create a cutting-edge learning technology ecosystem by making decisive architectural and strategic decisions, collaborating with executive stakeholders, and leading complex implementations to enhance...
6 days ago
Remote Administrative Assistant
$93K - $122K *
Join our dynamic team and provide essential administrative support to enhance operations, managing schedules, client interactions, and documentation for a seamless workflow in a remote setting...
2 weeks ago
$114K - $206K *
Strategize financial solutions to enhance revenue and client satisfaction. Engage with clients, analyze market trends, and optimize pricing strategies to drive growth while adhering to corporate objec...
2 weeks ago
Senior Manager, Commercial Performance Optimization Technical Lead
$141K - $212K *
Lead technical strategy and delivery for global marketing performance optimization, ensuring analytics solutions meet business needs while collaborating across teams to deliver accurate, actionable in...
Reposted 2 days ago
Business Unit Sales Manager - Mining
$90K - $130K *
Lead the charge in growing mining business through strategic account development and customer relationship management, focusing on maximizing market share and expanding opportunities within existing a...
3 weeks ago
District Execution Manager MET
$80K - $95K *
Lead the successful implementation of merchandising strategies across multiple retail locations. Drive a team of managers and associates to enhance customer experience by executing projects and ensuri...
3 weeks ago
Senior Operational Risk Analyst, Operational Risk Management
$64K - $121K *
Engage with cross-functional teams to identify and mitigate operational risks, enhancing processes and controls while supporting strategic objectives in the mortgage services sector. Drive improvement...
2 weeks ago
Senior Operations Specialist - EH&B Reporting & Governance
$56K - $104K *
Empower success by providing reporting support for offshore initiatives, tracking performance metrics, and collaborating with teams to enhance operations in the Employee Health & Benefits area. Drive...
1 week ago
$121K - $225K *
Unlock the potential of complex machine data as you manage and optimize an advanced Splunk environment, focusing on health, efficiency, and integrations within a dynamic enterprise landscape. Engage w...
2 weeks ago
$110K - $130K *
Drive customer success by managing and expanding enterprise accounts. Leverage strong relationship-building skills to deliver tailored solutions that meet client goals, ensuring retention and maximizi...
1 week ago
$124K - $137K *
Partner with us to enhance security assessments for FedRAMP and NIST frameworks. Collaborate with a dedicated team, develop assessment plans, and engage clients to deliver quality, timely compliance v...
1 week ago
$90K - $130K *
Join a team that is pioneering a partner-driven strategy, enhancing enterprise adoption through robust channel relationships. This role focuses on recruitment, enablement, and managing a pipeline for...
3 weeks ago
CLIENT SUCCESS MANAGER - BUSINESS INTELLIGENCE
$125K - $140K *
Advance client success through leadership and support of onboarding, training, and ongoing product adoption, ensuring top-notch user experiences and value from Business Intelligence solutions for stak...
5 days ago
Tax Manager - Remote (BTA1050602)
$150K - $175K *
Grow your career by leading strategic tax advisory initiatives, optimizing entity structuring, and mentoring team members to elevate service offerings while collaborating on complex financial planning...
3 weeks ago
Healthcare Interface Developer
$90K - $120K *
Elevate the future of healthcare data exchange by developing and maintaining key interfaces for hospitals and clinics. Collaborate on modernizing systems to support seamless interoperability and enhan...
Reposted 3 weeks ago
$139K - $188K *
Join a dynamic team as a strategic Engineering Manager, leading and guiding 5-8 full-stack engineers to deliver scalable, high-quality technical solutions while collaborating closely across teams and...
3 weeks ago
Product Manager - Business Operations
$115K - $135K *
Drive day-to-day execution in a B2B SaaS environment, collaborating across teams to enhance product functionality and integrate AI solutions, ultimately impacting the community experience and product...
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.