Explore Utilization Manager Jobs

Utilization Managers help organizations make informed, consistent decisions about how services and resources are used. In healthcare, they often oversee utilization review, care coordination, and processes that support appropriate, evidence-based care. Explore vetted Utilization Manager opportunities on Ladders, including positions with salaries of $100,000 or more.

What Does a Utilization Manager Do?

Responsibilities vary by employer and industry. Healthcare Utilization Managers may lead teams that review care requests, assess cases against clinical guidelines and organizational policies, monitor service utilization, and coordinate with clinicians, insurers, and other stakeholders. They may also track performance measures, identify workflow improvements, and help ensure regulatory and documentation requirements are met.

Common Skills and Qualifications

Employers commonly seek experience in utilization management, utilization review, case management, or healthcare operations. Helpful qualifications may include a nursing or other relevant clinical background, familiarity with clinical criteria and payer processes, leadership experience, and strong analytical, communication, and problem-solving skills. Requirements differ by role, so review each job description for specific credentials and experience.

Utilization Manager Career Opportunities

Utilization Managers work across health plans, hospitals, health systems, and other healthcare organizations. Depending on the employer, roles may focus on clinical review, care management, quality, compliance, or team leadership. Search current openings to compare responsibilities, work arrangements, and compensation, and find a position aligned with your experience and career goals.

Find Utilization Manager Jobs on Ladders

Ladders features vetted professional opportunities with salaries of $100,000 or more. Browse Utilization Manager jobs to discover senior-level openings and explore opportunities to make an impact on healthcare delivery and organizational performance.

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$100K - $120K *

Take ownership of IT operations by building support infrastructure, managing vendor relations, and ensuring seamless tech experiences across teams. Collaborate closely with security teams to maintain...

Brooklyn, NYRemote

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$95K - $115K *

Drive the technical relationship with healthcare accounts, ensuring platform adoption, risk mitigation, and customer growth through proactive advisory and strategic planning. Collaborate with IT teams...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Enterprise Technology

$75K - $105K *

Tackle comprehensive project management for onboarding HME providers, driving digital transformation across healthcare. Collaborate strategically, enhance platform adoption, and leverage data insights...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Lead the charge in managing complex ERP implementation projects, ensuring alignment between customer needs and internal resources. Drive project success through effective communication, risk managemen...

United StatesRemote

4 days ago

  •   Less than 5 years exp.  •   Enterprise Technology

$87K - $157K *

Grow your career with a dynamic role managing risk adjustment and quality improvement processes across multiple departments, driving operational excellence and strategic initiatives for healthcare pro...

Pennsylvania, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$109K - $149K *

Unlock vendor performance by leading analytics and risk adjustment initiatives across healthcare programs. Drive strategy, manage relationships, and ensure accurate reporting to optimize operational s...

Newark, NJRemote

Reposted 5 days ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Shape the future of business development by leading capture strategies and execution for high-value federal opportunities. Collaborate across teams to drive successful proposals and contract awards, e...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Aerospace & Defense

$110K - $130K *

Unlock revenue potential by leading recovery operations, developing strategies, and collaborating across teams to enhance financial performance and resolve complex reimbursement issues. Drive accounta...

United StatesRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $110K *

Unlock potential by managing key accounts and driving performance optimization. Collaborate with teams to enhance customer engagement and revenue growth through strategic insights and data-driven reco...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Consumer Technology

$80K - $133K *

Engage with healthcare providers to optimize reimbursement processes and patient support. Build strong relationships while delivering education on insurance coverage and claims assistance. Travel requ...

RemoteRemote

6 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$80K - $133K *

Manage client relationships and provide reimbursement support through education and training. Collaborate with healthcare providers to navigate insurance processes and enhance patient services, ensuri...

Arizona, USRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$139K - $174K *

Unlock your potential by leading a dynamic database operations team. With over a decade of experience, guide strategic database infrastructure initiatives, ensure system reliability, and foster a cult...

Raleigh, NCRemote

Reposted 3 weeks ago

  •   11 - 15 years exp.  •   Information Technology

$125K - $225K *

Transform supply chain operations by managing vendor performance, logistics, and material tracking for a complex industrial project. Collaborate with cross-functional teams to ensure timely delivery a...

United StatesRemote

4 days ago

  •   8 - 10 years exp.  •   Real Estate & Construction

$60K - $125K *

Empower customer success by managing relationships and driving growth through strategic account management, ensuring satisfaction and advancing CloudWave as a trusted IT advisor in healthcare solution...

United StatesRemote

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Lead the charge in optimizing IT configuration management practices to enhance service lifecycle support, ensuring accuracy of configuration items and improving operational efficiency across enterpris...

United StatesRemote

Reposted 3 weeks ago

  •   8 - 10 years exp.  •   Information Technology

$68K - $103K *

Empower your career by coordinating Epic optimization initiatives, managing requests, and facilitating collaboration across teams. Drive project success through effective communication and oversight...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$72K - $120K *

Drive client success by managing post-sale implementations and performance. Partner with cross-functional teams to ensure optimal product use, data insights, and strong client relationships, enhancing...

RemoteRemote

Reposted yesterday

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$85K - $100K *

Elevate healthcare interoperability by designing and supporting MEDITECH interfaces. Collaborate with teams to enhance data exchange, improve patient care, and ensure seamless integration across syste...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Drive clinical trial success by overseeing operations, ensuring compliance, and enhancing team capabilities. Collaborate with cross-functional teams to optimize processes and mentor junior staff for c...

Blue Bell, PARemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$150K - $220K *

Shape the future of software development by leading a dynamic team, driving innovation, and ensuring successful product delivery in a collaborative, agile environment focused on enhancing IT operation...

Texas, USRemote

4 days ago

  •   8 - 10 years exp.  •   Enterprise Technology

$72K - $97K *

Drive impactful data visualization by designing and maintaining interactive dashboards. Collaborate with analysts to convert complex data into actionable insights, enhancing decision-making for Medica...

United StatesRemote

3 days ago

  •   Less than 5 years exp.  •   Information Technology

$67K - $100K *

Drive operational excellence by supporting the development and maintenance of standardized playbooks, SOPs, and workflows. Collaborate with cross-functional teams to ensure clarity and consistency in...

United StatesRemote

6 days ago

  •   Less than 5 years exp.  •   Technical Services

$143K - $169K *

Shape the future of financial integrity by enhancing our reporting processes and ensuring compliance. Collaborate across functions to deliver accurate financial statements while fostering a robust, sc...

United StatesRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Consumer Technology

$97K - $130K *

Drive collections performance and lead a high-performing team in a fast-paced environment. Collaborate cross-functionally to enhance customer experience while ensuring compliance and optimizing proces...

Alabama, USRemote

3 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$129K - $193K *

Grow your career with a leadership role overseeing clinical research pre-award activities, ensuring compliance and financial feasibility while managing a diverse portfolio of high-risk studies and col...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

Frequently Asked Questions (FAQ)

  • What does a Utilization Manager do?question toggle

    A Utilization Manager oversees processes for reviewing and managing the use of services and resources. In healthcare, this can include leading utilization review, supporting care coordination, monitoring performance, and ensuring decisions follow applicable clinical guidelines and policies.

  • What qualifications are commonly required for Utilization Manager jobs?question toggle

    Qualifications vary by employer. Many roles ask for experience in utilization management, utilization review, case management, or healthcare operations. Some may require a clinical credential, relevant degree, leadership experience, or knowledge of payer and regulatory requirements.

  • Where do Utilization Managers work?question toggle

    Utilization Managers may work for health plans, hospitals, health systems, and other healthcare organizations. Their focus can include clinical review, care management, quality, compliance, or team leadership.

  • How can I find Utilization Manager jobs paying $100,000 or more?question toggle

    Browse Utilization Manager listings on Ladders, where professional jobs are vetted and pay $100,000 or more. Review each listing for salary details, qualifications, responsibilities, and work arrangement.