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.
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.
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 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.
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.
$100K - $120K *
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$90K - $110K *
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$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...
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$110K - $130K *
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Unlock revenue potential by leading recovery operations, developing strategies, and collaborating across teams to enhance financial performance and resolve complex reimbursement issues. Drive accounta...
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$90K - $110K *
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1 week ago
$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...
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Manage client relationships and provide reimbursement support through education and training. Collaborate with healthcare providers to navigate insurance processes and enhance patient services, ensuri...
1 week ago
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$139K - $174K *
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Supply Chain/Vendor Management
$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...
4 days ago
$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...
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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...
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Empower your career by coordinating Epic optimization initiatives, managing requests, and facilitating collaboration across teams. Drive project success through effective communication and oversight...
1 week ago
Client Implementation and Account Management
$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...
Reposted yesterday
$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...
3 weeks ago
$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...
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Manager, Software Engineering Mainline
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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...
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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...
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$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...
6 days ago
Manager, Global Financial Reporting
$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...
Reposted 1 week ago
$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...
3 weeks ago
Manager, Coverage Analysis & Budget
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2 weeks ago
What does a Utilization Manager do?
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?
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?
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?
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.