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.
$90K - $130K *
Join a team that's pioneering AI-driven healthcare solutions. Own product direction from discovery to delivery, solving complex problems that shape patient experiences and clinician workflows, while i...
3 weeks ago
Contact Center Operations Manager
$80K - $95K *
Manage and enhance the operations of a dynamic inbound call center. Drive efficiency, foster strong relationships, and ensure high standards of service while leading a team dedicated to client satisfa...
1 week ago
Quality Improvement Project Manager
$70K - $126K *
Optimize quality improvement initiatives by coordinating comprehensive projects, ensuring compliance with NCQA and HEDIS standards, and promoting effective education and data management across departm...
3 days ago
Manager Implementation Project Management Ops
$93K - $115K *
Manage implementation projects by leading a team ensuring successful customer launches. Cultivate relationships, optimize processes, and drive operational efficiency across multiple functions in a col...
Reposted 1 week ago
Manager Applications- Remote within US
$100K - $130K *
Unlock potential by leading a dynamic software engineering team to develop scalable eCommerce solutions. Drive innovation, improve product quality, and foster collaboration across teams while advocati...
3 weeks ago
Manager, SIU Intelligence & Innovation
$87K - $157K *
Drive the strategic vision for anti-fraud initiatives by optimizing analytics and data resources. Lead a team to enhance fraud detection strategies while collaborating with stakeholders to improve pro...
3 days ago
$86K - $113K *
Shape the success of client relationships by managing operational execution, driving project initiatives, and promoting Cotiviti's solutions. Collaborate across teams to enhance client satisfaction an...
2 weeks ago
Archibus Technical Project Manager
$113K - $188K *
Join a team that's driving the global implementation of IT systems. As an Archibus Technical Project Manager, you'll manage projects, collaborate with cross-functional teams, and ensure successful mod...
3 weeks ago
Archibus Technical Project Manager
$113K - $188K *
Join a dynamic team to manage the Archibus implementation at a federal level, ensuring project milestones are met and fostering collaboration across functions, while developing and overseeing comprehe...
3 weeks ago
$80K - $95K *
Tackle the oversight of utility projects across North America, ensuring seamless coordination from design to start-up. Collaborate with diverse teams, manage budgets, and ensure efficient operation of...
2 weeks ago
Functional and Process Improvement Lead, VHA Specialty Care Support
$95K - $115K *
Empower improvements in specialty care delivery by assessing workflows, identifying inefficiencies, and implementing sustainable solutions. Collaborate with team leaders to enhance operations for vete...
4 days ago
$70K - $95K *
Engage with client health systems to extract and validate critical healthcare data for our analytics platform. Collaborate with technical teams while ensuring compliance with regulatory standards and...
1 week ago
$97K - $145K *
Lead the charge in designing and expanding impactful training programs while ensuring quality onboarding experiences. Collaborate with a dedicated team to cultivate a professional learning environment...
1 week ago
$90K - $120K *
Join our team to lead successful implementations, enhancing healthcare analytics across hundreds of facilities. Collaborate with diverse stakeholders to streamline onboarding and ensure optimal use of...
3 weeks ago
$96K - $132K *
Lead the charge in ambulatory coding audits, combining expertise in clinical documentation with client education. Engage with diverse customers to improve processes, ensuring quality and compliance ac...
Reposted 6 days ago
$95K - $115K *
Engage with clients to design and implement tailored Manhattan WMS solutions, ensuring optimal performance and support throughout the project lifecycle. Leverage your expertise to transform supply cha...
5 days ago
Billing Support Operations Manager (Remote)
$80K - $95K *
Advance Billing Support operations by leading process improvements, optimizing workflows, and fostering cross-functional alignment in a dynamic, high-volume environment. Leverage data insights to driv...
2 weeks ago
$100K - $120K *
Drive impactful technical programs by collaborating with engineering, design, and operations teams to achieve business objectives while managing risks and enhancing delivery through AI tools...
Today
$85K - $118K *
Join us in a pivotal role where you'll manage complex projects, enhance strategic capabilities, and collaborate with leaders to drive innovation in revenue operations and financial performance. Your e...
Reposted 4 days ago
Sr. Epic Data Acquisition Analyst
$80K - $100K *
Join a team that's shaping the future of healthcare data integration. Lead the technical aspects of client Epic data acquisition, ensuring seamless extraction and delivery of critical information whil...
1 week ago
$100K - $130K *
Lead the execution of complex projects, managing budgets and client relationships, while identifying risks and creating solutions. Collaborate with stakeholders to ensure objectives are met and explor...
Reposted 3 weeks ago
$80K - $95K *
Join a dynamic team to lead project management efforts in high-value property claims, focusing on detailed assessments, inventory management, and client collaboration to ensure meticulous execution an...
4 days ago
$113K - $188K *
Help us lead the transition of complex operational activities, coordinating stakeholders and managing dependencies to ensure smooth adoption and continuity of new capabilities in a dynamic environment...
Yesterday
$88K - $126K *
Lead and manage a dynamic Knowledge Management team to enhance client support. Drive collaboration, optimize knowledge assets, and ensure high service quality while fostering team development and cont...
4 days ago
Medical Director, Utilization Management (Home Health, Acute & Post-Acute)
$242K - $315K *
Lead utilization management efforts by reviewing complex Home Health authorization requests, ensuring evidence-based decision-making, and collaborating with interdisciplinary teams to optimize patient...
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.