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.
Lead Product Manager, Next Best Action Use Case Management
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Join a team that's redefining product management by owning the end-to-end strategy for Next Best Action. Collaborate with cross-functional teams to drive discovery, prioritize initiatives, and deliver...
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Innovate your career by developing cutting-edge virtual embedded control systems. Collaborate with cross-functional teams to create and validate virtual electronic control units, enhancing automotive...
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Manage the design and implementation of integrated physical security systems, driving innovative solutions in complex environments while fostering collaboration with clients and stakeholders for enhan...
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$100K - $120K *
Help us shape the future of healthcare identity management by leading projects, ensuring compliance, and enhancing operational efficiency. Collaborate with stakeholders to drive success and foster gro...
3 weeks ago
$110K - $130K *
Unlock potential by leading financial strategy and analysis for new market expansions. Collaborate with executives to drive capital allocation decisions, manage forecasting cycles, and build financial...
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$100K - $140K *
Lead the charge in managing large-scale OSP fiber optic programs, ensuring successful execution across engineering, construction, and operations. Drive strategic initiatives, oversee budgets, and enga...
3 weeks ago
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Optimize federal grants management operations by assessing processes, identifying inefficiencies, and delivering actionable recommendations. Collaborate with stakeholders to enhance program outcomes a...
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Empower business success by collaborating with cross-functional teams to enhance operations, gather requirements, and implement IT solutions that align with strategic goals. Drive improvements in orde...
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Utilities Right of Way Program Manager - Pennsylvania
$146K - $160K *
Shape the future of utility programs by directing multifaceted right of way initiatives. Collaborate with managers to optimize resources, ensure quality delivery, and foster client relationships while...
4 weeks ago
$95K - $115K *
Champion project success by leading cross-functional teams to deliver innovative business solutions on time and within budget, while managing risks and fostering collaboration across departments to en...
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$108K - $154K *
Transform data management by ensuring the integrity, performance, and security of complex databases. Collaborate with cross-functional teams to optimize applications and implement robust backup strate...
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Program Specialist, Care Management
$74K - $119K *
Transform healthcare delivery by coordinating strategic programs that enhance clinical and operational excellence. Collaborate with diverse teams to implement innovative solutions, ensuring compliance...
5 days ago
$110K - $130K *
Lead and innovate IT Controls and AI Resiliency projects, ensuring effective management and delivery within scope, budget, and schedule while collaborating with cross-functional teams to meet business...
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$78K - $119K *
Advance your career by investigating complex fraud cases, collaborating with various stakeholders, and developing anti-fraud strategies. Utilize your expertise to analyze evidence, document findings...
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Manager, Clinical Stewardship Operations (RN)
$150K - $165K *
Build and manage clinical stewardship operations, driving client success through effective program implementation and cross-functional collaboration. Leverage clinical expertise to enhance client rela...
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$95K - $115K *
Lead the charge in managing client projects, ensuring high-quality delivery on time and within budget while fostering excellent customer service and collaboration across teams...
4 days ago
Product Marketing Manager, Healthcare
$76K - $127K *
Unlock growth by collaborating with cross-functional teams to drive market strategies, analyze data, and enhance customer engagement in the healthcare ecosystem. Contribute to impactful marketing init...
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$54K - $129K *
Join a team that's dedicated to delivering personalized care coordination. In this fully remote role, leverage your clinical expertise to support members in achieving optimal health outcomes through e...
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Manager - Special Investigations Unit
$110K - $150K *
Lead the operations of a Special Investigations Unit, managing a team of investigators to enhance fraud detection and prevention. Drive compliance, collaborate with stakeholders, and shape strategies...
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Lead transformative customer engagements by managing relationships, guiding project teams, and driving innovative solutions. Collaborate with stakeholders to ensure successful delivery and account gro...
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Project Manager II - Distribution Compliance Management
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Deliver impactful project management for complex implementations, leading teams to ensure successful outcomes while cultivating valued client relationships and driving business success through effecti...
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Transform operational data into actionable insights while collaborating with cross-functional teams to support business decisions and enhance efficiency. Leverage analytical skills to drive performanc...
Reposted yesterday
Director, Quality Improvement, Digital Quality Measurement
$107K - $199K *
Transform the healthcare landscape by leading digital quality measurement initiatives. Drive process improvement efforts and enhance clinical data reporting strategies while collaborating with cross-f...
4 weeks ago
Formulary Administration Specialist
$60K - $100K *
Shape the future of pharmacy benefit management by ensuring accurate formulary coding and providing exceptional client support. Collaborate with pharmacists and clients to maintain high service levels...
1 week ago
$105K - $135K *
Partner with us to lead comprehensive RFP and proposal processes, crafting persuasive technical content and collaborating with cross-functional teams to enhance our credibility in the healthcare secto...
3 days 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.