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.
Epic Solutions Architect 2 - Patient Access
$100K - $130K *
Elevate healthcare technology by leading the design and implementation of clinical applications. Collaborate with teams to optimize processes, manage projects, and enhance user experience while stayin...
3 weeks ago
$80K - $95K *
Unlock potential as a Sourcing Partner, driving talent acquisition strategies that shape the future of hiring. Collaborate with leadership to attract and engage top-tier candidates for critical roles...
2 weeks ago
$94K - $122K *
Engage in strategic payer relations to enhance market access for services. Collaborate cross-functionally to optimize reimbursement frameworks and execute effective payer engagement strategies, ensuri...
1 week ago
Customer Success Manager - Public Sector
$90K - $130K *
Drive impactful automation initiatives in federal sectors by guiding customers through post-sale adoption, ensuring measurable outcomes, and fostering strategic relationships. Help clients realize mis...
3 weeks ago
Engineering Manager - Servicing & Fulfillment
$166K - $193K *
Lead and mentor a team of engineers while overseeing technical excellence and driving AI innovation in operational systems. Collaborate cross-functionally to deliver impactful features for post-purcha...
3 weeks ago
$80K - $110K *
Join a team that’s dedicated to driving customer success and engagement. As a key contact for major clients, you'll manage relationships, strategize growth, and enhance employee experiences through co...
3 weeks ago
$80K - $120K *
Advance your career by managing diverse solar projects, ensuring quality, productivity, and team collaboration while providing critical support and training to peers and leading projects autonomously...
Reposted 4 weeks ago
Case Manager, Registered Nurse
$66K - $142K *
Join our Community Care team to deliver transformative patient care! Utilize best practices to assess, plan, and coordinate health services, fostering collaboration among members, providers, and commu...
Reposted 2 weeks ago
$155K - $195K *
Develop and lead a Sales Engineering team, driving effective execution in sales cycles. Provide coaching, support deal strategy, and ensure alignment with client needs while fostering individual growt...
1 week ago
Director, Growth Operations - NovaOne
$123K - $167K *
Lead the charge in scaling enterprise growth through effective pipeline management, process optimization, and cross-functional collaboration. Drive meeting generation and support a team focused on ach...
Reposted 2 weeks ago
Case Manager, Registered Nurse
$60K - $129K *
Lead the charge in providing comprehensive care coordination for members with chronic conditions. You will conduct assessments, develop personalized care plans, connect members to resources, and colla...
Reposted 4 days ago
Case Manager, Registered Nurse
$60K - $129K *
Engage with our Community Care team to enhance member health outcomes through compassionate care coordination and strategic partnerships, playing a vital role in optimizing wellness across all care se...
6 days ago
$125K - $225K *
Lead quality governance efforts on complex industrial projects, overseeing QA/QC processes, conducting audits, and ensuring compliance with standards to enhance quality management systems for successf...
3 days ago
Service Manager- Exposure Response
$134K - $209K *
Shape the future of cybersecurity by leading a high-speed exposure response team, focusing on critical vulnerabilities and leveraging AI tools to thwart advanced threats while managing cross-functiona...
Reposted 3 days ago
$150K - $160K *
Lead the transformation of IT projects by guiding cross-functional teams to deliver impactful data solutions for federal customers, ensuring alignment and progress through collaboration and effective...
3 days ago
$80K - $95K *
Shape the future of product management by driving innovative SaaS solutions, collaborating with distributed teams, and translating market insights into impactful product strategies that enhance user e...
2 weeks ago
$80K - $95K *
Support our sales and marketing teams by managing HubSpot and Salesforce systems efficiently, ensuring quality data and seamless integration, while providing user support and executing system enhancem...
1 week ago
Sr. Program Manager - Dignity and Unity
$97K - $155K *
Champion inclusive initiatives by driving strategic Dignity and Unity programs across the organization. Collaborate cross-functionally to enhance employee engagement, analyze cultural metrics, and fos...
1 week ago
Customer Success Manager (Channel Partners)
$100K - $120K *
Shape the future of customer success by leading a dynamic team in achieving exceptional performance metrics and implementing best practices that foster client satisfaction and growth in a rapidly evol...
5 days ago
$120K - $150K *
Transform healthcare by managing multi-specialty practices, driving performance and growth through strategic action plans, metrics oversight, and operational efficiency. Collaborate with physician pra...
Today
$90K - $120K *
Take ownership of a pivotal role in managing network operations, leading team initiatives, and ensuring efficient infrastructure support in a global setting, all while fostering a culture of teamwork...
Reposted 3 days ago
Client Coding Project Manger (CCPM)
$75K - $90K *
Transform your career with impactful auditing and training roles in risk adjustment. Collaborate with management to enhance coding compliance, drive performance improvement, and foster a culture of ex...
Reposted 4 days ago
Health System Account Liaison - WA
$92K - $153K *
Join a team that's dedicated to enhancing customer relationships and driving solutions. In this role, you will support field sales, manage accounts, and ensure customer satisfaction through effective...
6 days ago
$66K - $145K *
Unlock potential by leading out-of-network claims negotiations, ensuring compliance with the No Surprises Act while driving operational excellence and financial savings. Foster teamwork and strategic...
3 days ago
Manager, New Product Advancement Client Success
$125K - $172K *
Elevate client success through innovative AI-driven healthcare solutions, leading collaboration with clients and teams to optimize product adoption and revenue cycle automations, fostering strong part...
3 weeks 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.