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.
$69K - $119K *
Shape healthcare innovation by leading diverse projects through structured management practices. Oversee project lifecycles from initiation to execution, ensuring timely, high-quality delivery while c...
4 days ago
Supervisor, Integrated Care Management
$87K - $145K *
Empower a dedicated team of Integrated Care Managers, overseeing operational excellence and driving quality member engagement. Foster collaboration and continuous improvement to enhance care coordinat...
4 days ago
Medicaid Fee-For-Services Systems Manager (Technical Project Manager III)
$110K - $199K *
Unlock your potential as a Technical Project Manager, driving IT initiatives for Government Programs. Oversee project lifecycles, ensuring timely deliverables and budget adherence while fostering coll...
2 weeks ago
$135K - $155K *
Manage and lead IT audits focusing on cybersecurity and operational risks while collaborating with cross-functional teams. Ensure effective testing of controls and drive innovative solutions to enhanc...
Today
Demand Side Management Analyst
$80K - $95K *
Analyze energy efficiency and demand response programs while collaborating with a diverse team. Utilize data analysis to provide insights, recommendations, and drive improvements for utilities across...
1 week ago
Account Manager - Senior Living
$80K - $95K *
Empower senior living solutions by cultivating relationships and driving growth. You will navigate complex sales cycles, identify opportunities, and deliver tailored digital engagement solutions to en...
4 days ago
Client Success Manager, Navigation
$90K - $125K *
Optimize client relationships and engagement as you drive satisfaction and retention through strategic insights, reporting, and cross-functional collaboration, influencing client growth in a dynamic...
2 weeks ago
$87K - $157K *
Lead a dynamic team specializing in healthcare fraud investigation. Collaborate with a variety of stakeholders, oversee complex cases, and utilize your clinical knowledge to champion integrity in serv...
Today
$79K - $91K *
Empower your clinical team to deliver timely care by coaching reviewers and maintaining operational excellence, while ensuring compliance and enhancing member satisfaction through innovative solutions...
1 week ago
$70K - $126K *
Shape the future of healthcare project management by coordinating cross-functional teams, managing timelines, and driving successful execution of regulatory filings. Enhance process efficiency while e...
Today
$87K - $157K *
Join us to lead strategic, enterprise-wide program initiatives, ensuring success through hands-on support for matrixed teams. Drive large projects, prepare executive communications, and manage risks w...
Today
$80K - $95K *
Lead the charge in enhancing ICAM systems by effectively gathering requirements, writing user stories, and providing customer support, ensuring seamless communication between stakeholders and technica...
1 week ago
$90K - $120K *
Shape your career in clean energy by managing transmission interconnection requests for a dynamic portfolio. Collaborate with experts to optimize project results, guide strategic initiatives, and cont...
3 weeks ago
$70K - $95K *
Support cloud-based Stock Control Systems by managing production and test environments, collaborating with SMEs and ensuring system integrity through maintenance, Agile methodologies, and active commu...
3 weeks ago
$110K - $135K *
Advance client success by acting as the primary contact for school administrators, delivering exceptional customer service, and managing HR, Payroll, and support tasks effectively while ensuring compl...
2 weeks ago
$90K - $120K *
Lead the charge in managing clinical projects, ensuring timely delivery, budget compliance, and adherence to client standards. Oversee cross-functional teams, enhance operational efficiency, and foste...
3 weeks ago
$96K - $115K *
Champion digital marketing growth by leading paid media strategies, optimizing technology platforms, and enhancing conversion efforts through data-driven insights. Drive campaign excellence and foster...
2 weeks ago
OPTN Descriptive Analytics Analyst
$80K - $95K *
Contribute to impactful data-driven decisions within organ procurement by translating policy needs into actionable analytics, collaborating with diverse stakeholders, and creating accessible visualiza...
2 weeks ago
Manager, InterOperability Architecture
$110K - $130K *
Join a dynamic team to architect and drive the development of a cutting-edge interoperability platform that enhances healthcare data exchange across systems, ensuring scalability, security, and seamle...
1 week ago
$100K - $120K *
Oversee all operations of the prior authorization team, ensuring timely submissions and appeals while maintaining compliance and achieving measurable outcomes. Collaborate across departments to enhanc...
3 weeks ago
Managed Care Contracting Manager
$95K - $105K *
Advance your career by leading managed care strategies, negotiating contracts, and optimizing revenue streams in a dynamic healthcare environment. Collaborate with diverse teams to enhance operational...
6 days ago
Technical Delivery Manager, Enterprise Data Management
$114K - $170K *
Lead the charge in delivering complex technology initiatives by coordinating cross-team efforts and ensuring alignment with business objectives, resulting in successful enterprise outcomes and streaml...
1 week ago
Technical Systems Program Analyst
$80K - $95K *
Elevate your career by supporting data integrity and optimizing IT systems. Leverage your analytical skills to manage stakeholder needs, resolve performance issues, and enhance reporting tools in a dy...
3 days ago
Program Manager, Strategic Customer Delivery
$108K - $156K *
Champion project success by leading comprehensive program delivery and ensuring high-quality outcomes. Collaborate with stakeholders to align resources and strategies, driving strong customer engageme...
Reposted today
Manager, Special Investigation Unit (SIU)
$87K - $157K *
Explore strategic initiatives to combat fraud, waste and abuse in healthcare. Lead compliance monitoring, manage investigative teams, and develop educational resources to enhance billing process integ...
2 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.