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.
$90K - $110K *
Empower payroll operations by leading the transition to in-house systems, managing multi-state US and Canadian payroll, and strategizing for India payroll compliance while ensuring accuracy and effici...
4 days ago
Federal Civilian Account Manager
$130K - $165K *
Empower your career by driving revenue growth in the Federal Civilian sector. Engage with C-level executives to architect and close complex cybersecurity solutions, expanding our footprint across U.S...
5 days ago
$88K - $147K *
Drive strategic alignment by managing business system features, collaborating with stakeholders, and ensuring effective communication within Agile teams to deliver impactful solutions that enhance use...
Today
Manager Enterprise Authorization Services
$80K - $95K *
Drive the success of insurance prior authorization processes by leading a team of specialists. Ensure timely approvals and minimize payment denials through effective management, communication, and pro...
2 weeks ago
Manager, Revenue Cycle Optimization & Analytics
$95K - $148K *
Drive impactful change in revenue cycle operations by leading initiatives, collaborating with stakeholders, and optimizing key performance indicators to enhance business outcomes and operational effic...
3 weeks ago
Children's Behavioral Health Training Operations Manager
$83K - $110K *
Lead operational excellence by managing complex training programs and enhancing processes for a statewide initiative, ensuring effective communication and client engagement while fostering a high-perf...
Reposted 5 days ago
$72K - $109K *
Empower business growth by developing strong customer relationships and driving revenue. As a key player, you'll strategize account management, identify market opportunities, and ensure customer satis...
Yesterday
$90K - $110K *
Transform client relationships by serving as the primary IT liaison, ensuring effective communication, project management, and successful technology solutions delivery. Collaborate with cross-function...
3 weeks ago
Revenue Cycle Vendor Management Manager (Remote)
$95K - $115K *
Lead the charge in optimizing revenue cycle operations by managing vendor relationships, financial analytics, and process improvements. Collaborate across departments to enhance financial integrity an...
Yesterday
$175K *
Shape the future of global telecommunications by leading strategy, architecture, and operations for voice and video infrastructure, ensuring reliable and cost-effective communication services aligned...
6 days ago
$110K - $130K *
Lead the charge in overseeing pre-commissioning and commissioning activities for liquefied hydrocarbon facilities, ensuring safety and efficiency while coordinating with teams and stakeholders through...
1 week ago
$110K - $130K *
Advance program success by leading contract performance, managing risks, and ensuring compliance across multiple task orders while engaging with key stakeholders and overseeing subcontractor performan...
3 weeks ago
$75K - $142K *
Lead a team of specialists in managing absence and claim cases, ensuring operational excellence and high-quality service delivery while fostering a supportive and growth-oriented environment for team...
Today
Clinical Care Manager, Transitions of Care
$69K - $101K *
Join us to enhance member health outcomes through holistic care management, collaborating with multidisciplinary teams to support individuals with complex needs. Utilize assessments and interventions...
2 weeks ago
$110K - $130K *
Transform complex U.S. Government solicitations by leading cross-functional teams through capture strategy, proposal development, and execution. Leverage AI workflows to enhance proposal quality and c...
1 week ago
Clinical Documentation Manager
$111K *
Unlock potential by leading Clinical Documentation Integrity operations, enhancing physician engagement, and driving performance improvement. Collaborate with diverse teams to ensure compliance and op...
3 weeks ago
Senior Manager Advisory & Planning - Wealth Management / Premier Brokerage
$87K - $123K *
Empower your career by collaborating with a dynamic team to drive innovative solutions and enhance operational efficiency across diverse projects. Join us in making a meaningful impact while advancing...
1 week ago
$90K - $110K *
Shape the future of technical content by building a robust function from the ground up, focusing on client engagement and leveraging emerging technologies to enhance understanding and communication...
4 days ago
$100K - $135K *
Lead the charge in delivering complex projects from initiation to close, ensuring alignment among stakeholders, effective risk management, and adherence to timelines while utilizing AI tools to enhanc...
3 weeks ago
Virtual Customer Care Manager II
$74K - $93K *
Partner with us to enhance customer satisfaction by managing warranty service requests virtually. Utilize TechSee and MS Dynamics 365 to analyze issues, coordinate resolutions, and build lasting relat...
1 week ago
Director of Fleet Maintenance (East)
$90K - $136K *
Transform fleet maintenance operations by leading strategic initiatives, optimizing performance, and ensuring compliance across multiple locations. Drive efficiency and reliability while fostering a c...
Yesterday
Operational Excellence Manager
$110K - $130K *
Drive operational excellence by leading continuous improvement initiatives, optimizing processes, and enhancing safety, quality, and customer satisfaction across multiple business units to achieve mea...
Reposted today
$46K - $122K *
Lead the charge in implementing health insurance projects by collaborating with teams, analyzing client needs, and ensuring successful onboarding. Foster relationships and provide mentorship to drive...
Reposted 3 days ago
$69K - $101K *
Unlock potential by delivering comprehensive clinical care management services, enhancing health outcomes for diverse populations through assessment, care planning, and coordination across multiple he...
5 days ago
Platform Manager – Microsoft Dynamics 365 CRM
$115K - $160K *
Transform business needs into scalable solutions by managing the Microsoft Dynamics 365 platform. Collaborate with stakeholders to enhance processes, optimize user experience, and ensure effective gov...
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.