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.
Manager Utilization Care Management
$99K - $148K *
Champion the Utilization Management program by leading initiatives, ensuring compliance, and fostering collaboration across departments. Drive process improvements and mentor staff to enhance patient...
Today
Utilization Management Nurse Manger
$80K - $95K *
Elevate your career by leading Utilization Management initiatives, enhancing patient care standards, and collaborating with clinical leaders to implement evidence-based practices across healthcare ser...
2 days ago
Manager - Utilization Management
$80K - $95K *
Lead the charge in optimizing utilization management operations within behavioral health settings, ensuring timely patient care through effective oversight of authorizations, reviews, and team perform...
6 days ago
Utilization Management Coordinator UCHC
$71K - $101K *
Lead the charge in optimizing healthcare delivery by conducting utilization reviews, managing clinical assessments, and enhancing provider networks to ensure quality medical services for correctional...
4 weeks ago
Medical Management - Director Utilization Management 145-7002
$110K - $130K *
Optimize utilization management operations by leading a large team, ensuring compliance, and implementing data-driven strategies to enhance clinical quality and affordability across health plan servic...
6 days ago
Manager Utilization Review/Case Management CMC - Clear Lake Center
$80K - $95K *
Grow your career with a leadership role overseeing Utilization Review operations, ensuring high-quality patient support and team performance while driving departmental success and compliance in a dyna...
5 days ago
$95K - $110K *
Pioneer your career as a Utilization Review Manager, overseeing operations to optimize healthcare resource use. Ensure compliance, manage clinical reviews, and collaborate with teams to enhance patien...
Yesterday
DIR - UTILIZATION REVIEW / MGMT
$80K - $95K *
Grow your career with a pivotal role overseeing utilization review processes, ensuring high-quality, cost-effective treatment for patients with mental health challenges while collaborating with a dedi...
1 week ago
Utilization Management Director, Compliance
$163K - $211K *
Shape compliance strategies by leading oversight of regulatory adherence and risk management across multiple business functions, ensuring effective reporting, investigations, and resource allocation f...
Reposted 6 days ago
Utilization Management Coordinator
$71K - $101K *
Join a team that's dedicated to ensuring quality care through effective utilization reviews. As a key player, you'll assess clinical services for compliance with standards, collaborate with treatment...
1 week ago
Director of Utilization Management
$88K - $105K *
Transform utilization management by overseeing case reviews, ensuring compliance, and enhancing communication between clinical teams and payers. Drive quality patient care while managing resources eff...
2 days ago
Supervisor, Utilization Management
$75K - $135K *
Shape healthcare delivery by supervising a utilization management team, ensuring quality adherence to standards. Drive process improvements while mentoring staff in effective care management strategie...
3 weeks ago
Supervisor, Utilization Management
$75K - $135K *
Champion a dynamic utilization management team, ensuring quality care and compliance through effective supervision, mentoring, and process improvement in clinical review operations, while fostering co...
3 weeks ago
Manager, Utilization Management (RN) - Texas Behavioral Health Center
$90K - $110K *
Manage the Behavioral Health Utilization Management team, ensuring compliance with standards while optimizing patient care processes. Lead initiatives to enhance operational efficiency and quality of...
1 week ago
Manager Utilization Management
$105K - $172K *
Elevate health care by leading a dynamic team in utilization management, ensuring effective execution of programs and fostering collaboration across departments to enhance member experiences and outco...
2 weeks ago
Manager Utilization Management
$105K - $172K *
Empower your leadership skills by managing a dynamic team in utilization management. Drive impactful healthcare solutions through effective policy execution and collaboration across departments, ensur...
2 weeks ago
Manager Utilization Management
$105K - $172K *
Lead and optimize utilization management programs, ensuring effective execution and compliance. Oversee a dedicated team, drive performance standards, and collaborate across departments to enhance hea...
2 weeks ago
Manager Utilization Management
$105K - $172K *
Join a team that's dedicated to transforming health care by leading utilization management efforts. Oversee a skilled team, drive process improvements, and collaborate across departments to enhance me...
2 weeks ago
Manager Utilization Management
$95K - $155K *
Lead the charge in optimizing utilization management programs, overseeing a dedicated team to enhance healthcare delivery. Collaborate across departments to drive impactful change and ensure complianc...
2 weeks ago
Manager Utilization Management
$100K - $155K *
Drive impactful change in health care by leading a dedicated team in utilization management. Oversee program execution, enhance processes, and collaborate across departments to ensure quality care for...
2 weeks ago
Manager Utilization Management
$95K - $155K *
Join a team that's dedicated to transforming health care by leading utilization management efforts. Drive impactful change, oversee staff, and enhance processes to improve member experiences across va...
2 weeks ago
Manager Utilization Management
$105K - $172K *
Lead the charge in optimizing utilization management programs, guiding a dedicated team to enhance healthcare delivery. Collaborate across departments to drive impactful change and ensure quality serv...
2 weeks ago
Manager Utilization Management
$100K - $136K *
Lead and optimize utilization management programs, ensuring effective execution and compliance. Inspire a team of professionals to enhance healthcare delivery while collaborating across departments an...
2 weeks ago
Manager of Utilization Management and Complex Care Management - 3176
$80K - $95K *
Execute strategies to lead care management teams focused on improving health outcomes, reducing costs, and ensuring effective care transitions. Collaborate with multidisciplinary stakeholders to foste...
4 weeks ago
Director Utilization Management
$110K - $130K *
Join a team that's dedicated to optimizing healthcare delivery through strategic leadership in Utilization Management. Drive excellence in clinical care and operational outcomes while ensuring complia...
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.