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.
$180K - $200K *
Oversee IT project management from start to finish, ensuring alignment with customer goals, compliance with PMF, and effective collaboration across teams. Drive project success through meticulous plan...
Reposted 5 days ago
Utilization Management (UM) - Pre-Service (Remote | California RN / LVN | Pacific Time Schedule)
$77K - $116K *
Transform care delivery by reviewing prior authorization requests for medical necessity and ensuring quality outcomes in a dynamic, remote Utilization Management team focused on patient-centric soluti...
1 week ago
$150K - $190K *
Advance your career by managing and enhancing our PeopleSoft environment. You'll oversee installations, upgrades, and performance, ensuring seamless operations across development, test, and production...
Reposted 5 days ago
$90K - $120K *
Shape financial success by leading accounting operations, enhancing reporting, and driving strategic insights across diverse entities. Collaborate cross-functionally to optimize processes for sustaina...
1 week ago
$68K - $116K *
Lead cross-functional project teams to deliver small to mid-sized engagements, ensuring adherence to project timelines, effective communication with stakeholders, and successful execution with a focus...
2 weeks ago
$152K *
Manage and oversee the lifecycle of construction projects, ensuring all aspects, including design, budgets, and schedules, align with operational goals, while effectively coordinating with teams and s...
Reposted 5 days ago
$140K - $150K *
Transform project delivery in a mission-centric environment by overseeing construction and infrastructure initiatives, managing lifecycle processes, and coordinating with diverse teams to meet governm...
Reposted 5 days ago
$80K *
Join a dynamic team as you lead facilities operations, enhancing community vibrancy and service quality while managing team development and program improvement. Your expertise will transform the downt...
3 weeks ago
Manager, Absence, Disability Management and Life Insurance (ADML)
$100K - $130K *
Shape comprehensive disability management strategies for large clients, driving project success and enhancing client relationships while collaborating with experts in the field to innovate solutions a...
1 week ago
Configuration Manager (Senior)
$100K - $130K *
Lead the charge in configuration management within a fast-paced DevSecOps environment, supporting Army Cyber and Space SETA product operations, ensuring baseline integrity and driving best practices a...
3 weeks ago
$90K - $115K *
Lead inventory management initiatives ensuring accuracy, compliance, and quality in a fast-paced e-commerce environment. Drive continuous improvement while mentoring teams, collaborating cross-functio...
3 weeks ago
$80K - $110K *
Help us drive organizational effectiveness by leading HR initiatives in Performance Management, Learning & Development, and Organization Development. Collaborate across functions to enhance leadership...
Reposted 1 week ago
$90K - $130K *
Elevate your career by leading a team of distribution representatives, driving sales strategies, fostering partnerships, and ensuring growth in a dynamic environment focused on achieving targets and d...
6 days ago
$100K - $130K *
Drive impactful process improvement initiatives across IT functions, enhancing efficiency and collaboration. Leverage expertise in analytics and project management to optimize processes and achieve me...
Reposted 1 week ago
Continuous Improvement Manager
$80K - $110K *
Champion continuous improvement initiatives by coaching teams, leading Lean strategies, and driving operational excellence across the region to enhance productivity and efficiency in our processes...
1 week ago
Continuous Improvement Manager
$90K - $120K *
Shape the future of continuous improvement by leading transformative lean initiatives, mentoring teams, and driving operational excellence across multiple projects to enhance productivity and quality...
1 week ago
$80K - $100K *
Manage business office operations in a skilled nursing facility, overseeing billing, collections, and compliance. Collaborate with leadership to ensure efficient reporting and support the team for eff...
4 days ago
$120K - $160K *
Lead the charge in optimizing the monthly close process, ensuring accuracy and efficiency while collaborating with various teams to enhance reporting and improve accounting functions across multiple e...
3 weeks ago
Manager, Absence, Disability Management and Life Insurance (ADML)
$100K - $130K *
Support the design and management of comprehensive disability programs for large clients. Lead projects, enhance client relationships, and contribute to innovative solutions while collaborating with i...
1 week ago
$75K - $95K *
Collaborate to lead and manage a skilled nursing team while coordinating top-notch patient care. Serve as a mentor and role model, driving quality care and teamwork in a dynamic healthcare environment...
Reposted today
$75K - $95K *
Lead a team in delivering exceptional patient care while mentoring staff and collaborating with healthcare providers. Elevate your career by fostering a supportive environment and ensuring compliance...
Reposted today
$75K - $95K *
The Nurse Manager is responsible for leading and managing nursing staff while coordinating patient care activities. This role involves collaboration with healthcare providers and serving as a mentor t...
Reposted 3 days ago
Configuration Management Analyst
$75K - $95K *
Optimize configuration management processes and documentation, ensuring integrity and traceability throughout the product life-cycle. Collaborate with cross-functional teams to implement changes and m...
2 weeks ago
$75K - $95K *
Advance your career by leading a dedicated nursing team in coordinating patient care. Collaborate across disciplines to enhance service delivery while mentoring staff and ensuring compliance with heal...
Yesterday
$75K - $95K *
Elevate patient care through expert management and mentorship of staff. Collaborate with diverse healthcare teams, enhance service delivery, and ensure high standards in a dynamic clinical environment...
Yesterday
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.