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.
Manager, Behavioral Health Utilization Management
$90K - $120K *
Deliver impactful leadership in Behavioral Health Utilization Management. Oversee daily operations, manage a skilled team, and ensure regulatory compliance. Drive performance excellence and enhance se...
Yesterday
Manager, Behavioral Health Utilization Management
$90K - $120K *
Shape the future of Behavioral Health Utilization Management by managing a skilled team, ensuring efficient operations, and upholding clinical guidelines to support member care across various lines of...
Yesterday
Manager, Behavioral Health Utilization Management
$90K - $120K *
Manage and lead a team of licensed clinicians in Behavioral Health Utilization Management. Oversee daily operations, ensure compliance with clinical guidelines, and drive departmental goals while serv...
Yesterday
Manager, Behavioral Health Utilization Management
$90K - $120K *
Lead the Behavioral Health Utilization Management team, overseeing clinical operations and ensuring adherence to guidelines while driving departmental goals and team performance to enhance member care...
Yesterday
Manager, Behavioral Health Utilization Management
$90K - $120K *
Manage and optimize operations in Behavioral Health Utilization Management, leading a team to ensure effective prior authorization processes and adherence to clinical guidelines while meeting departme...
Yesterday
Manager, Behavioral Health Utilization Management
$90K - $120K *
Lead the Behavioral Health Utilization Management team, ensuring compliance with guidelines while overseeing operations and clinician performance. Drive departmental goals and enhance cross-functional...
Yesterday
$90K - $120K *
Elevate IT infrastructure operations by providing dynamic leadership and oversight, ensuring seamless service delivery and effective team management, to meet performance goals within a complex environ...
Reposted 4 days ago
$90K - $120K *
Optimize configuration management processes to ensure quality and performance standards. Oversee documentation, track changes, and collaborate with teams to maintain product integrity. Enhance efficie...
2 weeks ago
$90K - $120K *
Elevate your career by managing configurations to ensure quality and compliance. You'll track changes, document processes, and collaborate with teams to maintain integrity in product systems, making a...
2 weeks ago
$120K - $140K *
Elevate your career by leading configuration management for cutting-edge aerospace programs. You will ensure accurate documentation and traceability throughout product lifecycle, partnering with teams...
2 days ago
Manager (RN) - Utilization Review
$80K - $100K *
Shape the future of patient care management by leading utilization review operations, ensuring compliance, and enhancing financial and clinical outcomes through effective team management and collabora...
1 week ago
$61K - $108K *
Elevate student finance operations by leading a dedicated team to enhance service delivery and foster student success through effective training, evaluation, and support in a fast-paced contact center...
1 week ago
$61K - $108K *
Champion a customer-centric approach as you lead Account Management operations, driving student success through impactful service delivery and team development in a dynamic contact center environment...
1 week ago
$70K - $95K *
Transform project management initiatives by leading cross-functional teams, defining goals, and driving process improvements to enhance efficiency and achieve strategic outcomes in a hybrid work envir...
Today
$124K - $151K *
Pioneer operational excellence in data center management, leading a skilled team to ensure high availability and reliability across U.S.-based facilities while collaborating with internal and external...
Reposted today
$110K - $115K *
Optimize participant care by conducting clinical assessments and facilitating access to vital services, while adhering to regulatory guidelines. This role entails evaluating healthcare needs through i...
3 weeks ago
$110K - $115K *
Elevate healthcare quality by conducting critical assessments, determining eligibility for services, and collaborating with various teams to connect participants to essential care. Empower individuals...
3 weeks ago
$110K - $115K *
Lead clinical assessments as a key participant touchpoint, ensuring eligibility for services. Collaborate with teams to address healthcare needs, manage documentation and ensure compliance with releva...
3 weeks ago
Behavioral Health Utilization Manager (Outpatient and Non-24 Hour Diversionary Services)
$75K - $95K *
Transform mental health and substance use services as a key decision-maker. Evaluate care requests, ensure compliance, and drive quality. Collaborate across teams for operational efficiency and crisis...
2 weeks ago
$110K - $120K *
Grow your career with a pivotal role ensuring the accuracy and governance of the CMDB. Collaborate with cross-functional teams to define processes that leverage Configuration Item data for operational...
2 days ago
$85K - $100K *
Join a team that's vital to operational success by overseeing business office systems, leading staff, managing billing and collections, and ensuring compliance in a healthcare setting. Leverage your e...
Yesterday
$70K - $95K *
Champion regulatory compliance initiatives by managing databases, ensuring legal adherence, and collaborating with regional offices. Deliver detailed compliance reports while maintaining strong custom...
2 weeks ago
Medicare Advantage Premium Billing Manager
$70K - $145K *
Lead the charge in optimizing premium billing operations, guiding staff to enhance efficiency, compliance, and customer satisfaction while driving technological advancements and strategic initiatives...
3 weeks ago
Medicare Advantage Premium Billing Manager
$70K - $145K *
Unlock your potential by leading a dynamic team to enhance operational efficiencies, drive strategic goals, and ensure compliance within premium billing operations for a Medicare Advantage Plan while...
3 weeks ago
$120K - $160K *
Empower energy innovation as you lead demand flexibility and grid strategy across global data centers. Collaborate cross-functionally to optimize commercial arrangements, regulatory compliance, and em...
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.