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, Microsoft & Unified Communications
$115K - $150K *
Lead the charge in optimizing and securing Microsoft 365 & Unified Communications platforms. Collaborate with cross-functional teams to deliver innovative solutions that enhance organizational communi...
3 weeks ago
Manager, Microsoft & Unified Communications
$115K - $150K *
Elevate your career by leading the strategy and administration of Microsoft 365 and unified communications. Drive operational excellence and innovation while managing a team to enhance collaboration a...
3 weeks ago
$80K - $105K *
Drive the enrollment process by leading a team, optimizing operations, and ensuring compliance. Collaborate with stakeholders to enhance participant experiences and achieve sales goals while fostering...
3 weeks ago
$80K - $95K *
Shape the future of addiction treatment by leading a dedicated outpatient team. Drive operational excellence, foster clinician development, and ensure evidence-based care in a supportive environment f...
5 days ago
$80K - $95K *
Contribute to effective IT asset management by ensuring accountability, tracking equipment, and supporting software compliance for Army Materiel Command. Play a key role in maintaining operational eff...
4 days ago
$80K - $95K *
Elevate your career by managing maintenance operations, ensuring safety compliance, and fostering collaboration across teams. Lead a skilled group to optimize aircraft maintenance processes and enhanc...
1 week ago
Manager, Vendor & Workforce Management (Utility Contact Center)
$95K - $115K *
Empower performance excellence in contact center operations by optimizing vendor relationships, enhancing service delivery, and leveraging analytics for a seamless customer experience across channels...
Reposted today
Utilization Management Nurse Practitioner (NP)
$90K - $110K *
Join a dynamic team as you evaluate medical necessity and manage cases for diverse patients. Leverage your expertise in utilization review to enhance patient care and contribute to quality assurance p...
2 weeks ago
Documentation and Coding Manager
$110K - $130K *
Join a dynamic team to enhance healthcare revenue cycle operations. Lead projects, ensure compliance, and optimize billing processes while collaborating with diverse stakeholders to maximize reimburse...
Yesterday
Finance Manager - Care at Home
$95K - $115K *
Drive your career with a dynamic Finance Manager role, overseeing financial operations and reporting for Care at Home Service. Collaborate with leaders to enhance financial strategies and support deci...
4 days ago
$110K - $130K *
Lead the charge in managing day-to-day operations for a large-scale AI data center campus. Oversee site governance, coordinate with contractors, and engage with local stakeholders to ensure safety, co...
Today
$80K - $90K *
Lead impactful communications strategies that enhance the national profile of a prominent cancer foundation. Collaborate with senior leaders, manage media relations, and navigate crisis communications...
2 weeks ago
$55K - $115K *
Optimize office operations by leading staff management, workflow coordination, and policy compliance. Ensure efficient business practices and high-quality patient services through effective oversight...
5 days ago
Manager, Finance, Performance & Analytics
$121K - $144K *
Join a dynamic team as a strategic partner in finance, driving performance insights and operational excellence to enhance decision-making and resource stewardship across the organization...
6 days ago
$104K - $110K *
Drive high-quality, resident-centered care as a Unit Manager (RN) overseeing clinical operations, staff mentorship, and regulatory compliance in a skilled nursing community. Collaborate with teams to...
4 weeks ago
Revenue Cycle Managed Services - Billing Manager (Hospital System)
$100K - $120K *
Transform billing operations by leading a team to optimize healthcare revenue cycle processes, ensuring timely and accurate claims submission while driving performance improvements and fostering stron...
1 week ago
$80K - $92K *
Manage a dynamic team of 15+ agents, overseeing vault operations and driving process improvements while collaborating with cross-functional partners to achieve business goals and enhance team performa...
Today
$92K - $109K *
Accelerate change management processes by overseeing implementation and integration of technology initiatives, ensuring adherence and effectiveness while coordinating with stakeholders to manage large...
5 days ago
$95K - $115K *
Join a team that's focused on optimizing operations and driving strategic growth. As an Operations Manager, you'll oversee P&L, enhance production efficiency, and lead teams to meet customer demands w...
6 days ago
Utilization Specialist - Onsite
$81K - $97K *
Unlock your potential as a Utilization Specialist, optimizing patient services and reimbursement. Collaborate with clinical staff and managed care organizations to enhance care quality and streamline...
1 week ago
ADA Assessment Program Manager
$80K - $110K *
Transform the delivery of ADA Paratransit Eligibility by managing operations, ensuring compliance, and leading a dedicated team. Drive efficiency and excellence in service, while acting as a crucial l...
Reposted 3 weeks ago
$119K - $272K *
Manage and implement energy and water conservation strategies, ensuring efficiency and compliance in a healthcare setting. Collaborate across departments to drive sustainability initiatives and optimi...
1 week ago
$80K - $95K *
Optimize Configuration Management processes by planning, conducting, and coordinating activities while collaborating with stakeholders and ensuring adherence to best practices and standards...
Reposted 1 week ago
$100K - $120K *
Lead strategic project management for complex electric substation projects. Oversee project scope, schedule, and cost while navigating challenges. Foster collaboration within teams and ensure effectiv...
Yesterday
$100K - $120K *
Champion project success by leading data center construction initiatives. Oversee scope, schedule, and budget while managing a collaborative team to ensure quality and client satisfaction on complex p...
4 days 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.