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.
$130K - $147K *
Unlock the potential of Configuration Management by supporting operations and enhancing quality assurance across high-performance computing systems. Collaborate with diverse teams to optimize processe...
3 weeks ago
$130K - $147K *
Lead the Configuration Management strategy, ensuring effective oversight of software and hardware configurations while supporting change control processes for operational systems. Partner with teams t...
3 weeks ago
Building Automation and Controls Manager
$100K - $120K *
Lead the strategic optimization of HVAC controls and Building Automation Systems across a network of over 55 facilities. Develop engineering talent while ensuring compliance with performance standards...
3 days ago
Building Automation and Controls Manager
$95K - $115K *
Unlock your potential in managing building automation strategies, system optimization, and engineering teams across over 55 facilities, ensuring efficiency and leading innovations in HVAC controls and...
3 days ago
Building Automation and Controls Manager
$100K - $120K *
Lead the charge in optimizing HVAC controls and Building Automation Systems across 55+ facilities, developing engineering talent, and enhancing operational efficiency while ensuring system upgrades an...
3 days ago
Building Automation and Controls Manager
$100K - $120K *
Unlock potential by leading automation strategies for 55+ facilities, optimizing HVAC controls and fostering engineering talent to enhance operational efficiency and performance across large-scale bui...
3 days ago
Building Automation and Controls Manager
$95K - $115K *
Lead the charge in building automation systems and HVAC optimization across a diverse portfolio of facilities, while developing engineering talent and ensuring industry standards for performance and c...
3 days ago
$115K - $140K *
Elevate the fixed asset accounting function by partnering with teams to ensure accurate CAPEX treatment, leading monthly reporting, and managing team development to drive efficiency in a rapidly scali...
2 weeks ago
$110K - $130K *
Elevate operational processes by refining Core Systems. Collaborate across teams to enhance performance, ensure compliance, and drive system initiatives that meet business needs while addressing ineff...
2 weeks ago
$97K - $181K *
Drive operational efficiency by overseeing system operations, developing policies, mentoring teams, and managing large-scale projects for seamless integration and compliance...
3 days ago
VP Enhanced Community Care Management
$150K - $180K *
Transform the ECCM organization by leading strategic initiatives in palliative and complex care management, enhancing operational efficiency and service delivery while improving patient experiences an...
Reposted yesterday
$165K - $190K *
Unlock business potential by leading technology initiatives that drive revenue growth and optimize systems across Commercial and Marketing. Serve as a strategic partner, translating business needs int...
2 weeks ago
Medicaid Claims Operations Manager
$111K - $150K *
Unlock potential by leading Medicaid claims operations, enhancing teamwork and compliance, while ensuring high standards in processing accuracy and service delivery. Drive operational excellence and s...
Reposted 4 weeks ago
UTILIZATION REVIEW SPECIALIST (TR/PRN, 8 AM - 4:30 PM)
$85K - $114K *
Transform patient care management by evaluating service appropriateness, ensuring alignment with clinical guidelines and payer requirements. Collaborate with healthcare professionals for optimal resou...
1 week ago
$105K - $130K *
Drive the full lifecycle management of global fixed assets and leases, ensuring compliance, optimizing utilization, and supporting financial strategies. Lead a team while collaborating with cross-func...
2 weeks ago
Mainframe Security Manager - Resource Access Control Facility (RACF) (PSA, Opt. 3)
$102K - $151K *
Drive the integrity of mainframe security as a working supervisor overseeing RACF administration, technical analysis, user access management, and compliance to ensure optimal security operations and s...
1 week ago
Client Success Manager, Operator Qualification
$95K - $110K *
Transform client engagement by driving account success, aligning goals, and fostering strong partnerships. Enhance client value through strategic planning, proactive support, and effective communicati...
1 week ago
$104K - $114K *
Join a dynamic outpatient team driving positive patient outcomes through expert care coordination, clinical reviews, and quality documentation while ensuring optimal reimbursement and compliance in me...
Reposted 3 days ago
$110K - $130K *
Develop and lead a talented software engineering team to build impactful customer-facing mobile applications, ensuring reliability, performance, and robust user experiences in a fast-paced fintech env...
2 days ago
$85K - $100K *
Make your mark at a dynamic organization by leading financial strategies, managing accurate reporting and budgets, and partnering with leadership to enhance decision-making through insightful analysis...
1 week ago
Enhanced Care Management Program Manager
$80K - $85K *
Join a team that's dedicated to enhancing the lives of vulnerable populations. You'll oversee program quality, lead regional teams, and drive innovative solutions that foster health equity and ensure...
2 weeks ago
Enhanced Care Management Program Manager
$80K - $85K *
Grow your leadership in healthcare management by supervising teams and driving program innovations. Oversee quality services and enhance member engagement, impacting lives while fostering cross-functi...
2 weeks ago
Enhanced Care Management Program Manager
$80K - $85K *
Lead the charge in program innovation and development to drive quality care for high-need populations while mentoring a team of Lead Care Managers across the county, ensuring effective member services...
2 weeks ago
Enhanced Care Management Program Manager
$80K - $85K *
Optimize care delivery by leading ECM initiatives, mentoring teams, and ensuring quality while driving program innovations. Collaborate with community partners to enhance member engagement and satisfa...
2 weeks ago
Enhanced Care Management Program Manager
$80K - $85K *
Shape innovative healthcare solutions as a leader in program management, overseeing care teams, ensuring quality services, and driving program growth initiatives. Your contributions will significantly...
2 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.