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.
$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...
2 days ago
$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...
6 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...
1 week 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...
Yesterday
$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...
6 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...
1 week 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...
2 weeks 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
$95K - $115K *
Lead strategic project management for large electric substation projects, ensuring successful execution through all phases. Collaborate with teams to manage scope, schedule, and costs while navigating...
Today
$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...
5 days ago
$85K *
Join a dynamic team as you lead operations, enhance client relations, and drive program improvements. Utilize your managerial skills to oversee daily operations and foster a positive work environment...
1 week ago
$95K - $115K *
Drive configuration management excellence by overseeing all program artifacts, ensuring compliance, and collaborating with cross-functional teams to enhance system integrity and support audits in a dy...
2 weeks ago
$80K - $95K *
Join a team that's dedicated to delivering exceptional construction projects. Oversee project management, coordinate with subcontractors, and ensure timelines and budgets are met while providing outst...
1 week ago
$89K - $111K *
Manage and lead a dynamic distribution center, driving operational excellence and team performance across multiple shifts while fostering a culture of continuous improvement and employee engagement...
1 week ago
Utilization Management Coordinator (Remote in Oregon)
$85K - $102K *
Pioneer innovative solutions in mental health care by providing clinical expertise in utilization management, ensuring appropriate services for members while collaborating with multidisciplinary teams...
2 weeks ago
Utilization Management Coordinator (Remote in Oregon)
$85K - $102K *
Support our mission by providing clinical expertise in mental health and substance use treatment. Collaborate with multidisciplinary teams to ensure appropriate services and improve health outcomes fo...
2 weeks ago
Utilization Management Coordinator (Remote in Oregon)
$85K - $102K *
Contribute to improving health outcomes by providing clinical expertise in mental health and substance use treatment. Engage in service authorization reviews, collaborate with multidisciplinary teams...
2 weeks ago
$97K - $180K *
Transform organizational goals by leading IT programs and projects, ensuring stakeholder satisfaction, managing risks, and delivering timely results through effective communication and strategic plann...
Yesterday
$80K - $83K *
Empower a team of Enrollment Coaches to foster student relationships, guiding prospects from inquiry to enrollment while driving performance and collaboration across departments to achieve enrollment...
2 weeks ago
$125K - $155K *
Lead maintenance operations at a production facility, ensuring equipment reliability and safety. Develop and execute maintenance programs, manage teams, and collaborate with various departments to min...
Yesterday
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.