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.
$80K - $95K *
Champion excellence in surgical care by leading a dynamic team, ensuring operational efficiency, and enhancing patient experiences across multiple specialties in a fast-paced environment...
1 week ago
$90K - $110K *
Elevate your career by managing clinical operations in a dynamic surgical environment. Oversee daily activities, enhance patient care, and implement process improvements while collaborating with leade...
1 week ago
$98K - $147K *
Drive operational excellence by leading a team of Renewal Support Specialists, ensuring efficient execution of the renewal sales cycle while enhancing processes and fostering collaboration across depa...
1 week ago
$80K - $95K *
Champion operational excellence by managing statewide Health Information Exchange services, ensuring seamless service delivery, incident coordination, and performance monitoring to enhance healthcare...
4 days ago
$80K - $95K *
Take ownership of statewide Health Information Exchange operations, managing service delivery, help desk functions, and incident coordination to ensure optimal performance and user support across heal...
4 days ago
$80K - $95K *
Take ownership of daily operations for a statewide Health Information Exchange, managing service delivery, help desk functions, and incident coordination to ensure optimal performance and user satisfa...
4 days ago
$80K - $95K *
Optimize statewide Health Information Exchange operations, ensuring effective service delivery, incident management, and team coordination. Lead help desk activities and enhance operational performanc...
4 days ago
$95K - $120K *
Elevate client success by leading end-to-end product rollouts, ensuring seamless coordination across teams. Drive project visibility and accountability while fostering strong stakeholder relationships...
1 week ago
Integrated Care Management Manager
$80K - $95K *
Empower patient care by leading integrated management initiatives, ensuring effective service delivery and resource utilization. Collaborate with multidisciplinary teams to enhance care transitions an...
1 week ago
Integrated Care Management Manager
$80K - $95K *
Join a team that's dedicated to enhancing patient care through effective case management. Lead initiatives that promote resource utilization, quality improvement, and seamless care transitions while c...
1 week ago
$80K - $95K *
Lead the charge in delivering exceptional case management services, ensuring compliance with standards while mentoring a dedicated team to provide timely, quality patient care and support across nursi...
4 days ago
$80K - $90K *
Join a team that's dedicated to optimizing revenue cycle management in healthcare. Lead billing and collections efforts, drive performance, and enhance processes while supporting a high-performing tea...
5 days ago
$110K - $130K *
Optimize customer retention and expansion by leading and scaling an Account Management team. Foster a consultative approach through coaching, forecasting, and operational rigor to achieve predictable...
Reposted 3 weeks ago
$80K - $95K *
Drive operational excellence by coordinating interdisciplinary care, optimizing workflows, and enhancing participant outcomes in a dynamic healthcare environment. Collaborate with leaders to ensure hi...
1 week ago
$110K - $130K *
Lead the charge in personal lines property product management, overseeing development, pricing, and underwriting strategies. Collaborate across teams to ensure alignment while fostering staff growth a...
4 weeks ago
Population Health Care Manager Complex Care Management
$80K - $95K *
Manage complex care for patients, coordinating assessments and discharge plans. Collaborate with healthcare teams to ensure optimal resource utilization and compliance with regulations, enhancing pati...
Reposted yesterday
$98K - $104K *
Join a team that's dedicated to providing exceptional care as a Unit Manager. Oversee clinical operations, ensure compliance with regulations, and lead a skilled nursing staff in delivering high-quali...
Reposted 2 weeks ago
$110K - $130K *
Oversee the P&L of a business unit, driving growth through strategic leadership, team development, and operational excellence. Collaborate with sales and management to enhance service offerings and en...
1 week ago
Data Collection Manager, Testing and Data Collection
$85K - $175K *
Lead the data collection efforts in a large-scale Army evaluation program. Oversee personnel, manage technical operations, and ensure data quality while executing comprehensive administrative support...
Reposted 2 weeks ago
Manager, Clinical Workforce Utilization (Scheduling Manager)
$95K - $115K *
Transform clinical workforce utilization through strategic staffing optimization. Champion coordination across teams to address field escalations and enhance productivity in home health services, driv...
Reposted 4 days ago
Research Administration Manager
$80K - $105K *
Optimize research administration processes by managing pre- and post-award support for faculty and stakeholders. Lead compliance efforts and enhance proposal development while overseeing multiple proj...
1 week ago
$90K - $150K *
Manage and coordinate medical equipment planning for healthcare construction projects, ensuring effective communication with stakeholders and maintaining project timelines. Collaborate with clinical s...
1 week ago
$90K - $150K *
Engage in comprehensive medical equipment planning for healthcare construction projects, collaborating with clinical staff and vendors to ensure timely delivery and optimal solutions for diverse healt...
2 weeks ago
$124K - $145K *
Optimize end-user support operations by coordinating desktop services, managing requests, and leading technical teams to ensure seamless service delivery and high customer satisfaction in a dynamic en...
1 week ago
$100K - $120K *
Manage cross-functional teams to deliver MCO-I projects, ensuring quality execution from handover through warranty. Lead client engagement, monitor progress, and drive corrective actions while maintai...
4 weeks 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.