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.
$90K - $100K *
Lead the charge in delivering exceptional client implementations by managing sophisticated project plans, overseeing technical deliverables, and fostering cross-functional collaboration for a seamless...
Reposted 3 weeks ago
$84K - $120K *
Champion fleet excellence by leading maintenance programs that ensure safety, efficiency, and compliance, while optimizing resources and managing a dedicated team. Foster a proactive approach to vehic...
Today
Supervisor, Utilization Management Pharmacist
$128K - $160K *
Inspire patient care excellence by leading a team of clinical pharmacists. Enhance workflows, engage in hands-on clinical activities, and mentor staff in a fully remote, collaborative environment focu...
1 week ago
Supervisor, Utilization Management Pharmacist
$106K - $133K *
Elevate patient care by leading a team of clinical pharmacists while optimizing workflows. Engage in hands-on clinical work, mentoring, and collaborating across teams to ensure quality service in a fu...
1 week ago
Supervisor, Utilization Management Pharmacist
$117K - $147K *
Champion clinical excellence by leading a dynamic team of pharmacists to enhance patient care, mentor staff, and optimize workflows in a remote environment, while driving clinical programs and maintai...
1 week ago
Manager, Facilities & Administrative Services
$85K - $105K *
Join a team that's transforming workplace operations while leading complex projects. Oversee day-to-day facilities management and collaborate with diverse stakeholders to ensure a seamless transition...
3 weeks ago
MANAGER (FULL TIME DAYS) RISK MANAGEMENT
$80K - $95K *
Join our leadership team as you advance the Patient Safety-Risk Management Program, ensuring exemplary care and compliance in a dynamic healthcare environment, while driving continuous improvement and...
4 weeks ago
$80K - $95K *
Deliver comprehensive oversight and management of outpatient mental health services, ensuring clinical excellence, employee performance, and budget alignment while driving program enhancements and cli...
Yesterday
$100K - $110K *
Lead the charge in managing complex project initiatives, ensuring alignment across multidisciplinary teams and supporting successful execution and evaluation of activities for a federally funded progr...
2 weeks ago
Director, Virtual Utilization Review
$101K - $145K *
Transform client partnerships and operational efficiency by leading innovative multi-client utilization review initiatives. Drive strategic oversight, change management, and analytics to enhance perfo...
Reposted 2 weeks ago
EPM Financial System Administrator
$95K - $115K *
Advance your career by delivering hands-on administration and innovative solutions for Oracle EPM applications, ensuring system stability, security, and performance while driving improvements and supp...
2 weeks ago
Manager, Medical Utilization and Care Management
$95K - $130K *
Join a team that's dedicated to optimizing clinical operations and outcomes. You'll oversee vendor-managed care and utilization management processes, ensuring adherence to standards while enhancing se...
3 weeks ago
$90K - $168K *
Drive enterprise data strategy by leading a high-performing analytics team. Oversee data assessments and translate insights into actionable business decisions, partnering across functions to enhance p...
2 weeks ago
$90K - $168K *
Drive data-driven growth by leading a dynamic team in evaluating and optimizing data assets. Collaborate with cross-functional stakeholders to enhance product offerings and establish data governance s...
2 weeks ago
$90K - $168K *
Lead a high-performing team to evaluate and optimize data assets for impactful product enhancements, ensuring alignment with enterprise data strategies and driving actionable insights that support bus...
2 weeks ago
$90K - $168K *
Unlock potential by leading a high-performing team to evaluate and enhance data assets for innovative product development. Collaborate with cross-functional partners to drive data quality initiatives...
2 weeks ago
Manager, Medical Utilization and Care Management
$95K - $130K *
Elevate care standards by overseeing vendor health coordination, ensuring optimal utilization management. Collaborate with clinical leaders to assess complex cases and improve service efficiency while...
3 weeks ago
Manager, Medical Utilization and Care Management
$95K - $130K *
Lead oversight of vendor operations in utilization and care management, ensuring compliance with medical necessity standards and optimizing service utilization to enhance patient outcomes across vario...
3 weeks ago
$100K - $120K *
Drive innovation by leading cross-functional teams to develop application solutions, manage project deliverables, and enhance systems for improved performance while fostering a collaborative work envi...
2 weeks ago
$80K - $120K *
Architect data strategies and streamline operations to support AI/ML projects. Join a team focused on enhancing data collection methodologies and ensuring the quality of Full-Motion Video (FMV) data f...
2 weeks ago
$80K - $95K *
Manage and enhance clinic operations, ensuring quality patient care while leading a dedicated healthcare team. Collaborate closely with departments to deliver effective care plans and elevate operatio...
Reposted 4 weeks ago
$80K - $95K *
Lead the charge in optimizing healthcare resources by managing Utilization Review services, promoting compliance, and enhancing patient outcomes across multiple facilities. This role requires strong l...
Today
$80K - $95K *
Drive effective healthcare resource utilization and compliance as you lead a team that enhances patient care through comprehensive review processes. Collaborate across departments to optimize outcomes...
Today
$100K - $140K *
Take ownership of key implementation projects to drive impactful state expansions and payor launches, optimizing processes across teams and ensuring successful execution in a dynamic startup environme...
2 weeks ago
$95K - $115K *
Contribute to organizational efficiency by analyzing programs and policies, managing budgets, and recommending improvements while ensuring compliance and streamlined workflows. Collaborate with manage...
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.