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.
$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
Program Manager - Construction Management
$100K - $120K *
Engage with a dynamic team to lead complex construction projects globally, ensuring compliance, safety, and quality. Oversee diverse teams and drive operational excellence while managing budgets and s...
Today
$77K - $135K *
Drive member success by implementing supply chain solutions and maximizing contract utilization. Collaborate with Spend Executives to identify savings opportunities and enhance member engagement throu...
6 days ago
$95K - $115K *
Lead the charge in managing complex configuration controls and change processes, ensuring compliance and risk assessment in a hybrid IT environment while supporting accreditation in accordance with th...
Reposted 4 days ago
Benefits Plan Manager (Plan Administration) Office of Employee Benefits
$110K - $130K *
Empower a high-performing team to optimize retirement benefits programs, ensuring compliance and strategic improvements across the Federal Reserve System while driving operational excellence and effec...
4 weeks ago
$174K - $193K *
Join a dynamic team as a leader in critical operations, overseeing data center systems, ensuring uptime, and implementing safety and efficiency programs while managing budgets and staff development fo...
1 week ago
$174K - $193K *
Champion the operational excellence of a data center by leading a team, managing budgets, and ensuring compliance with safety and maintenance standards. Drive efficiency and foster a culture of safety...
2 weeks ago
System Manager of Enterprise Resilience
$110K - $130K *
Transform organizational resilience by leading enterprise-wide Business Continuity initiatives, ensuring critical healthcare services remain uninterrupted during disruptions while enhancing operationa...
1 week ago
Practice Manager, Cardiac Care
$80K - $95K *
Lead the charge in overseeing daily operations of a growing healthcare practice, managing budgets, establishing procedures, and training staff to enhance efficiency and effectiveness in patient care d...
Yesterday
$88K - $105K *
Join a team that's dedicated to enhancing clinical operations and patient care. Lead performance improvement initiatives, manage staffing and fiscal responsibilities, and ensure compliance with regula...
5 days ago
$97K - $181K *
Shape the future of system operations by leading large-scale projects, mentoring teams, and enhancing operational efficiency. Develop policies, manage budgets, and ensure compliance to drive success a...
3 weeks ago
Manager, Patient Access Operations
$90K - $115K *
Drive patient access operations by leading a dedicated team, ensuring efficient authorization processes, and enhancing workflow effectiveness while maintaining hands-on involvement in patient cases an...
1 week ago
$98K - $155K *
Drive your career with a leadership role managing nurse care managers to enhance member health care. Oversee care plans, ensure quality standards, and foster team development in a hybrid work environm...
1 week ago
$98K - $155K *
Optimize care management processes by leading a team of nurse care managers to enhance member health outcomes and ensure access to essential services. Drive quality assurance and adherence to clinical...
1 week ago
$98K - $155K *
Oversee a team of nurse care managers to enhance member health care through effective care plans, ensuring quality assurance and adherence to clinical standards while fostering a collaborative and ada...
1 week ago
$98K - $155K *
Shape the future of healthcare management by leading a team of nurse care managers. Drive process improvements, ensure quality care, and optimize member health outcomes while fostering a collaborative...
1 week ago
$98K - $155K *
Shape the future of healthcare by leading a team of nurse care managers to enhance member health outcomes through effective care management and process improvement in a dynamic hybrid work environment...
1 week ago
$98K - $155K *
Transform the future of healthcare by leading a team of nurse care managers to optimize member health through effective care plans and quality assurance, while fostering a collaborative and adaptable...
1 week ago
$80K - $95K *
Contribute to strategic real estate investments by executing acquisitions and dispositions, ensuring client satisfaction through exceptional service delivery across multiple markets. Lead negotiations...
1 month ago
Medicaid Claims Operations Manager
$111K - $150K *
Transform your career by leading Medicaid claims operations, ensuring compliance and efficiency. Oversee a dedicated team, optimize processes, and drive quality initiatives to enhance service delivery...
4 days ago
Utilization Management Coordinator (Remote in Oregon)
$85K - $102K *
Oversee clinical reviews and authorization processes for mental health services, ensuring compliance with medical necessity criteria while collaborating with multidisciplinary teams to enhance member...
1 week ago
Utilization Management Coordinator (Remote in Oregon)
$85K - $102K *
Join a team that's dedicated to enhancing mental health services through clinical expertise. This remote role involves reviewing treatment requests, collaborating with providers, and ensuring quality...
1 week ago
Utilization Management Coordinator (Remote in Oregon)
$85K - $102K *
Transform the delivery of mental health services by providing clinical expertise in utilization management, ensuring appropriate care and improving health outcomes through effective collaboration and...
1 week ago
PROGRAM MANAGER, UTILITY MONITORING AND CONTROL SYSTEMS
$134K - $241K *
Transform the future of utility monitoring and control systems by leading multidisciplinary teams, managing complex task orders, and enhancing customer relationships to deliver innovative solutions ac...
Today
$110K - $130K *
Drive innovative SCADA solutions for large-scale renewable energy projects. Collaborate globally to engineer, configure, and commission systems, ensuring seamless integration and client support in a d...
1 week 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.