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.
$115K - $145K *
Drive AI transformation by managing strategic technology initiatives, ensuring clear communication and governance across teams. Your role is pivotal in navigating complexities and aligning priorities...
2 weeks ago
$115K - $145K *
Optimize AI and technology initiatives through strategic program management, ensuring clear communication and governance across teams. Drive alignment and momentum in a fast-paced environment, transla...
2 weeks ago
$115K - $145K *
Help us drive AI transformation by managing strategic technology initiatives, ensuring clear communication and governance across teams, and maintaining momentum on high-visibility programs that shape...
2 weeks ago
$115K - $145K *
Help us drive AI transformation by managing strategic technology initiatives, ensuring clear communication and governance across teams, and maintaining momentum on high-visibility programs that shape...
2 weeks ago
$95K - $115K *
Optimize configuration management processes to ensure effective project implementation and quality control. Collaborate with cross-functional teams to manage change activities and enhance solution del...
Reposted yesterday
$90K - $194K *
Join a team that's dedicated to advancing community health initiatives. Lead program operations, manage partnerships, and ensure compliance while driving impactful projects that align with strategic o...
Reposted 6 days ago
$80K - $95K *
Manage and enhance financial operations, ensuring compliance with U.S. GAAP. Lead a team in accurate reporting, payroll, and working capital management while driving process improvements and collabora...
Today
Ambulatory Clinical Manager - Cardiology
$90K - $110K *
Elevate patient care by managing clinical operations, leading teams, and implementing strategies to enhance performance and outcomes in a dynamic ambulatory setting. Collaborate with interdisciplinary...
2 days ago
Ambulatory Clinical Manager - Cardiology
$88K - $105K *
Lead the charge in enhancing patient care as an Ambulatory Clinical Manager, overseeing team performance, implementing strategies, and collaborating with interdisciplinary teams to ensure effective tr...
2 days ago
Ambulatory Clinical Manager - Cardiology
$90K - $110K *
Join a dynamic team as you manage clinical operations, enhance patient care, and lead staff development. Drive effective strategies and collaborate with interdisciplinary teams to ensure optimal outco...
2 days ago
Ambulatory Clinical Manager - Cardiology
$88K - $105K *
Transform patient care by leading a dynamic team in a fast-paced clinical environment. Drive effective treatment strategies, enhance team performance, and ensure optimal patient outcomes through colla...
2 days ago
Ambulatory Clinical Manager - Cardiology
$88K - $105K *
Develop and lead a high-performing clinical team, ensuring effective patient management and operational excellence. Collaborate with interdisciplinary teams to enhance patient outcomes and implement s...
2 days ago
$95K - $115K *
Empower teams to enhance product quality by developing and implementing assurance programs. Collaborate with management to address manufacturing challenges and drive continuous improvement initiatives...
Reposted 5 days ago
Manager-Revenue Cycle Operations
$80K - $95K *
Join a team that's dedicated to optimizing revenue cycle operations, enhancing workflows, and ensuring financial success. Collaborate with management to lead staff, monitor performance metrics, and ma...
1 week ago
Manager, Applications, Epic Orders
$165K - $264K *
Shape the future of healthcare technology by leading cross-functional teams in implementing and supporting critical information services projects. Drive innovation and efficiency while managing budget...
Today
Manager, Applications, Epic Orders
$165K - $264K *
Pioneer cross-functional collaboration to manage IS projects, ensuring successful implementation and support of applications, upgrades, and integrations while overseeing budgets and resources across S...
Today
$123K - $202K *
Lead the product strategy and lifecycle for self-service offerings, driving development and enhancing customer experience through data-driven decisions and cross-functional collaboration to deliver hi...
Reposted today
$80K - $95K *
Drive excellence in outpatient mental health services by overseeing operations, managing staff, and ensuring clinical integrity. Collaborate with teams to enhance client satisfaction and implement eff...
Today
$110K - $130K *
Lead the charge in mastering operations and business development, ensuring efficient scheduling, quality control, and client relations while driving continuous improvement and workflow enhancements ac...
Reposted yesterday
$60K - $113K *
Accelerate progress at a dynamic organization by managing strategic initiatives, facilitating cross-functional collaboration, and implementing effective solutions to enhance project outcomes and stake...
Today
$60K - $113K *
Champion strategic initiatives by managing projects, implementing solutions, and addressing change management concerns. Collaborate with finance to develop business models and drive process improvemen...
5 days ago
$60K - $113K *
Lead the management and execution of strategic initiatives, prioritizing multiple projects while effectively engaging stakeholders. Utilize project management expertise to deliver actionable solutions...
1 week ago
$60K - $113K *
Optimize project execution by managing strategic initiatives, ensuring timely delivery, and fostering stakeholder relationships. Leverage project management expertise to navigate complexities and driv...
1 week ago
$85K - $127K *
Grow your career with a pivotal leadership role overseeing maintenance operations. Drive team performance while ensuring optimal equipment uptime and fostering a culture of continuous improvement and...
Reposted 1 week ago
$80K - $95K *
Lead the charge in optimizing IT service delivery by managing customer requests, prioritizing tickets, and ensuring timely resolutions. Collaborate with teams to enhance processes and maintain high st...
2 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.