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.
Manager of Clinical Administration
$85K - $111K *
Elevate clinical outcomes by leading program development and training initiatives. Collaborate with teams to implement best practices, ensure compliance, and drive performance metrics while fostering...
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Transform your career with a leadership role overseeing fleet and equipment operations. Drive efficiency, manage costs, and implement preventive maintenance programs while ensuring compliance and safe...
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Manage and supervise contractor personnel while overseeing complex project tasks. Ensure effective communication with clients and maintain schedule and cost control. Play a key role in training and qu...
Yesterday
$63K - $113K *
Develop and enhance testing services for Baseband teams, managing projects and teams to improve efficiency. Engage with customers to ensure successful testing and reporting, while overseeing technical...
Today
$102K - $150K *
Manage and grow client partnerships in the visualization sector, ensuring project success through effective planning, communication, and collaboration. Lead multiple projects while navigating competin...
1 week ago
$115K - $125K *
Unlock potential by leading network optimization initiatives that integrate supply, pricing, and freight data. Collaborate with cross-functional teams to enhance decision-making and drive strategic su...
1 week ago
$80K - $95K *
Elevate your career by leading a dynamic team in the Military Behavioral Health Recovery Program, ensuring high-quality, trauma-informed care for service members and their families while driving progr...
2 weeks ago
$83K *
Engage with us to enhance property maintenance operations, ensuring safety and efficiency while leading a skilled team. Drive resident satisfaction through timely repairs and effective budget manageme...
1 week ago
Manager, Risk Adjustment Encounter Data Reconciliation
$118K - $157K *
Lead the charge in encounter data reconciliation, ensuring accurate submissions to regulatory bodies. Oversee technical operations, manage staff, and enhance compliance processes to protect risk score...
2 weeks ago
Manager, Reimbursement and Cost Reporting
$133K *
Lead the charge in reimbursement analysis and cost reporting, ensuring compliance and accuracy across the network. Oversee audits, develop strategies, and support staff while driving financial insight...
1 week ago
Integrated Operations Center Manager
$114K - $190K *
Drive the Integrated Operations Center, overseeing cybersecurity operations, fraud defense, and incident management. Lead cross-functional teams to enhance threat detection, operational resilience, an...
1 week ago
$79K - $93K *
Champion high-quality resident care by leading nursing operations and fostering a collaborative environment. Drive clinical excellence and support staff development while ensuring compliance with care...
6 days ago
Implementation Manager, Engine X
$140K - $150K *
Transform customer engagement by driving the adoption of a cutting-edge spend management solution, working closely with clients and internal teams to ensure seamless onboarding and growth across diver...
Reposted 1 week ago
$90K - $110K *
Shape the future of the electric utility sector by managing comprehensive projects from inception to delivery, ensuring efficiency, safety, and adherence to regulations while leading cross-functional...
Reposted 3 weeks ago
$103K - $120K *
Grow with us as you oversee complex global programs, aligning project objectives with customer needs, managing resources effectively, and driving successful outcomes while ensuring quality and perform...
Reposted 6 days ago
$103K - $120K *
Join a dynamic team to oversee and optimize resources for large, complex programs. Drive project success by managing budgets, timelines, and risks while ensuring quality standards are met and client n...
Reposted 6 days ago
$94K - $118K *
Join a dynamic team overseeing maintenance operations, driving reliability and efficiency. Lead a skilled workforce, manage budgets, and implement strategic initiatives to enhance plant performance an...
6 days ago
$97K - $114K *
Drive data management excellence by overseeing records, configuration, and database systems. Collaborate with teams to ensure compliance and optimize processes while supporting cybersecurity initiativ...
3 weeks ago
Enterprise Asset Management Systems (EAMS) Manager
$111K - $181K *
Join a dynamic team to lead the EAMS Technical Team, driving strategy, implementation, and optimization of the Octave EAMS platform. Collaborate with stakeholders to enhance asset management and opera...
3 weeks ago
Manager, Worker's Compensation TPA
$96K - $161K *
Transform the management of workers' compensation claims through effective oversight of Third Party Administrators, ensuring compliance and collaboration for improved outcomes, while driving excellenc...
3 weeks ago
Pharmacist, Clinical Utilization Management - Archimedes
$110K - $130K *
Join a team that's shaping the future of clinical utilization management. As a clinical expert, you'll engage with healthcare professionals to optimize specialty medication management and enhance pati...
2 weeks ago
Billing Operations Manager, Broker Services
$80K - $95K *
Elevate your career by managing billing operations for diverse products. Drive invoicing, collections, and account reconciliation while collaborating with teams to enhance financial accuracy and custo...
1 week ago
$80K - $100K *
Partner with us to manage and grow high-value client accounts, driving product adoption and identifying growth opportunities while balancing client engagement with structured processes and documentati...
1 week ago
Manager - Network Quality and Management
$95K - $115K *
Shape clinical quality and network management by leading a dedicated team to enhance provider relationships, ensure compliance, and drive performance improvement across the healthcare network. Engage...
1 week ago
$107K - $177K *
Join us in managing Hospital Professional Liability claims, ensuring effective resolution strategies and compliance with policies. Collaborate with teams to enhance risk management and lead investigat...
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.