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.
$82K - $86K *
Manage inventory control processes, ensuring timely flow and tracking of materials. Maintain accurate records and compliance in a fast-paced, dynamic environment while supporting test operations with...
2 weeks ago
Configuration Control Manager 04228 NW Design
$95K - $115K *
Architect and streamline configuration management for MILCON projects, ensuring alignment with project goals, schedules, and budgets while enhancing efficiency and compliance across multiple stakehold...
Today
Configuration Control Manager 04228 NW Design
$100K - $120K *
Deliver exceptional configuration management and change control for military construction projects. Oversee project lifecycle milestones, ensuring compliance with standards while coordinating with sta...
Today
Configuration Control Manager 04228 NW Design
$100K - $120K *
Optimize configuration management processes for military construction projects, ensuring alignment with schedules, budgets, and regulatory standards while leading change control and supporting project...
Today
Sr. Manager of Healthcare Claims - TPA
$107K - $140K *
Lead the charge in claims operations by overseeing a team of examiners to ensure timely resolution of complex claims, drive process improvements, and maintain compliance, positively impacting client s...
1 week ago
$120K - $135K *
Empower teams to elevate operational performance by managing area managers, enhancing KPIs in safety, quality, cost, and delivery while fostering a culture of continuous improvement and high ethical s...
Reposted yesterday
$120K - $135K *
Transform operations by leading teams to enhance safety, quality, and efficiency. Drive continuous improvement, manage KPIs, and cultivate a motivated workforce within a lean manufacturing environment...
Reposted yesterday
Commercial Unit Manager - Fleet
$100K - $120K *
Lead a high-performing team in Commercial Auto Fleet underwriting. Drive strategic initiatives, enhance broker relationships, and foster a culture of growth while achieving operational efficiency. Ele...
3 weeks ago
Strategy Consultant - Utilization Management and Medical Policy
$108K - $180K *
Optimize healthcare strategies by developing data-driven models and conducting in-depth analyses. Collaborate cross-functionally to translate data insights into actionable operational improvements, dr...
Reposted 4 days ago
EPIC Application Clinical Manager-Revenue Cycle
$110K - $130K *
Lead a dynamic Epic Revenue Cycle team, optimizing application support and workflow. Engage with cross-functional partners, guide a skilled team, and enhance operational efficiency while supporting a...
2 weeks ago
$125K - $140K *
Lead the charge in managing operations for Smart Road Technology division. Ensure project success through effective planning, safety, and financial oversight while fostering strong client relationship...
2 weeks ago
Operational Excellence Manager
$79K - $118K *
Lead and mentor a high-performing team in customer service excellence, operational optimization, and strategic development. Collaborate to drive productivity, profitability, and satisfaction while fos...
Reposted 2 weeks ago
Program Manager, Data Architecture, ISO
$138K - $165K *
Optimize data architecture processes to enhance operational efficiency across global teams. Lead governance and integration initiatives, ensuring unified data models and standards that empower informe...
3 days ago
Program Manager, Data Architecture, ISO
$145K - $175K *
Join a team that's shaping the future of data architecture by establishing governance frameworks and integration standards that empower global operations through effective information management and d...
3 days ago
Program Manager, Data Architecture, ISO
$145K - $175K *
Advance the data architecture practice by establishing governance and standards that unify operational data. Collaborate with teams to drive integration, design scalable solutions, and facilitate info...
3 days ago
Program Manager, Data Architecture, ISO
$138K - $165K *
Lead the charge in shaping a robust data architecture program, ensuring coherent data flow, fostering governance, and driving decision-making across global operations teams. Collaborate cross-function...
3 days ago
Program Manager, Data Architecture, ISO
$130K - $155K *
Lead the establishment and scaling of data governance practices across teams to facilitate cohesive data architecture. Collaborate with technical and non-technical stakeholders, translating complex re...
3 days ago
Program Manager, Data Architecture, ISO
$145K - $175K *
Grow your career with a strategic role overseeing data architecture governance, translating complex requirements into coherent data models, and driving cross-functional collaboration to empower decisi...
3 days ago
$85K - $100K *
Transform the radiology landscape by leading operations, enhancing patient care, and fostering innovation. Drive quality services across multiple locations while mentoring staff and ensuring complianc...
1 week ago
Information Technology - Manager IT Service Delivery 130-5010
$90K - $110K *
Accelerate progress at leading IT Service Delivery operations, overseeing team development, service models, and SLA management for streamlined technical support. Drive collaboration and efficiency bet...
2 weeks ago
Manager of Risk Adjustment Analytics
$135K - $152K *
Elevate data analytics by translating complex risk adjustment insights into actionable strategies. Lead cross-functional teams to enhance performance in Medicare Advantage and value-based care, ensuri...
3 weeks ago
$80K - $95K *
Join a team that's committed to managing IT capacity, enabling seamless operations within mission-critical environments. Play a pivotal role in ensuring network performance and future-proofing service...
3 weeks ago
$80K - $95K *
Empower a dynamic RCM team to elevate medical billing operations, drive revenue collection, and enhance client relationships through strategic oversight, effective problem-solving, and continuous proc...
4 days ago
Utilities ERCS Principal Director
$163K - $434K *
Lead transformative initiatives in Energy Retail, enhancing digital customer engagement and operational performance while driving strategic growth and client satisfaction across the meter-to-cash proc...
1 month ago
Utilities ERCS Principal Director
$163K - $434K *
Drive impactful transformations in the utilities sector, guiding C-suite leaders towards enhanced digital strategies and customer-centric solutions for operational excellence and sustainable growth...
1 month 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.