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.
Utilization Review Nurse Case Manager
$73K - $123K *
Empower your career by leveraging your nursing expertise in a vital role reviewing medical necessity within workers' compensation, collaborating with healthcare providers and ensuring compliance with...
Today
Manager, Utilization Management
$130K - $202K *
Champion exceptional care delivery by managing Utilization Management functions. Oversee compliance, implement policies, and lead a high-performing team to enhance healthcare services and sustain qual...
Reposted yesterday
Manager Contracts- Strategic Sourcing
$80K - $110K *
Champion strategic sourcing initiatives and manage supplier contracts to deliver superior cost, quality, and service. Collaborate with stakeholders to execute RFPs, negotiate agreements, and maintain...
Reposted today
Manager Contracts- Strategic Sourcing
$80K - $100K *
Oversee sourcing and contracting initiatives, collaborating with stakeholders to develop strategies that enhance cost, quality, and service value. Manage supplier relationships, contract negotiations...
Reposted today
Manager, Utilization Management Claims Review
$117K - $188K *
Join a dynamic team to oversee clinical operations, ensuring claim accuracy and compliance. Drive payment integrity initiatives while fostering collaboration with internal departments, ultimately supp...
3 weeks ago
$75K - $95K *
Engage in the management of broker operations, ensuring compliance and service excellence. Lead and develop a team, drive process improvements, and collaborate with senior management to meet corporate...
1 week ago
Utilities & Energy Optimization Manager
$80K - $100K *
Drive efficiency by managing and analyzing campus utility data, enhancing decision-making, optimizing energy and water consumption, and collaborating with cross-functional teams to implement sustainab...
2 weeks ago
$100K - $140K *
Join us to lead complex IT projects that enhance collaboration and operational efficiency. Drive the adoption of Atlassian tools, standardize workflows, and engage cross-functional teams globally to s...
3 weeks ago
$100K - $130K *
Transform daily security operations by managing workflows, incidents, and vulnerability remediation. Collaborate with teams to enhance processes, drive efficient handoffs, and ensure compliance for pr...
Reposted 1 week ago
Clinical Asset Management - Project Manager
$75K - $95K *
Transform project management within healthcare by leading strategic initiatives, coordinating teams, and ensuring alignment with business objectives for successful delivery and operational excellence...
Reposted yesterday
Manager Care Management - Social Work
$90K - $120K *
Optimize patient care by leading a team in case management, overseeing discharge planning, and ensuring quality compliance within a dynamic healthcare environment. Drive operational excellence while e...
2 weeks ago
System Manager Productivity Performance Improvement
$100K - $130K *
Unlock potential by leading workforce benchmarking and productivity efforts across multiple healthcare facilities, enhancing operational efficiency and supporting financial improvements through strate...
Reposted yesterday
$80K - $110K *
Join a team that's dedicated to excellence in clinical trial management, ensuring regulatory adherence and optimizing study recruitment while leading site operations and personnel development in a dyn...
3 weeks ago
$90K - $120K *
Oversee administrative operations and ensure effective workflow management, enhancing decision-making processes through meticulous oversight of reports and correspondence within a high-stakes Departme...
1 week ago
$76K - $115K *
Optimize care management and cost containment by leveraging clinical expertise, analyzing claims data, and collaborating with stakeholders to improve medical outcomes and ensure financial sustainabili...
4 weeks ago
$76K - $115K *
Lead the charge in case management by analyzing claims, collaborating with healthcare providers, and ensuring cost-effective medical care while applying your clinical expertise to improve outcomes for...
4 weeks ago
$90K - $120K *
Accelerate progress at our healthcare facility by overseeing finance operations, including payroll, accounts payable, and support staff. Foster collaboration across departments to ensure effective fin...
2 weeks ago
Clinical Pharmacist Utilization Management
$91K - $163K *
Unlock your potential as a Clinical Pharmacist, enhancing patient care and outcomes by evaluating medication utilization and prior authorization requests for specialty pharmaceuticals in a dynamic, re...
6 days ago
$70K - $95K *
Support the review and management of construction-related incidents, overseeing claims from initiation to resolution. Collaborate with project teams and various stakeholders to promote effective claim...
3 weeks ago
$90K - $120K *
Grow your career with a leadership role driving profitable managed services in the mining sector. Oversee business processes, compliance, budgeting, and global team management, ensuring effective sale...
1 week ago
$75K - $95K *
Accelerate progress at our manufacturing facility by overseeing electrical and maintenance engineering. Lead teams to improve equipment reliability and production efficiency while ensuring compliance...
Reposted yesterday
Data Manager (Value Based Care)
$90K - $120K *
Shape the future of value-based care by managing data infrastructure, ensuring accurate reporting, and delivering actionable insights through innovative analytics while collaborating closely with cros...
3 weeks ago
$70K - $140K *
Drive excellence in project delivery by leading cross-functional teams through the agile lifecycle, managing resources, budgets, and client expectations to ensure successful collaboration and timely e...
2 weeks ago
$70K - $140K *
Reimagine project management by leading cross-functional teams and delivering excellence across agile workflows. Manage finances, resources, and client expectations to drive successful outcomes on com...
2 weeks ago
$70K - $140K *
Lead the charge in managing cross-functional agile teams, overseeing complex projects, and ensuring successful execution and delivery. Your expertise will guide budgeting, processes, and resource mana...
2 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.