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.
Rn Manager Utilization Review Management
$102K - $196K *
Elevate healthcare outcomes by leading a Utilization Management Team, ensuring efficient resource use and compliance with medical standards. Collaborate with interdisciplinary staff to enhance patient...
5 days ago
Revenue Cycle Managed Services - Utilization Management (UM) / Utilization Review (UR) Lead
$110K - $130K *
Lead the charge in optimizing utilization management operations, enhancing efficiency, and driving performance improvements. Collaborate with clinical and operational teams to ensure timely reviews an...
2 weeks ago
Director of Utilization Management and Complex Care Management - 3229
$120K - $145K *
Champion innovative care management strategies to enhance member outcomes, reduce costs, and improve clinical performance. Lead a diverse team in a dynamic environment, ensuring compliance and fosteri...
6 days ago
$125K - $135K *
Advance impactful energy projects by leading multi-discipline teams through all phases of program management, ensuring quality, budget adherence, and stakeholder engagement while fostering a collabora...
4 days ago
$125K - $135K *
Join a team that's dedicated to managing complex projects in access control and IP video systems. Oversee installations, direct subcontractors, and ensure project success through effective communicati...
Yesterday
$92K - $138K *
Join our team to lead the Virtual Utilization Management Program, ensuring clinical excellence and operational efficiency. Collaborate with diverse healthcare professionals to enhance patient care and...
3 weeks ago
$77K - $176K *
Unlock your potential as you lead critical operations, leveraging your analytical skills and military experience to develop actionable intelligence that supports national security in a fast-paced envi...
3 days ago
$95K - $115K *
Drive resource management excellence by coordinating talent deployment, forecasting demand, and optimizing labor mix to meet client SLAs. Leverage expertise in operations to enhance project delivery a...
Today
Virtual Utilization Review Supervisor
$84K - $126K *
Lead the charge in enhancing patient care through effective utilization review, ensuring quality and compliance while collaborating with healthcare teams to optimize clinical outcomes and financial pe...
Yesterday
$80K - $95K *
Elevate nursing care by coordinating high-quality services for adult residents. Lead a dedicated team, ensuring optimal health outcomes through effective management and resident-focused strategies in...
1 week ago
$110K - $130K *
Join a team that's dedicated to delivering exceptional customer support and operational excellence. As a Program Manager, you'll lead initiatives, manage client relationships, and ensure quality servi...
Today
(RN) Manager - Utilization Management - 140306
$170K - $200K *
Engage in the management of utilization processes, overseeing a team of Nurse Case Managers and Referral Coordinators. Ensure compliance, optimize workflows, and improve patient care through data-driv...
Reposted 3 days ago
Utilization Management Clinician (Tuesday-Saturday)
$70K - $106K *
Take ownership of member care coordination, collaborating with healthcare teams to ensure efficient utilization of services, promote wellness, and achieve optimal health outcomes through strategic pla...
Reposted 1 week ago
Director - Utilization Review - Full-time
$100K - $120K *
Elevate patient care by overseeing utilization management, ensuring compliance, and enhancing operational efficiency. Lead a dedicated team to optimize reimbursement and promote satisfaction in a dyna...
5 days ago
Utilization Management (UM) Clinical Team Lead
$85K - $100K *
Lead the charge in managing complex medical cases to enhance patient outcomes while ensuring cost-effective care delivery across outpatient and inpatient services, all under the guidance of clinical l...
Reposted 3 weeks ago
$80K - $95K *
Lead the charge in providing strategic direction and support across multiple locations, ensuring effective problem resolution and resource allocation while enhancing client and team collaboration...
Yesterday
$100K - $125K *
Support test and evaluation efforts by managing resources, analyzing systems, and developing procedures. Collaborate with teams to enhance project outcomes and ensure quality assurance in a dynamic en...
1 week ago
Application Manager, Epic Resolute
$110K - $130K *
Lead cross-functional teams to enhance the Epic Resolute Hospital Billing application, ensuring project milestones are met while driving process improvements and delivering exceptional service to inte...
Yesterday
$70K - $116K *
Drive excellence by managing daily operations in Medical Review, ensuring quality oversight, mentoring staff, and optimizing workflow. Collaborate across departments to enhance service delivery and ma...
2 weeks ago
$88K - $132K *
Optimize patient care by leading therapy services, ensuring compliance, and enhancing operational efficiency. Collaborate with clinicians to develop care plans while managing staff performance and fos...
5 days ago
$77K - $115K *
Manage and oversee therapy services to ensure high-quality patient care, compliance, and fiscal responsibility. Lead a team, coordinate operations, and facilitate effective communication for optimal p...
6 days ago
$150K - $165K *
Champion short-form content strategy across Instagram, YouTube, and emerging platforms. Lead production, optimize engagement, and elevate brand presence to support global small business owners' succes...
Reposted 2 weeks ago
Utilization Integration Engineer- MLSG
$95K - $115K *
Manage payload integration for ISS projects, ensuring seamless collaboration between teams. Oversee documentation, verification, and safety reviews while coordinating with stakeholders to support micr...
Today
$80K - $95K *
Elevate patient care by leading a dedicated nursing team in a subacute and ventilator unit. Oversee operations, ensure quality standards, and collaborate with multidisciplinary professionals to enhanc...
1 week ago
$132K - $180K *
Champion the delivery of high-quality Medical Information, ensuring scientific accuracy and compliance. Lead inquiries, develop educational materials, and collaborate across teams to support product l...
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.