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.
$85K - $110K *
Lead the execution and enhancement of data quality practices in Pension Services, ensuring accuracy and compliance across member administration and reporting. Collaborate with cross-functional teams t...
1 week ago
$90K - $125K *
Unlock potential by leading premium accounting operations, ensuring accurate reporting, billing, and reconciliations. Collaborate with teams to enhance processes and controls, driving efficiency as th...
2 weeks ago
$135K - $175K *
Advance your career by managing the asset lifecycle of a diverse power supply portfolio. This role focuses on performance optimization, operational readiness, and contract management, ensuring complia...
2 weeks ago
$100K - $120K *
Engage with clients to lead implementation projects, ensuring successful adoption of HR solutions. Oversee teams, manage expectations, and drive operational efficiency while fostering long-term partne...
2 weeks ago
$100K - $120K *
Pioneer client success by leading implementation teams, ensuring seamless integration of HR solutions, and fostering long-term partnerships through strategic oversight and relationship management...
2 weeks ago
$100K - $120K *
Lead client implementations by managing teams and ensuring successful project delivery. Build strong relationships, align solutions with business goals, and drive operational efficiency for long-term...
2 weeks ago
$110K - $130K *
Engage with clients to drive successful software implementations, ensuring satisfaction and long-term partnerships. Lead teams, manage projects, and align solutions with business goals while fostering...
2 weeks ago
$108K - $140K *
Drive impactful transformation initiatives by leading complex, cross-functional programs. Collaborate with teams and vendors to ensure successful delivery, manage risks, and align resources to achieve...
3 weeks ago
$108K - $140K *
Empower strategic initiatives by leading complex, large-scale programs and cross-functional transformations. Drive successful delivery through effective coordination, risk management, and collaboratio...
3 weeks ago
RCS Manager- Rehab Prior Authorization
$80K - $95K *
Join a team that's redefining Revenue Cycle operations by leading strategic initiatives and optimizing resources to ensure high-quality outcomes in a dynamic healthcare environment...
1 week ago
$135K - $160K *
Lead the charge in transforming claims operations by driving strategic initiatives, ensuring compliance, and enhancing operational excellence to achieve organizational goals and improve member experie...
1 week ago
$95K - $115K *
Oversee key operational functions to enhance efficiency and growth. Lead the Financial Planning team, manage Event Center operations, and ensure effective Facilities Management while driving strategic...
1 week ago
$80K - $95K *
Elevate operational excellence by leading cross-functional teams, enhancing processes, and driving strategic initiatives. Oversee financial planning, event management, and facilities operations to opt...
1 week ago
Implementation Manager, Essentials
$85K *
Drive the future of implementation management by leading high-volume projects for fire and EMS agencies, executing end-to-end configurations and transitions, ensuring agencies utilize their purchased...
Reposted 3 weeks ago
$85K - $102K *
Shape risk management strategies by leading initiatives that enhance patient safety, mentor team members, and drive compliance across departments. Collaborate on complex projects to identify trends an...
Today
$114K - $124K *
Lead payroll operations by ensuring accuracy and compliance while fostering strong client relationships. Collaborate with teams to implement best practices and drive results in a dynamic, supportive e...
5 days ago
Manager, Infrastructure Operations
$110K - $130K *
Drive the infrastructure operations function, ensuring secure, reliable, and cost-effective cloud services. Lead teams, manage vendor relationships, and oversee modernization efforts while maintaining...
3 days ago
$80K - $100K *
Transform your career by leading operations in a dynamic environment. Oversee staffing, enhance productivity, and drive quality initiatives while managing a team of supervisors and employees to achiev...
2 weeks ago
Continuous Improvement Manager
$80K - $95K *
Accelerate operational excellence by leading cross-functional teams to drive continuous improvement initiatives, leveraging data analysis to enhance manufacturing processes and achieve strategic objec...
Yesterday
$95K - $115K *
Champion the successful delivery of projects and technology initiatives by coordinating cross-functional teams and managing risks, ensuring timely and high-quality outcomes that align with business ob...
2 weeks ago
$72K - $90K *
Lead the transportation team to ensure safe, efficient operations for elderly participants. Oversee staff management, vehicle maintenance, and compliance with safety protocols while fostering a positi...
1 week ago
$175K - $400K *
Join a team that's shaping the future of digital supply chain management. You'll architect and optimize ERP, PLM, and inventory systems, ensuring data integrity and operational scalability across glob...
3 weeks ago
$175K - $400K *
Shape the future of our digital supply chain by architecting and optimizing ERP, PLM, and procurement systems. Collaborate across IT, Engineering, and Finance to enhance data integrity and operational...
3 weeks ago
Financial Business Manager, CKD and ATC
$103K - $154K *
Join a team that's dedicated to enhancing financial strategies and performance analysis in healthcare. As a Financial Business Manager, you'll collaborate with senior leaders to drive financial planni...
1 week ago
$80K - $95K *
Lead the charge in managing client relationships, ensuring seamless service delivery, and identifying growth opportunities. Collaborate with teams to resolve issues and maintain high customer satisfac...
5 days 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.