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.
EPIC MANAGER-ACCESS/REVENUE, ENTERPRISE APPLICATIONS
$90K - $110K *
Pioneer the implementation and management of Epic Revenue and Access applications, ensuring system integrity, regulatory compliance, and operational excellence while leading a dynamic team to achieve...
2 weeks ago
$100K - $138K *
Join a dynamic team to manage cross-departmental projects, ensuring alignment with business goals through effective planning, risk management, and stakeholder engagement while fostering an environment...
Reposted 2 weeks ago
$80K - $95K *
Lead the charge in optimizing patient admissions and discharges, ensuring compliance with medical necessity and utilization review standards while collaborating with clinical teams to enhance care coo...
2 weeks ago
$120K - $170K *
Lead and manage construction projects, ensuring timely completion, budget adherence, and quality standards. Collaborate with teams, oversee contract execution, and mentor junior staff while fostering...
Today
$80K - $95K *
Join us to lead a dynamic team in optimizing revenue cycle operations for multiple clients. Drive continuous improvement and ensure client satisfaction while managing performance metrics and fostering...
Today
$140K - $155K *
Unlock strategic growth by driving innovative solutions in Infrastructure Modernization and Multi-Cloud Architecture for the Intelligence Community, fostering executive relationships and enhancing bus...
Yesterday
$140K - $155K *
Engage with the Intelligence Community to drive strategic programs and solutions in Infrastructure Modernization, Multi-Cloud Architecture, and Digital Transformation. Collaborate with teams to expand...
Yesterday
Project Manager, Finance Initiatives
$97K - $113K *
Drive the future of financial strategy by leading project management and analysis for budget initiatives, collaborating with executive teams to enhance operational agility and deliver actionable insig...
5 days ago
$80K - $95K *
Manage and oversee site operations, ensure service excellence, develop staff, and drive process improvements. Lead financial management, foster client relationships, and navigate compliance while insp...
Reposted 2 weeks ago
$115K - $145K *
Transform integration solutions by leading a skilled team to deliver seamless application interfaces and interoperability across diverse customer environments, ensuring quality and efficiency in proje...
1 week ago
IT Site Infrastructure Manager
$108K - $130K *
Architect robust IT infrastructure solutions to support a high-volume manufacturing site. Lead incident management, collaborate with teams, and ensure compliance while maintaining system stability and...
Reposted 2 weeks ago
$70K - $116K *
Unlock potential by leading a dynamic Treasury Finance team, managing daily operations, and ensuring compliance. Drive process improvements while collaborating across departments to enhance financial...
1 week ago
$80K - $130K *
Empower a dynamic sales team by defining strategies, optimizing processes, and driving revenue growth in a fast-paced startup environment. Lead with a data-driven approach to build accountability and...
2 weeks ago
$90K - $110K *
Elevate client service operations by managing multiple accounts, fostering relationships, and ensuring financial success through strategic oversight and team leadership. Drive client satisfaction and...
1 week ago
$89K - $114K *
Champion project success by planning, coordinating, and implementing phases while fostering stakeholder relationships and ensuring quality standards are met. Drive research objectives through strategi...
Yesterday
$80K - $95K *
Manage and optimize operations for a centralized intake team, ensuring efficient referral processing across multiple services. Drive performance improvements, staff development, and cross-functional c...
1 week ago
$80K - $95K *
Oversee and manage all laboratory operations, ensuring compliance, quality control, and efficient workflow while leading a team to achieve strategic goals and maintain safety standards in a dynamic en...
1 week ago
$80K - $95K *
Pioneer innovative project management solutions, ensuring safety and quality while coordinating multi-disciplinary teams. Build strong relationships with clients and stakeholders to drive successful p...
6 days ago
$94K - $164K *
Champion cost reporting processes by ensuring data accuracy, preparing detailed reports, and analyzing financial information. Collaborate across departments to enhance reporting systems and support st...
4 days ago
$68K - $106K *
Join our team to manage operational and administrative aspects of patient care, providing clinical oversight and ensuring quality service alignment with our organization's goals and regulatory standar...
3 weeks ago
$100K - $120K *
Lead the management of material flow, inventory, and logistics to enhance production efficiency, ensuring timely delivery and accurate tracking of resources across the manufacturing process as the tea...
Reposted 3 weeks ago
System Administrator (Internal IT)
$80K - $95K *
Lead the charge in optimizing and securing our IT platforms, ensuring seamless integration across departments. This hands-on role requires expertise in Microsoft 365, Azure, and various business appli...
2 weeks ago
$140K - $160K *
Join a team that's redefining financial leadership in construction. Oversee accounting operations, ensure compliance, and drive strategic financial insights while developing a high-performing team in...
3 weeks ago
Client Manager - Employee Health & Benefits
$64K - $120K *
Unlock your potential by managing client relationships and providing expert guidance on health and welfare plans. Collaborate with teams to analyze data, prepare presentations, and ensure compliance w...
1 week ago
$80K - $95K *
Deliver full project lifecycle management, ensuring timely, within-budget software and hardware project delivery while coordinating cross-functional teams and managing customer satisfaction across var...
4 weeks 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.