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.
$110K - $130K *
Empower your career by leading a transformative project to replace a legacy probation case management system. Collaborate across 23 judicial districts, ensuring compliance and enhancing user experienc...
4 days ago
$90K *
Join our dynamic Education team to manage ACGME-accredited training programs, ensuring compliance and supporting medical education initiatives. Collaborate closely with faculty and staff to enhance th...
6 days ago
$95K - $110K *
Champion a high-performing operation focused on safety, quality, and productivity. Lead a dedicated team to meet customer needs while fostering a culture of continuous improvement and operational exce...
2 weeks ago
$90K - $110K *
Transform employee benefits and compensation programs while ensuring compliance and enhancing employee engagement. Lead open enrollment, manage vendor relationships, and support payroll processes for...
1 week ago
Manager, Inpatient Care Management
$149K - $193K *
Lead the charge in optimizing Care Management Services by overseeing quality programs, regulatory compliance, and performance improvement initiatives. Collaborate with multidisciplinary teams to enhan...
5 days ago
$72K - $130K *
Lead modernization initiatives and ensure system stability as a senior technical expert. Collaborate across teams to enhance operational excellence, mentor analysts, and drive advanced monitoring solu...
2 weeks ago
$75K - $110K *
Take ownership of project execution from initiation to closure, ensuring financial success and timely delivery. Collaborate with teams, manage client expectations, control project scope, and communica...
Reposted 2 weeks ago
$80K - $90K *
Transform patient care by leveraging your expertise in utilization review. Collaborate with a multidisciplinary team to ensure compliance and quality in mental health services, while managing pre-cert...
4 days ago
$100K - $120K *
Empower financial integrity by overseeing accounting operations, ensuring compliance with GAAP, and leading teams to deliver accurate reports that drive organizational success and support strategic de...
Reposted 2 weeks ago
$87K - $90K *
Empower individuals by leading clinical services, ensuring effective mental health treatment, and fostering client independence. Collaborate with staff to enhance program delivery and maintain complia...
5 days ago
$88K - $105K *
Partner with us to lead ICT and controls project delivery for hyperscale data centers. Manage full lifecycle from design to commissioning, ensuring seamless integration of network infrastructure and m...
4 days ago
$80K - $95K *
Elevate the financial integrity of a multi-branch organization by leading the accounting team, ensuring accurate reporting, compliance, and process improvements while fostering collaboration and accou...
5 days ago
Coding and Documentation Manager
$80K - $95K *
Champion the coding team by managing training, audits, and documentation to enhance clinician success and minimize audit risks, ensuring efficient revenue cycle processes and compliance with regulatio...
2 weeks ago
$110K - $145K *
Join a team that's dedicated to transforming public transit through innovative installation management. Collaborate with diverse teams to enhance safety and quality while reducing carbon footprints in...
Reposted 1 week ago
$90K - $120K *
Develop and optimize Electronic Research Administration systems, collaborating with stakeholders to enhance workflows, streamline processes, and execute strategic initiatives that support research adm...
2 weeks ago
$80K - $95K *
Champion the daily operations of a maintenance team, ensuring optimal performance and customer satisfaction across multiple communities while managing budgets, projects, and compliance with safety reg...
Yesterday
Manager Managed Care Payer Relations
$88K - $105K *
Shape the future of managed care by leading payer relations, ensuring compliance, and driving strategic analysis. Collaborate with leadership to enhance operational efficiency and foster a culture of...
1 week ago
$88K - $105K *
Join a team that's driving excellence in Corporate Accounting. Lead a high-performing team, enhance processes, and ensure accurate financial reporting across North America while supporting strategic b...
1 week ago
$92K - $110K *
Lead the charge in enhancing corporate accounting operations while developing a high-performing team. Drive process improvements and ensure accurate financial reporting across North America, aligning...
1 week ago
$88K - $105K *
Transform your career by leading a high-performing Accounting team, enhancing processes, and driving financial accuracy across North America. Collaborate with leadership to support strategic initiativ...
1 week ago
$88K - $105K *
Drive financial excellence by leading a high-performing accounting team, enhancing processes, and ensuring accurate reporting across North America. Collaborate with leadership to support strategic ini...
1 week ago
$80K - $95K *
Help us manage diverse projects that drive strategic growth and collaboration across teams. As a key member of the EPMO, you'll ensure project success through effective stakeholder management and cont...
4 days ago
$120K *
Transform client experiences by leading a diverse team, optimizing operations, and driving profitability through effective management and innovative solutions. Ensure compliance and enhance safety whi...
1 week ago
$80K - $95K *
Engage with our CEO as a pivotal Executive Assistant, managing a dynamic calendar, triaging urgent communications, and anticipating needs to drive efficiency in a fast-paced startup environment...
Today
Manager, Program and Customer Management
$110K - $130K *
Lead the charge in shaping vehicle safety by managing a team of Program Managers, overseeing customer programs, and driving business results across multiple initiatives in the automotive industry...
6 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.