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.
Manager, Technology Business Management (TBM) & FinOps
$107K - $199K *
Unlock insights at the intersection of technology and finance. In this role, you'll enhance cost transparency, evolve TBM practices, and drive FinOps capabilities, empowering leaders to make informed...
1 week ago
$180K - $220K *
Unlock potential by transforming finance workflows with AI. Collaborate closely with clients to design and implement efficient processes, ensuring seamless integration and enhanced productivity in the...
3 weeks ago
$180K - $220K *
Transform finance workflows by embedding AI solutions within client teams. Collaborate closely with finance professionals to design efficient processes, ensuring seamless integration and improved data...
3 weeks ago
$165K - $195K *
Empower finance teams by designing AI-driven workflows that enhance efficiency and accuracy. Collaborate closely with clients to transform manual processes into streamlined solutions, ensuring seamles...
3 weeks ago
$140K - $150K *
Join as a Global Platform Manager to enhance operational efficiency and drive technology solutions. Collaborate with stakeholders, analyze service requests, and develop roadmaps to optimize enterprise...
2 weeks ago
$140K - $150K *
Elevate your career by managing our Enterprise platform, driving operational efficiency, and enhancing business processes through innovative technology solutions. Collaborate with stakeholders to gath...
2 weeks ago
$110K - $130K *
Empower a high-performing technical support team by executing strategic communication plans, mentoring talent, and enhancing service delivery for payroll tax platforms, ensuring quality and customer s...
1 week ago
Utilities Asset & Work Management Transformation Manager
$94K - $253K *
Optimize utility operations by leading enterprise asset management initiatives, enhancing business processes, and leveraging technology to drive performance improvements and client satisfaction in ele...
2 weeks ago
Utilities Asset & Work Management Transformation Manager
$87K - $235K *
Join a team that's transforming utility operations through innovative asset management solutions. Leverage your expertise in EAM and field operations to enhance client performance and drive impactful...
2 weeks ago
$80K - $90K *
Drive excellence in multi-line claims supervision, ensuring compliance and quality service. Lead investigations, evaluations, and negotiations while mentoring staff and maintaining high standards for...
1 week ago
Audit Project Manager, Compliance
$80K - $95K *
Champion effective auditing practices while ensuring compliance and operational excellence. Collaborate with teams and oversee co-sourced audits, driving corrective actions and quality assurance. Join...
4 weeks ago
$89K - $136K *
Partner with us to enhance member health through integrated case management. You'll develop and monitor care plans, conduct assessments, and coordinate with healthcare teams to ensure optimal outcomes...
5 days ago
$63K - $109K *
Optimize facility operations by leading a dedicated team, managing resources, and driving continuous improvement initiatives to enhance service delivery and operational efficiency across campus enviro...
Today
$110K - $130K *
Join a team that's dedicated to enhancing employee well-being through effective absence management. Lead a skilled team in administering absence programs, ensuring compliance, and driving continuous i...
1 week ago
$65K - $113K *
Champion transformative projects that enhance operations and drive strategic priorities. Collaborate with diverse stakeholders to manage timelines, navigate risks, and deliver impactful results in a d...
5 days ago
$80K - $95K *
Advance quality care by leading a dedicated nursing unit, ensuring compliance with healthcare standards while fostering a supportive environment for residents and staff alike. Drive operational excell...
2 weeks ago
$89K - $110K *
Lead the charge in delivering high-quality home health care by overseeing clinical services and coordinating an interdisciplinary team to ensure patient needs are met in accordance with prescribed car...
2 weeks ago
$85K - $120K *
Unlock potential by driving sales in automation solutions across diverse industries. Engage with customers to craft tailored solutions, build relationships, and thrive in a dynamic, high-volume sales...
1 week ago
$120K - $183K *
Unlock potential by leading vendor oversight and client coordination for Building Automation Systems. Drive project success through effective management, technical guidance, and strategic alignment wi...
4 days ago
$90K - $115K *
Manage and support a team of Credit Specialists to enhance credit, collections, and account management processes, ensuring financial stability and compliance while fostering effective communication ac...
1 week ago
$103K - $124K *
Champion project success by leading a dynamic team, ensuring adherence to PMO standards, and driving operational excellence across multiple initiatives while fostering collaboration and accountability...
4 days ago
$103K - $124K *
Lead the charge in project delivery management, overseeing teams and ensuring alignment with strategic goals. Drive operational excellence through coaching, resource coordination, and adherence to PMO...
4 days ago
$103K - $124K *
Lead day-to-day project delivery within the PMO, supervising teams and ensuring adherence to standards. Drive project execution, monitor budgets, and facilitate stakeholder collaboration to achieve de...
4 days ago
$103K - $124K *
Drive project success by leading a dynamic team, ensuring adherence to PMO standards, and fostering collaboration across departments to achieve strategic goals and deliver high-quality outcomes in a f...
4 days ago
$103K - $124K *
Champion project delivery by supervising teams, ensuring adherence to PMO standards, and facilitating resource coordination to achieve departmental goals and strategic objectives in a dynamic environm...
4 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.