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.
Provider Reimbursement Policy Manager- Patient Safety
$80K - $134K *
Shape the future of healthcare reimbursement by leading policy development and ensuring accurate claims adjudication. Collaborate across teams to enhance cost efficiency and improve service delivery w...
Reposted yesterday
Provider Reimbursement Policy Manager- Patient Safety
$80K - $134K *
Unlock potential by leading the development of provider reimbursement policies, ensuring accurate claims adjudication, and collaborating across business areas to optimize cost of care strategies and i...
Reposted yesterday
Provider Reimbursement Policy Manager- Patient Safety
$80K - $134K *
Advance your career by managing provider reimbursement strategies and policies. Collaborate with cross-functional teams to ensure accurate claims adjudication and develop effective reimbursement polic...
Reposted yesterday
Provider Reimbursement Policy Manager- Patient Safety
$80K - $134K *
Shape provider reimbursement strategies by managing policies and ensuring accurate claims adjudication. Collaborate across teams to enhance cost efficiency and improve service delivery while leading s...
Reposted yesterday
Provider Reimbursement Policy Manager- Patient Safety
$80K - $134K *
Lead the charge in developing provider reimbursement strategies and policies. Utilize your expertise to ensure accurate claims adjudication and enhance cost efficiency while collaborating across multi...
Reposted yesterday
Provider Reimbursement Policy Manager- Patient Safety
$80K - $134K *
Shape the future of healthcare reimbursement by managing policies and strategies. Collaborate across teams to ensure accurate claims adjudication and develop initiatives that enhance cost efficiency a...
Reposted yesterday
Provider Reimbursement Policy Manager- Patient Safety
$80K - $134K *
Develop and manage provider reimbursement policies to ensure accurate claims adjudication. Collaborate across business areas to align cost of care targets with financial plans while leading research i...
Reposted yesterday
Provider Reimbursement Policy Manager- Patient Safety
$80K - $134K *
Lead the development of provider reimbursement policies, ensuring accurate claims adjudication and effective cost management. Collaborate across teams to enhance financial strategies and improve servi...
Reposted yesterday
Provider Reimbursement Policy Manager- Patient Safety
$80K - $134K *
Lead the development of provider reimbursement policies to enhance cost efficiency and service quality. Collaborate across teams to ensure accurate financial planning and effective claim adjudication...
Reposted yesterday
Provider Reimbursement Policy Manager- Patient Safety
$80K - $134K *
Transform provider reimbursement strategies by managing policies and ensuring accurate claims adjudication. Collaborate across teams to enhance cost efficiency and improve service delivery while leadi...
Reposted yesterday
$142K - $213K *
Join a team that's driving project success across diverse portfolios. Lead cross-functional teams, mentor project managers, and enhance operational excellence in a dynamic environment focused on custo...
Yesterday
$142K - $213K *
Join a team that's shaping the future of project execution in Power Systems. Lead diverse teams, drive operational excellence, and ensure project success across the U.S. while fostering collaboration...
Yesterday
$142K - $213K *
Lead cross-functional teams to ensure successful execution of complex projects, focusing on profitability and customer satisfaction. Collaborate with stakeholders to drive operational excellence and m...
Yesterday
$142K - $213K *
Drive project success by leading cross-functional teams, ensuring alignment with strategic objectives, and fostering collaboration across diverse projects. Leverage your expertise to enhance operation...
Yesterday
$142K - $213K *
Unlock potential by leading diverse project teams to ensure successful execution of complex power systems projects across the U.S., fostering collaboration and operational excellence while mentoring f...
Yesterday
$142K - $213K *
Lead diverse project teams to ensure successful execution of complex projects. Collaborate with stakeholders to drive profitability and customer satisfaction while mentoring project managers and foste...
Yesterday
$142K - $213K *
Pioneer project success by leading diverse teams in executing complex power systems projects. Collaborate across functions to drive operational excellence and customer satisfaction while mentoring pro...
Yesterday
$142K - $213K *
Drive project success by leading cross-functional teams in delivering complex customer-facing projects. Foster collaboration, ensure profitability, and mentor project managers to enhance operational e...
Yesterday
$142K - $213K *
Join our dynamic team to lead complex Power Systems projects, ensuring success through collaboration and strategic execution. Drive operational excellence while mentoring project managers and enhancin...
Yesterday
Client Account Manager- Medicaid Finance & Program Integrity
$140K - $220K *
Empower Medicaid leaders by driving client growth and innovative solutions in finance and program integrity. Leverage deep expertise to enhance payment accuracy and operational efficiency while foster...
4 days ago
Assistant Patient Care Manager - Utilization Management
$91K - $113K *
Lead the charge in delivering exceptional patient care by supporting and coordinating key clinical and administrative functions within designated units, ensuring quality outcomes and operational effic...
3 weeks ago
$90K - $110K *
Lead the charge in managing risk and claims support activities, guiding a team to enhance risk profiles and loss performance. Collaborate with stakeholders to evaluate concerns and implement effective...
1 week ago
$95K - $115K *
Lead risk management initiatives by analyzing performance, guiding teams, and implementing strategies to enhance loss performance and compliance. Collaborate with stakeholders to address concerns and...
1 week ago
$110K - $130K *
Manage data center operations, ensuring optimal performance, security, and scalability. Lead teams, optimize resources, and implement strategic initiatives to enhance infrastructure reliability and se...
Reposted 1 week ago
AVP Clinical Documentation (Orchestration Works)
$150K - $250K *
Unlock potential by leading innovative clinical documentation initiatives that enhance quality, compliance, and revenue cycle outcomes. Collaborate with cross-functional teams to redefine workflows an...
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.