Explore Utilization Manager Jobs

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.

What Does a Utilization Manager Do?

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.

Common Skills and Qualifications

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 Manager Career Opportunities

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.

Find Utilization Manager Jobs on Ladders

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.

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1
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$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

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$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

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$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

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$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

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$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

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$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

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$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

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$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

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$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

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$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

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$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

  •   8 - 10 years exp.  •   Manufacturing & Automotive

$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

  •   8 - 10 years exp.  •   Manufacturing & Automotive

$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

  •   8 - 10 years exp.  •   Manufacturing & Automotive

$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

  •   8 - 10 years exp.  •   Manufacturing & Automotive

$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

  •   8 - 10 years exp.  •   Manufacturing & Automotive

$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

  •   8 - 10 years exp.  •   Manufacturing & Automotive

$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

  •   8 - 10 years exp.  •   Manufacturing & Automotive

$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

  •   8 - 10 years exp.  •   Manufacturing & Automotive

$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

  •   8 - 10 years exp.  •   Manufacturing & Automotive

$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

  •   11 - 15 years exp.  •   Business Services

$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

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$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

  •   Less than 5 years exp.  •   Finance & Insurance

$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

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

Ontario, CARemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Enterprise Technology

$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...

RemoteRemote

5 days ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

Frequently Asked Questions (FAQ)

  • What does a Utilization Manager do?question toggle

    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?question toggle

    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?question toggle

    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?question toggle

    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.