Choose from a comprehensive collection of Utilization Manager jobs that pay more than $100,000 a year. Our list includes positions in healthcare policy, insurance, and clinical resources management.
As a Utilization Manager, you will have the opportunity to make a significant impact on healthcare settings by ensuring the effective use of resources and improving patient care. Your role includes evaluating the appropriateness of care, auditing patient records, coordinating with physicians and staffing.
Typical qualifications for these roles include a nursing degree, excellent organizational skills, understanding of medical terminologies and procedures, and strong communication skills. Experience with healthcare databases and patient management systems is also a plus.
Technical Account Manager - Remote
$90K - $120K *
Join a team that's focused on customer success by leveraging technical expertise to guide clients through their software lifecycle. Develop strong relationships, foster product adoption, and optimize...
3 weeks ago
Embedded Project Manager - Project Assignment - Omaha
$90K - $120K *
Transform client project execution in industrial settings, leading diverse teams to deliver results on time and within budget. Manage expectations, ensure compliance, and facilitate communications to...
1 week ago
Transitional Care Manager - 2909
$85K - $90K *
Transform care transitions by managing discharge planning and coordination for complex populations. Collaborate with healthcare providers to ensure patients' needs are met for successful transitions f...
2 weeks ago
Medical Director, Utilization Management - Commercial Prior Authorization Review
$200K - $250K *
Drive the transformation of utilization management while leading clinical review initiatives, collaborating with teams, and fostering a continuous learning culture to enhance healthcare delivery effec...
5 days ago
Medical Director, Utilization Management - Commercial Prior Authorization Review
$200K - $250K *
Manage clinical reviews and collaborate on initiatives to optimize utilization management. Drive performance in value-based care, supporting strategic goals while ensuring compliance and quality in pa...
5 days ago
Medical Director, Utilization Management - Commercial Prior Authorization Review
$200K - $250K *
Champion a transformative health care system by leading clinical reviews and initiatives for utilization management, ensuring compliance and quality in the delivery of health care to members, while dr...
5 days ago
Medical Director, Utilization Management - Commercial Prior Authorization Review
$200K - $250K *
Champion the evolution of utilization management by executing clinical reviews and collaborating with teams to enhance care quality and operational efficiency in a value-driven health system...
5 days ago
Medical Director, Utilization Management - Commercial Prior Authorization Review
$200K - $250K *
Join a team that's redefining health care management through innovative clinical solutions. In this role, you'll lead clinical reviews, collaborate with teams, and drive strategic initiatives, positiv...
5 days ago
Medical Director, Utilization Management - Commercial Prior Authorization Review
$200K - $250K *
Unlock potential by leading clinical reviews and collaborative initiatives to enhance utilization management for a value-driven healthcare system, ensuring compliance and optimizing quality for divers...
5 days ago
Care Management Education Manager
$83K - $155K *
Accelerate strategic healthcare initiatives by managing clinical quality, leading cross-functional teams, and enhancing performance improvements. Utilize expertise to ensure compliance, develop action...
3 weeks ago
Senior Utilization Management Compliance and Accreditation Specialist
$75K - $95K *
Take ownership of compliance and accreditation functions for Government Programs, ensuring adherence to URAC/NCQA standards, and leading initiatives to mitigate risks, drive corrective actions, and en...
3 weeks ago
Senior Utilization Management Compliance and Accreditation Specialist
$75K - $95K *
Lead the charge in enhancing compliance for utilization management, overseeing accreditation processes, mitigating risks, and ensuring adherence to URAC/NCQA standards while driving quality improvemen...
3 weeks ago
$80K - $110K *
Shape the future of quality assurance by directing ISO-compliant QMS programs, ensuring effectiveness through audits, customer feedback, and continuous improvement, while leading a dedicated quality t...
3 weeks ago
$120K - $150K *
Empower operational excellence by leading IT Service Management using ServiceNow. Oversee team dynamics, drive strategic outlay and enhance user experiences while ensuring adherence to ITIL best pract...
Reposted 1 week ago
$140K - $159K *
Reimagine corporate IT by owning strategy and execution to support rapid growth. Lead initiatives for infrastructure, security, and efficiency while collaborating with leadership and driving hands-on...
3 weeks ago
$70K - $95K *
Elevate your career by managing daily operations and enhancing efficiency in vital cancer research departments. Collaborate with leadership to support faculty, optimize processes, and drive successful...
3 weeks ago
$70K - $95K *
Join a team that's dedicated to enhancing operational efficiency and support within a leading cancer research environment. Collaborate with faculty and administrative staff to streamline processes and...
3 weeks ago
VP / ADMINISTRATOR-UHR ADMINISTRATION
$120K - $150K *
Lead organizational strategy and operations, ensuring high-quality healthcare delivery and financial stewardship. Collaborate with executive leadership to drive top-tier performance and maintain commu...
6 days ago
Account Manager, Hospital Data Services
$74K - $185K *
Unlock potential by actively engaging hospitals in a data exchange program, providing expert support and education to enhance participation and relationships with healthcare stakeholders across the U...
2 weeks ago
Account Manager, Hospital Data Services
$74K - $185K *
Lead the charge in expanding partnerships with hospitals and IDNs, ensuring high-quality engagement and support in participatory programs. Foster relationships with stakeholders to drive participation...
2 weeks ago
$120K - $160K *
Champion complex projects by leveraging 10+ years of management experience. Drive AI/ML initiatives with cross-functional teams while ensuring adherence to compliance and quality standards. Join a dyn...
2 weeks ago
Account Manager, Hospital Data Services
$74K - $185K *
Champion engagement initiatives that drive hospital participation in data programs, fostering relationships while providing top-tier support and education to stakeholders in acute care and Integrated...
2 weeks ago
Account Manager, Hospital Data Services
$74K - $185K *
Lead the charge in expanding hospital participation in a cutting-edge data exchange program. Engage with key stakeholders, educate on electronic pricing solutions, and deliver exceptional customer sup...
2 weeks ago
Account Manager, Hospital Data Services
$74K - $185K *
Join a team that's dedicated to enhancing hospital engagement and support. This role combines account management with strategic outreach to expand participation in critical healthcare programs while e...
2 weeks ago
$90K - $120K *
Lead the execution of the Sales Commission process, ensuring accuracy and efficiency while managing cross-departmental collaborations and driving sales performance through effective incentive plans an...
Reposted 1 week ago
What is a Utilization Manager?
A Utilization Manager is a healthcare professional who is responsible for ensuring that all health and medical services, procedures and facilities are being used in a cost-effective way in the healthcare setting.
What are the typical duties of a Utilization Manager?
Utilization Managers typically review patient services to determine efficiency and necessity, work to enhance the cost-effectiveness of health management strategies, and determine if a case or treatment plan is clinically appropriate based on a patient’s needs and overall health.
What qualifications do I need for a Utilization Manager job?
Most Utilization Manager positions require a degree in nursing and relevant experience in a clinical setting. You should also have a good understanding of medical terminologies and procedures.