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.
$111K - $147K *
Grow your career with a leading firm by managing project controls for complex engineering projects. Leverage your expertise to ensure quality delivery, mentor junior staff, and collaborate with client...
1 week ago
System Manager, Consignment and Implants
$80K - $95K *
Join a dynamic team to oversee consignment and implant logistics, ensuring optimal product quality and service. Collaborate with vendors and clinical leaders to enhance patient care while managing con...
Reposted 2 days ago
$80K - $95K *
Lead the charge in delivering exceptional client service and managing global healthcare market research projects. Utilize your expertise to enhance client relationships, ensure project success, and dr...
1 week ago
PM Clinical-Operational Innovations
$88K - $105K *
Champion complex projects that drive data analytics and process improvement. Collaborate with stakeholders to ensure successful execution, delivering measurable value and supporting strategic decision...
3 days ago
$80K - $95K *
Champion campus-wide systems by ensuring their security, availability, and efficiency. Collaborate with stakeholders to align IT services with institutional goals, managing vendor relationships and le...
Reposted 3 weeks ago
$110K - $130K *
Lead the charge in financial strategy and operational excellence, driving profitability and performance analysis within a dynamic manufacturing environment. Collaborate cross-functionally to enhance f...
4 days ago
Account Manager Employee Health and Benefits
$64K - $120K *
Transform client relationships by delivering expert employee benefits solutions. Collaborate with sales and insurance partners to develop strategies that enhance client success and ensure compliance w...
1 week ago
$95K - $115K *
Lead the charge in implementing document control processes for capital projects, ensuring efficient workflow and management of documentation across teams. Oversee EDMS interfaces and maintain project...
1 week ago
$107K - $138K *
Lead the charge in configuration management for U.S. Indo-Pacific Command, enhancing IT service capabilities. Collaborate with multidisciplinary teams to ensure secure, resilient mission outcomes thro...
Today
$110K - $150K *
Manage configuration management processes for developmental and operational systems. Collaborate with teams to maintain baselines, implement automated tools, and ensure compliance throughout the syste...
2 weeks ago
$81K - $102K *
Innovate the future of healthcare facilities by leading project planning initiatives. Collaborate with stakeholders to manage construction and renovation projects, ensuring alignment with organization...
5 days ago
$75K - $95K *
Empower financial excellence by overseeing contract analysis and budget reviews, driving profitability insights, and enhancing financial reporting. Collaborate across departments to ensure accurate cl...
4 weeks ago
$95K - $125K *
Shape the future of fleet services by leading initiatives from discovery to launch, optimizing vendor partnerships, and enhancing customer experiences through data-driven insights and cross-functional...
2 weeks ago
Manager, Financial Operations (Surgery)
$88K - $105K *
Shape the future of financial management by overseeing budgeting, analysis, and reporting. Lead a team to ensure compliance and optimize financial performance while collaborating across departments to...
6 days ago
Configuration and Data Management
$98K - $163K *
Transform the future of national security by managing critical data and configuration processes. Collaborate with diverse teams to ensure timely evaluations and support mission success in a dynamic la...
1 week ago
Manager, HRIS & Technology Analyst
$80K - $95K *
Transform HR operations by leveraging technology and data analytics to optimize systems, enhance reporting, and drive strategic decision-making. Lead a team to ensure data integrity and compliance whi...
2 weeks ago
$90K - $100K *
Transform customer relationships and drive growth through consultative selling. Leverage your expertise to enhance client engagement, develop strategic account plans, and ensure exceptional service wh...
1 week ago
$99K - $104K *
Transform the future of patient care as a Unit Manager - RN, overseeing nursing operations, ensuring high-quality healthcare delivery, and mentoring staff to achieve optimal clinical outcomes and sati...
Today
$87K - $98K *
Champion high-quality patient care by leading nursing operations, ensuring compliance with standards, and fostering collaboration among healthcare professionals to achieve optimal clinical outcomes an...
Today
$83K *
Elevate patient care as a Unit Manager - RN, leading a dedicated team to ensure high-quality healthcare delivery while fostering positive outcomes and satisfaction for patients, families, and staff in...
2 days ago
$83K - $91K *
Lead the charge in delivering high-quality nursing care while ensuring positive clinical outcomes and satisfaction for patients, families, and staff within an assigned unit. Collaborate with healthcar...
2 days ago
$95K - $102K *
Drive high-quality healthcare delivery as a Unit Manager - RN, ensuring positive clinical outcomes and patient satisfaction while collaborating with the nursing team and overseeing care standards in c...
5 days ago
$95K - $98K *
Champion high-quality nursing care by leading unit operations, ensuring compliance with regulations, and fostering collaboration among staff and healthcare professionals to achieve optimal patient out...
5 days ago
$100K - $105K *
Champion high-quality nursing care by leading unit operations, ensuring compliance with standards, and fostering collaboration among staff and healthcare professionals for optimal patient outcomes...
5 days ago
$90K - $110K *
Lead and manage nursing operations within an assigned unit, ensuring high-quality patient care and satisfaction. Collaborate with healthcare professionals to achieve optimal clinical outcomes while ov...
1 week 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.