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.
$75K - $95K *
Shape the future of clinical research data integrity by leading a dedicated team. Drive operational excellence, ensure compliance, and foster cross-functional partnerships to enhance data quality and...
4 days ago
$100K - $120K *
Grow your career with a hands-on leadership role overseeing maintenance operations across affordable residential properties, ensuring safety, efficiency, and compliance while fostering team developmen...
3 days ago
Case Manager Utilization RN 40/hr Day
$143K - $175K *
Join a dynamic team to coordinate patient admissions and discharges, ensuring quality care and compliance with regulations. Collaborate with healthcare professionals to develop effective care plans an...
4 days ago
$95K - $115K *
Contribute to the success of multiple clinical research sites by leading operations, ensuring compliance with regulations, and fostering team development to enhance patient care and operational excell...
Reposted 4 weeks ago
Presurgical Utilization Manager - Surgery Admin - FT, Days (Limited Appointment)
$100K - $120K *
Oversee preoperative utilization review processes to ensure proper patient status designation while collaborating with clinical teams to enhance compliance and financial stewardship, ultimately minimi...
Reposted 1 week ago
Manager, Revenue Cycle Analytics
$100K - $120K *
Drive the future of revenue cycle analytics by leading a dynamic team, collaborating with senior leadership, and transforming data into actionable insights to enhance operational performance and reven...
4 days ago
$79K - $87K *
Lead a dedicated team in delivering exceptional resident care while overseeing daily operations, ensuring compliance, and fostering a collaborative environment for nursing staff and residents alike...
3 weeks ago
Site Manager, Clinical Engineering
$99K - $144K *
Lead and innovate within a clinical engineering operation, overseeing multi-site performance, driving results, and building a high-performing team to enhance patient care and operational excellence...
3 weeks ago
$90K - $110K *
Shape the future of healthcare by driving clinician engagement and optimizing product utilization. Collaborate with physicians to enhance clinical efficacy while reducing supply costs, ensuring superi...
3 weeks ago
Utilization Review Manager (Registered Nurse/RN)
$80K - $95K *
Champion quality patient care by managing resource utilization and coordinating services. Collaborate with patients, families, and care teams to ensure optimal outcomes and compliance with regulations...
1 week ago
$67K - $94K *
Lead the charge in operational excellence by managing logistics and events, ensuring seamless execution across projects. Collaborate with teams to create meaningful experiences that foster community a...
5 days ago
$80K - $95K *
Join us to lead the Revenue Cycle Management team, overseeing billing processes, managing staff, and ensuring compliance with healthcare regulations while driving operational efficiency and financial...
5 days ago
$95K - $115K *
Join our team to establish and maintain robust Configuration Management processes, ensuring software, hardware, and systems integrity across projects while collaborating with technical and operational...
Today
$80K - $133K *
Transform configuration management processes by defining baselines, tracking changes, and ensuring compliance. Collaborate across teams to resolve issues and maintain documentation, enhancing operatio...
1 week ago
Inventory Control Manager, Demand Planning
$95K - $130K *
Elevate inventory management processes by developing and implementing policies that enhance accuracy, optimize working capital, and drive continuous improvement across multiple locations, ensuring eff...
1 week ago
$100K - $120K *
Grow your career with a dynamic team dedicated to providing specialized clinical nutrition services, ensuring quality patient care through assessments, education, and innovative projects in a supporti...
1 week ago
$80K - $95K *
Elevate customer support by managing network operations and incidents, ensuring service excellence across regions. Collaborate with IT teams to analyze data, anticipate issues, and implement solutions...
1 week ago
$80K - $95K *
Shape the future of IT operations by managing service delivery and network performance. Collaborate with teams to analyze incidents, implement solutions, and ensure top-tier customer support across gl...
1 week ago
$80K - $95K *
Deliver excellence in managing a workers' compensation claims unit, leading a team to ensure compliance, operational efficiency, and superior client service while fostering staff development and maint...
2 weeks ago
$70K - $116K *
Empower a high-performing 24/7 Help Desk team by leading service excellence, driving AI-driven solutions, and enhancing operational performance to deliver exceptional user support across all channels...
Yesterday
Multi-Discipline Collection Manager
$77K - $176K *
Transform the future of intelligence analysis by leveraging your expertise to manage collection operations and develop actionable insights that support critical decision-making for national security...
1 week ago
$100K - $130K *
Lead the charge in managing requirements and organizing backlogs for cloud migration, collaborating with diverse teams to translate needs into actionable requirements and ensuring alignment with strat...
Today
Manager, Implementation Management
$102K - $140K *
Shape the future of customer success by leading implementation strategies, fostering cross-functional partnerships, and driving scalable processes for new customer rollouts in a dynamic B2B SaaS envir...
4 days ago
$105K - $155K *
Lead innovative health data applications by managing product development and guiding teams. Collaborate with diverse stakeholders to enhance healthcare solutions, leveraging your expertise in health s...
6 days ago
Utilization Management Nurse, Senior (Medicare Concurrent Review)
$95K - $115K *
Unlock potential by leading utilization reviews and ensuring compliance with evidence-based guidelines for inpatient care, while collaborating with healthcare teams to optimize member outcomes and dis...
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.