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.
Supervisor, Utilization Management
$101K - $107K *
Champion operational excellence by supervising daily Utilization Management (UM) operations. Lead teams in achieving contract metrics while ensuring quality clinical care and compliance with accredita...
4 days ago
Case Manager/Utilization Review
$78K - $109K *
Unlock potential by coordinating care and optimizing health services. This hybrid role involves managing utilization review processes, collaborating with medical staff, and ensuring comprehensive disc...
3 days ago
Facets Claims & Utilization Management (UM) Configuration Lead - Remote
$113K - $132K *
Lead the charge in designing and delivering configuration solutions that enhance healthcare payer operations, collaborating across teams to optimize the Facets platform and drive successful implementa...
3 days ago
Facets Claims & Utilization Management (UM) Configuration Lead - Remote
$113K - $132K *
Optimize healthcare operations by leading Facets Claims and Utilization Management configuration. Collaborate with stakeholders to design scalable solutions that drive efficiency and enhance the TriZe...
3 days ago
IT Operations Manager (Org Wide)
$85K - $110K *
Champion the leadership of IT Operations, overseeing technical systems and teams. Drive service delivery, maintain security, and ensure operational excellence, aligning with client needs to enhance th...
Today
Nurse Case Manager, Utilization Management
$75K - $95K *
Transform healthcare delivery by managing integrated case management and ensuring compliance with medical policies. Utilize clinical knowledge and critical thinking to optimize patient outcomes throug...
Reposted 5 days ago
$100K - $125K *
Unlock potential by joining a dynamic team where you’ll drive account growth, enhance customer relationships, and shape product usage across diverse industries. Your role is essential in maintaining p...
Reposted 2 days ago
Director, Utilization Management Hospice CoE
$133K - $247K *
Join a team that's dedicated to enhancing healthcare outcomes through strategic leadership in hospice and palliative care management, ensuring compliance and operational excellence across Medicaid and...
4 days ago
Director Utilization Management MedStar Family Choice
$120K - $238K *
Lead the strategic direction of centralized utilization management to enhance service delivery, ensure compliance, and improve clinical outcomes. Collaborate across teams to optimize processes, drive...
2 weeks ago
$160K - $185K *
Join a team that's leading automation innovations in a cutting-edge battery manufacturing facility. You'll build and manage automation systems, ensure operational efficiency, and develop a skilled con...
4 weeks ago
Site Manager, Clinical Engineering
$91K - $146K *
Transform clinical operations by leading engineering initiatives, enhancing service delivery, optimizing resources, and fostering team development while ensuring compliance with regulatory standards a...
2 weeks ago
Site Manager, Clinical Engineering
$91K - $146K *
Accelerate progress at clinical engineering sites by leading operations, mentoring teams, and ensuring compliance with regulations. Drive efficiency and innovation in medical equipment management whil...
2 weeks ago
Site Manager, Clinical Engineering
$91K - $146K *
Engage with us to oversee clinical engineering operations, leading a team to enhance service quality and efficiency, while ensuring compliance with regulatory standards and fostering client relations...
2 weeks ago
Site Manager, Clinical Engineering
$103K - $170K *
Manage clinical engineering operations to enhance service quality and efficiency. Oversee day-to-day activities, foster positive relationships, and ensure compliance with regulatory standards while dr...
2 weeks ago
Site Manager, Clinical Engineering
$99K - $164K *
Drive clinical engineering excellence by leading site operations, enhancing customer relations, and ensuring compliance with regulatory standards. Shape teams for success through mentorship, strategic...
3 weeks ago
Site Manager, Clinical Engineering
$91K - $146K *
Lead clinical engineering initiatives to enhance customer service and operational excellence by overseeing site operations, managing personnel, ensuring compliance, and driving continuous improvement...
2 weeks ago
Service Unit Manager - Remote Call Center
$82K - $85K *
Take ownership of a high-performing remote customer service team, ensuring operational excellence and employee development while fostering a positive, inclusive culture. Lead strategic improvements to...
Yesterday
Service Unit Manager - Remote Call Center
$82K - $85K *
Shape the future of customer service by leading a diverse, high-performing remote team. Drive operational excellence, foster inclusive culture, and enhance customer experiences through strategic probl...
Yesterday
$145K - $160K *
Take ownership of configuration management for developmental and operational systems. Collaborate with teams to create, maintain, and implement configuration baselines and policies, ensuring adherence...
6 days ago
$145K - $160K *
Champion configuration management for developmental and operational systems. Collaborate with teams to establish and maintain baselines, implement policies, and ensure effective change control through...
6 days ago
Utilization Management Clinical Reviewer
$88K - $93K *
Analyze and optimize the quality of patient care through clinical reviews, ensuring effective utilization of resources while adhering to established guidelines and policies...
1 week ago
Utilization Management Clinical Reviewer
$88K - $93K *
Optimize care management by leading clinical reviews and ensuring appropriate resource utilization. Utilize your nursing expertise to evaluate preauthorizations and inpatient stays, while supporting q...
1 week ago
$70K - $116K *
Empower a high-performing team by overseeing itemization review processes, managing client appeals, and ensuring compliance with HIPAA standards. Engage in strategic decision-making while fostering a...
Today
Product Manager - Utilization Management
$86K - $138K *
Innovate in product strategy by defining value propositions, aligning stakeholders, and overseeing execution. Engage in sprint reviews to optimize performance and drive value across product portfolios...
Yesterday
Director of Utilization Review
$75K - $95K *
Join a team that's dedicated to enhancing patient care through effective utilization reviews, overseeing a critical department while collaborating with healthcare professionals and insurers to ensure...
6 days 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.