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
$91K - $107K *
Oversee Utilization Management operations, ensuring compliance with contractual metrics, standards, and staff performance. Support team coordination and act as a key leader in healthcare program effic...
Reposted 4 days ago
Supervisor, Utilization Management
$91K - $107K *
Elevate your career by supervising Utilization Management operations and ensuring compliance with clinical standards. Lead a team, drive performance, and collaborate across departments to enhance serv...
Reposted 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...
Reposted 3 days ago
Utility Project Controls Scheduler
$95K - $130K *
Drive successful delivery of utility capital projects by managing schedules, budgets, and risks. Collaborate with engineering and construction teams to ensure compliance and visibility into program pe...
3 weeks ago
Supervisor, Utilization Management Medicare and Duals (One Care and SCO)
$99K - $144K *
Transform healthcare management by leading clinical utilization teams. Collaborate with seasoned professionals to enhance member care and drive innovative solutions in a supportive and inclusive envir...
2 weeks ago
Supervisor, Utilization Management Medicare and Duals (One Care and SCO)
$99K - $144K *
Champion the daily operations of utilization management by overseeing clinical staff, driving quality reviews, and optimizing workflow to enhance member care and achieve compliance with regulations in...
2 weeks ago
Vice President, Utilization Management
$188K - $359K *
Grow your career with a dynamic role driving medical management programs, optimizing utilization processes, and ensuring compliance while leading data-driven strategies to improve outcomes across dive...
1 week ago
Utilization Management Reviewer - Behavioral Health
$80K - $98K *
Optimize member care by authorizing medically necessary services. Engage with a collaborative team using clinical skills to enhance health outcomes while ensuring efficient utilization management and...
3 days ago
$70K - $94K *
Manage claims operations and team performance to ensure compliance and efficiency. Oversee claims processing, data integrity, and reporting, while driving improvements through analysis and cross-funct...
1 week 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 3 days ago
$80K - $95K *
Lead the charge in optimizing inventory accuracy and management processes across manufacturing operations, driving efficiency and collaborative partnerships with cross-functional teams to maintain hig...
2 weeks ago
$95K - $110K *
Innovate scalable systems by automating finance operations, evaluating software solutions, and integrating AI capabilities for efficiency. Collaborate across departments to optimize workflows and supp...
1 week ago
$79K - $81K *
Oversee clinical operations in a resident care unit ensuring quality care, staff mentorship, and regulatory compliance. Collaborate with healthcare teams to promote positive outcomes and support a res...
Yesterday
$120K - $155K *
Champion the continuous improvement of document control and PLM systems, ensuring product data integrity while collaborating across engineering, operations, and supply chain teams to optimize processe...
3 weeks ago
Site Manager, Clinical Engineering
$99K - $164K *
Optimize patient care ownership through clinical engineering management. Oversee multi-site operations, driving engagement and performance while partnering with hospital leaders to ensure compliance a...
2 weeks ago
Site Manager, Clinical Engineering
$91K - $146K *
Lead the charge in clinical engineering operations by optimizing performance, overseeing multi-site management, and driving impactful results that enhance patient care and team effectiveness...
Reposted 2 weeks ago
Site Manager, Clinical Engineering
$91K - $146K *
Optimize clinical engineering operations by managing multi-site teams, budgets, and performance. Drive impactful results while ensuring compliance and readiness in a dynamic healthcare environment. Le...
Reposted 2 weeks ago
$90K - $110K *
Elevate your career with a dynamic management role overseeing telecommunications operations. You’ll lead teams, drive efficiency and quality, and enhance customer satisfaction while managing multiple...
2 weeks ago
$100K - $120K *
Grow your career with a leadership role driving profitable managed services in the mining sector. Oversee business processes, compliance, budgeting, and global team management, ensuring effective sale...
Reposted 3 weeks ago
Service Unit Manager - 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...
Reposted 2 days ago
$88K - $105K *
Drive clinician engagement and optimize product utilization through strategic relationship building, education, and analytical support, ensuring superior healthcare outcomes while controlling supply c...
2 weeks ago
$90K - $110K *
Collaborate with departments to enhance operational systems and technology. Manage system performance and access while ensuring compliance, security, and ongoing support. Lead projects aimed at improv...
2 weeks 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...
Reposted 4 days ago
Data Manager (Value Based Care)
$125K - $135K *
Shape the future of value-based care by managing data infrastructure, ensuring accurate reporting, and delivering actionable insights through innovative analytics while collaborating closely with cros...
Reposted 4 weeks ago
$90K - $120K *
Advance enterprise Configuration Management for a DoD satellite portfolio. Lead the design and implementation of a modern JIRA-based CMDB, establishing sustainable processes and driving digital transf...
2 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.