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.
$80K - $95K *
Lead the charge in optimizing warehouse operations, coaching teams, and driving excellence in a high-volume distribution environment. Collaborate with managers to enhance productivity and ensure excep...
1 week ago
$80K - $86K *
Lead workforce planning and operations for a 24/7 multi-channel contact center, ensuring effective staffing and service levels while optimizing systems in a dynamic remote environment. Foster collabor...
Reposted 4 weeks ago
Program Manager - Technology (Via Benefits)
$140K - $150K *
Lead the charge in managing complex programs, ensuring timely delivery and stakeholder satisfaction through effective planning, execution, and risk management while collaborating with cross-functional...
4 days ago
Program Manager - Technology (Via Benefits)
$140K - $150K *
Join a team that's dedicated to delivering impactful programs through effective planning and execution. Leverage your project management expertise to coordinate cross-functional teams, manage risks, a...
4 days ago
Program Manager - Technology (Via Benefits)
$140K - $150K *
Transform projects into success stories by leading cross-functional teams, managing budgets, and ensuring timely delivery. Collaborate closely with stakeholders to drive program execution and continuo...
4 days ago
Continuous Improvement Manager
$80K - $150K *
Know where the hours go on all four lines. Run time, stops, changeovers, rejects, by line and by shift. Start from what the leads already record and build it into one picture, in a form that holds up...
1 week ago
$80K - $95K *
Drive successful customer onboarding by leading implementations, coordinating data integration, and ensuring stakeholder alignment to enhance healthcare operations and accelerate time to value for cli...
6 days ago
$80K - $136K *
Join us to enhance customer success through strategic account management, driving product adoption and renewals. Collaborate with sales teams to deliver tailored solutions, ensuring exceptional servic...
1 week ago
Workers Compensation Claims Manager
$90K - $110K *
Empower a dynamic claims team by overseeing workers' compensation processes, ensuring compliance, and enhancing client relations. Lead operations, manage litigated claims, and drive performance metric...
3 weeks ago
$105K - $125K *
Lead technology operations for global teams, optimizing systems and support. Collaborate on strategic AI solutions, ensuring compliance and enhancing workflows. Drive efficiency and innovation in a dy...
6 days ago
Talent Management Module ERP Lead
$75K - $105K *
Join a team that's driving the implementation of a new ERP system, providing functional leadership in talent management. Collaborate with stakeholders to optimize processes and ensure effective adopti...
6 days ago
$100K - $120K *
Join a team that's dedicated to driving sales excellence in cutting-edge automation solutions across diverse industries. Build strong executive relationships, manage a robust pipeline, and exceed your...
4 weeks ago
$90K - $110K *
Optimize your sales impact by owning and expanding a robust pipeline in the Consumer & Life Sciences sector. Drive complex deals through strong customer relations and strategic pursuits, all while col...
4 weeks ago
$90K - $110K *
Shape the future of automation by driving sales, nurturing key relationships, and managing complex B2B sales cycles across diverse industries, all while exceeding bookings targets and contributing to...
4 weeks ago
$80K - $95K *
Pioneer your success as an Account Manager, driving sales in Consumer & Life Sciences. Own your pipeline, build executive relationships, and close high-value automation deals while collaborating with...
4 weeks ago
$90K - $110K *
Elevate your career by owning key client relationships and driving sales growth. Manage complex B2B sales cycles and collaborate with internal teams to deliver tailored automation solutions in diverse...
4 weeks ago
$90K - $110K *
Champion client success by driving complex sales cycles in automation solutions. Build strong relationships with industry executives and maintain pipeline health while exceeding bookings targets in th...
4 weeks ago
$88K - $105K *
Join a dynamic sales team to drive automation solutions across diverse industries. Build relationships and manage your pipeline to close significant deals while collaborating with engineering teams to...
4 weeks ago
$100K - $120K *
Engage with executive clients to drive multi-stakeholder sales cycles, own your pipeline, and exceed bookings targets. Deliver custom automation solutions across diverse industries while building stro...
4 weeks ago
$80K - $95K *
Elevate your career by owning complex sales cycles in automation solutions. Drive business growth through executive relationships, multi-stakeholder pursuits, and strategic decision-making across dive...
4 weeks ago
$80K - $95K *
Transform customer relationships by leading complex sales cycles, building strong executive partnerships, and driving automation solutions across diverse industries to achieve and exceed booking targe...
4 weeks ago
$80K - $95K *
Advance patient care by leading a dynamic therapy team, enhancing operations, and fostering relationships to support recovery and celebrate victories in a collaborative environment...
1 week ago
$90K - $110K *
Solve complex sales challenges by driving automation solutions and building strong client relationships across diverse industries. Leverage your experience to lead multi-stakeholder pursuits, achievin...
4 weeks ago
Unit Manager (Resident Care Manager ) - RN
$108K - $127K *
Transform resident care by leading a dedicated nursing team, ensuring compliance and high-quality standards while fostering a supportive environment for both staff and residents...
1 week ago
$85K - $102K *
Empower innovation in critical power solutions by leading dynamic projects. Collaborate with cross-functional teams to ensure exceptional delivery and customer satisfaction while managing risks and ma...
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.