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 *
Advance your career by leading workforce planning and development initiatives. Collaborate with cross-functional teams to optimize staffing strategies and enhance operational efficiency in a dynamic c...
2 weeks ago
$95K - $115K *
Join us to lead and optimize supply chain operations, ensuring efficient production schedules, inventory management, and logistics. Collaborate with cross-functional teams to achieve plant goals and d...
1 week ago
Managed Trans Operations Manager
$73K - $107K *
Champion operational excellence by managing logistics and client relationships, driving continuous improvement, and leading a team to enhance performance and productivity in a dynamic environment...
Today
$110K - $130K *
Join a dynamic accounting team to own month-end close and financial reporting for domestic and international subsidiaries, driving process improvements and shaping financial controls as the organizati...
6 days ago
$170K - $190K *
Elevate business systems by leading NetSuite management and integrations. Collaborate with cross-functional teams to ensure scalable, reliable processes while leveraging AI for development. Mentor a t...
2 weeks ago
$110K - $130K *
Join a team that's dedicated to ensuring financial integrity and accuracy. Oversee accounting operations, drive process improvements, and collaborate with cross-functional teams to maintain compliance...
6 days ago
Program Manager, Federal Health Programs
$175K - $190K *
Join a team that's transforming health care collaboration between the Military Health System and the Department of Veterans Affairs. Lead a contractor team, ensuring program success and effective comm...
Yesterday
$88K - $105K *
Join a team that's dedicated to transforming patient experiences through effective program management. Lead a compassionate group, optimize service delivery, and drive operational excellence while mak...
1 week ago
$93K - $140K *
Drive your career forward by leading maintenance strategies that enhance productivity and safety. Collaborate with cross-functional teams to ensure optimal facility operations and compliance while dev...
1 week ago
$88K - $105K *
Shape the future by leading a document control team, overseeing engineering deliverables, and ensuring compliance across multiple projects. Bring your expertise to enhance processes and mentor team me...
1 week ago
Manager, Capital Reporting and Spend Controls
$123K - $136K *
Lead financial oversight and reporting for capital projects, ensuring accuracy and compliance. Collaborate with teams to enhance transparency and accountability in capital expenditures, supporting inf...
6 days ago
Manager, Capital Reporting and Spend Controls
$123K - $136K *
Explore a pivotal role overseeing financial reporting and spend controls for capital programs. Ensure transparency and accountability through disciplined financial oversight, supporting informed decis...
6 days ago
$80K - $95K *
Join a dynamic team to drive software implementation in healthcare settings, enhancing user adoption and operational efficiency. Collaborate with clinical and administrative stakeholders to ensure suc...
Today
$110K - $130K *
Shape the future of business operations by optimizing processes across sales and customer success. Collaborate with cross-functional teams to drive efficiency, enhance tool adoption, and leverage AI f...
1 week ago
Utilization Review RN - Risk Management
$90K - $110K *
Drive the design and evaluation of peer review programs, collaborating with clinical leaders to enhance quality and safety in healthcare. Utilize strong analytical skills to manage multiple priorities...
1 week ago
Project Manager, Academic Affairs
$80K - $95K *
Lead the charge in managing diverse projects within the Caregiver Support portfolio, ensuring effective stakeholder coordination, training implementation, and operational excellence across multiple in...
2 weeks ago
Manager, Patient Services - Client Program Mgmt, Patient Access
$102K - $130K *
Lead the charge in optimizing patient services through effective team management, strategic collaboration, and continuous improvement initiatives. Drive operational efficiencies while ensuring high-qu...
6 days ago
$105K - $114K *
Champion a dedicated claims team managing Texas workers' compensation operations. Oversee compliance, enhance efficiencies, mentor staff, and ensure exceptional service delivery while navigating compl...
1 month ago
$80K - $95K *
Empower your career by managing operations across 3+ million sq. ft. of facilities. Lead a dedicated team, collaborate on strategic planning, and ensure optimal maintenance and safety standards in a d...
1 week ago
$90K - $110K *
Drive operational excellence by managing QA resources, capacity planning, and governance for client services. Serve as the primary client liaison, ensuring quality delivery and continuous improvement...
1 week ago
Manager, Virtualization & Digital Workspace Platforms
$120K - $187K *
Drive innovation by leading a team in designing and managing virtualization and digital workspace solutions, ensuring secure, efficient, and customer-focused technology environments that align with bu...
4 days ago
$88K - $105K *
Shape the future of client success by leading implementation processes, ensuring alignment on project expectations, and fostering strong relationships. Drive strategic engagement and deliver tailored...
5 days ago
$95K - $115K *
Join a team that's dedicated to client success by managing the implementation process, ensuring alignment on project expectations, and fostering strong relationships to drive satisfaction and trust fr...
5 days ago
$80K - $95K *
Empower client success by leading the implementation process, ensuring alignment on project expectations, and fostering strong relationships. Utilize analytical skills to navigate complex healthcare e...
5 days ago
$80K - $95K *
Join us in driving client success as you oversee onboarding and implementation processes, ensuring alignment and satisfaction through effective communication and strategic project management in a dyna...
5 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.