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 *
Drive operational excellence by building and leading a high-performance group administration team. Influence processes and client experience while collaborating with key stakeholders to shape the futu...
4 weeks ago
$139K - $185K *
Lead the charge in driving branch growth and profitability by managing sales operations and fostering a customer-centric culture. Collaborate with teams to optimize performance and develop talent for...
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$120K - $175K *
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$110K - $130K *
Transform AI adoption across agencies by leading strategy, governance, and capacity-building initiatives. Drive scalable engagement and operational support to ensure responsible, measurable, and compl...
1 week ago
$128K - $170K *
Drive global inventory management and supply chain execution, ensuring >98% accuracy and SOX compliance. Collaborate with cross-functional teams to optimize processes and lead material review boards w...
6 days ago
$100K - $120K *
Drive automation excellence by leading innovative solutions in manufacturing. Collaborate across teams to enhance safety, quality, and productivity through advanced technologies and continuous improve...
2 weeks ago
$88K - $105K *
Drive inventory excellence by leading strategic initiatives in a dynamic environment. Oversee processes for accuracy, governance, and operational readiness while fostering a culture of continuous impr...
1 week ago
Clinical Operations Manager- Medical Clinic
$80K - $95K *
Advance clinical operations by managing staff and programs, ensuring effective service delivery and compliance. Collaborate with leadership to enhance health initiatives and drive growth in clinical r...
5 days ago
Director, Workforce Management
$89K - $169K *
Empower your career by leading strategic workforce planning initiatives, aligning staffing and budget decisions with operational needs. Collaborate across teams to enhance efficiency and drive transfo...
4 days ago
Director, Workforce Management
$89K - $169K *
Elevate workforce planning by connecting demand with capacity and budget decisions. Provide strategic leadership, enhance operational efficiency, and drive transformation across the organization while...
4 days ago
$73K - $110K *
Champion patient care excellence by leading a dedicated team, ensuring compliance with regulations, and promoting safety and quality in hospice services. Engage in problem resolution and staff educati...
Reposted today
$85K - $127K *
Transform patient care by overseeing clinical services and leading an interdisciplinary team to ensure high-quality home health support, adhering to physician plans and regulatory standards for optima...
4 days ago
$76K - $114K *
Join a team that's dedicated to delivering high-quality home health care. Oversee clinical services, coordinate interdisciplinary teams, and ensure patient needs are met in compliance with regulations...
1 week ago
$89K - $134K *
Join a team that's dedicated to delivering high-quality home health care. Oversee clinical services and lead an interdisciplinary team to ensure patient needs are met in accordance with physician plan...
2 weeks ago
$94K - $141K *
Join a dynamic team as you oversee clinical services, ensuring high-quality home health care, coordinating with interdisciplinary staff, and navigating patient needs within state and federal regulatio...
Reposted 3 weeks ago
$88K - $105K *
Lead the charge in managing technology infrastructure projects, ensuring seamless execution of network refreshes and hardware deployments while coordinating cross-functional teams and maintaining stak...
6 days ago
Program Manager - Hub Operations
$90K - $110K *
Contribute to the success of pharmaceutical programs by managing client relationships, overseeing daily operations, and driving performance. Collaborate cross-functionally to ensure program execution...
Reposted 3 weeks ago
Senior Application Analyst - Patient Accounting (Soarian Financials)
$90K - $110K *
Optimize patient accounting systems by collaborating with stakeholders to enhance financial outcomes, ensuring compliance and operational efficiency while providing expert support and training to user...
2 weeks ago
AVP, Nuveen Green Capital Accounting Controller
$119K - $150K *
Oversee financial record keeping and reporting while leading an accomplished team. Collaborate with various departments to ensure accuracy in accounting practices and compliance with audit requirement...
Reposted yesterday
AVP, Nuveen Green Capital Accounting Controller
$119K - $150K *
Lead the accounting team in ensuring precise financial practices, overseeing reporting and reconciliations, and enhancing efficiencies to support investment objectives and audit compliance. Foster col...
Reposted yesterday
CLINICAL ASSESSMENT MANAGER QUALITY REVIEWER
$110K - $120K *
Transform quality in clinical assessments by reviewing UAS-NY documentation, coaching staff, and collaborating with teams to enhance participant care and compliance. Drive improvements in workflows an...
4 days ago
AVP, Nuveen Green Capital Accounting Controller
$119K - $150K *
Join a team that's at the forefront of financial management, overseeing a skilled accounting team. Drive accurate reporting, ensure compliance, and enhance strategic initiatives while shaping the futu...
Reposted yesterday
$130K - $165K *
Lead the charge in project management, ensuring technical excellence and client satisfaction while fostering relationships and identifying future business opportunities across diverse sectors...
1 week ago
$129K - $155K *
Champion the development and maintenance of the Integrated Master Schedule, ensuring all satellite subsystems align with program timelines and risk management, thus enabling successful hardware progra...
Reposted 1 week ago
$77K - $176K *
Unlock potential by leading operational improvements and enhancing efficiency through data-driven analysis and collaboration with cross-functional teams to achieve mission success and streamline proce...
1 week 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.