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.
$111K - $147K *
Partner with us to enhance risk control services, ensuring compliance and quality in underwriting and claims. Lead initiatives, manage vendor relationships, and drive improvements in loss control proc...
3 weeks ago
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Manage and coordinate construction projects across various company locations, ensuring compliance with all regulations and standards. Oversee budgets, schedules, and contractor performance to deliver...
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$117K - $153K *
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6 days ago
CLINICAL ASSESSMENT MANAGER QUALITY REVIEWER
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Empower quality in clinical assessments by reviewing UAS-NY documentation, coaching staff, and collaborating with interdisciplinary teams to enhance participant care and ensure compliance with health...
5 days ago
Service Desk Manager - IT Ops Service Management
$80K - $95K *
Drive the daily operations of a 24/7 IT support team, ensuring high-quality customer service and compliance with standards. Lead incident management, staff training, and performance evaluation to enha...
1 week ago
Administrative Services/Workflow Manager
$80K - $95K *
Optimize workflow processes and enhance administrative support for leadership, ensuring efficient task management and communication across teams while driving continuous improvement initiatives within...
Yesterday
Manager, Performance Analytics & Reporting 1
$145K - $170K *
Optimize utility performance analysis and reporting by leading a team to ensure accurate data insights, compliance, and continuous improvement in the energy sector, while fostering collaboration and i...
1 week ago
$80K - $95K *
Manage and optimize IT infrastructure by administering servers, cloud services, and virtualization tools. Collaborate with teams to deliver effective solutions while ensuring system reliability and pe...
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$100K - $120K *
Lead the charge in optimizing release processes across teams, ensuring seamless code transitions from development to production. Drive continuous improvement and maintain high standards for deployment...
2 weeks ago
System Administrator I - OT Applications
$80K - $90K *
Join a team that's dedicated to ensuring the reliability and security of operational technology systems. This entry-level role involves monitoring, maintenance, and support tasks, providing a solid fo...
Reposted yesterday
Clean Energy Manager - Policy Manager - E-Mobility
$100K - $120K *
Drive the future of clean energy by advocating for electric vehicle policies and strategies. Collaborate with stakeholders to enhance EV adoption and support utility goals in New York and New Jersey...
6 days ago
$110K - $130K *
Join our dynamic Implementation Team to lead seamless customer onboarding and drive successful accounting system integrations. Your expertise will ensure effective platform adoption and enhance cross...
4 weeks ago
$110K - $130K *
Optimize cross-functional project management by leading a global team, enhancing NPD processes, and driving innovation. Collaborate with diverse teams to improve visibility, resolve execution barriers...
1 week ago
$110K - $130K *
Lead and enhance global project management for new product development, ensuring disciplined execution across platforms. Drive innovation, improve visibility, and build a high-performing team to meet...
1 week ago
$95K - $115K *
Drive APS transformation by leveraging Kinaxis expertise to enhance production planning for complex assemblies. Collaborate cross-functionally to optimize demand, supply, and inventory management whil...
3 weeks ago
Program Implementation Manager
$72K - $91K *
Drive successful program implementations by managing transitions into Business-As-Usual operations. Collaborate with cross-functional teams to ensure readiness, alignment, and stabilization of new ini...
Yesterday
Utilization Management RN - Physical Health
$71K - $97K *
Join a team that's dedicated to optimizing patient care through effective utilization management. Leverage your clinical expertise to coordinate services, communicate with stakeholders, and ensure adh...
Yesterday
$75K - $100K *
Transform operations by leading a dynamic HVAC, Plumbing, and Electrical team. Drive growth, enhance performance, and foster a culture of excellence while collaborating with market leadership to achie...
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$145K - $165K *
Lead and enhance quality initiatives, ensuring compliance with standards while fostering a culture of excellence. Collaborate with teams to drive continuous improvement and maintain audit readiness ac...
3 weeks ago
$80K - $95K *
Explore a pivotal role in managing daily operations of Care Management, ensuring compliance and efficiency in discharge planning. Lead a team, collaborate with healthcare professionals, and drive stra...
Today
$104K - $145K *
Join a team that oversees diverse projects, ensuring timely completion and budget adherence while enhancing customer operations through strategic communication and technical support...
4 weeks ago
$80K - $95K *
Drive operational excellence in foundry manufacturing by overseeing production, safety, and quality. Lead teams to achieve strategic goals while ensuring compliance with regulations and fostering a cu...
1 week ago
Management Group - Project Manager
$80K - $95K *
Elevate project outcomes by managing construction activities for wireless communication towers. Oversee budgeting, scheduling, and team coordination to ensure timely and cost-effective project complet...
4 days ago
Management Group - Project Manager
$80K - $95K *
Lead the charge in managing construction projects for wireless communication towers, ensuring safety, budget adherence, and timely completion while collaborating with teams and stakeholders to drive p...
4 days ago
$110K - $130K *
Drive successful delivery of a complex SAP S/4HANA enhancement initiative by managing multiple workstreams, coordinating with stakeholders, and ensuring alignment with strategic priorities and project...
3 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.