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.
$116K - $151K *
Join us to enhance compliance readiness in the electric utility sector, ensuring alignment with NERC Standards. Collaborate with cross-functional teams, drive proactive compliance initiatives, and ser...
Reposted 1 week ago
$80K - $95K *
Oversee the medical imaging department, ensuring high-quality services and compliance with regulations. Collaborate with staff, manage budgets, and drive continuous improvement initiatives to enhance...
2 days ago
AVEVA PI System Administrator (388)
$80K - $95K *
Advance the management and optimization of the AVEVA PI System environment, focusing on PI Vision dashboards and Event Frames. Collaborate with engineers and IT to support critical data operations in...
Reposted 1 month ago
$80K - $95K *
Lead our credential management efforts to ensure secure access across client systems, supporting operations and compliance for healthcare providers. Ideal for organized professionals committed to cybe...
1 week ago
$90K - $115K *
Execute a Master Production Schedule in a regulated aerospace setting. Utilize advanced planning expertise and ERP skills to align production with demand, capacity, and delivery commitments while effe...
1 week ago
Medical Director, Utilization Review
$210K - $250K *
Engage as a clinical expert to oversee medical necessity reviews, conduct prior authorizations, and facilitate peer discussions. Drive evidence-based care while collaborating with internal teams, ensu...
Reposted 2 weeks ago
Medical Director, Utilization Review
$210K - $250K *
Unlock potential by leading clinical decision-making in a remote, dynamic startup. Oversee medical necessity reviews, peer discussions, and policy development, ensuring optimal care while driving util...
Reposted 2 weeks ago
$80K - $95K *
Lead the charge in delivering impactful technology projects for clients, utilizing your project management skills to ensure successful implementation and customer satisfaction in a dynamic and collabo...
Reposted 2 weeks ago
$110K - $130K *
Transform the IT landscape by owning end-to-end IT and security operations at a dynamic startup. Be the key player in shaping tech infrastructure and compliance as you drive efficiencies across multip...
2 days ago
$110K - $130K *
Transform IT operations and security for a rapidly growing startup. Lead infrastructure management, employee support, and compliance initiatives while strategizing for future scalability and security...
2 days ago
$120K - $145K *
Champion IT and security across a multi-site startup, ensuring smooth operations and compliance. Lead initiatives for employee experience, AI governance, and security frameworks while preparing the co...
2 days ago
Ultrasound Radiology Manager - MCU
$80K - $95K *
Join a team that's dedicated to excellence in diagnostic radiology by managing operations, leading staff, and enhancing patient care quality. Leverage your clinical expertise to improve efficiency and...
4 days ago
Program Manager, MAXimize Program
$110K - $130K *
Elevate your career by leading a transformative program to enhance enterprise asset management. Drive strategic initiatives while fostering collaboration and innovation to optimize operations and achi...
2 days ago
Program Manager, MAXimize Program
$100K - $120K *
Lead the charge in delivering transformative Asset Management solutions, overseeing strategy, execution, and governance to ensure excellence in operational performance and alignment with organizationa...
2 days ago
Production Control SAP Manager.
$156K - $260K *
Lead the charge in SAP S/4HANA implementation and support at our Warsaw plant. Drive business process design, configuration, and user acceptance testing while ensuring seamless integration with key op...
3 days ago
$87K - $157K *
Shape operational strategies and drive business performance by collaborating across departments to enhance service quality and efficiency, ensuring alignment with organizational goals through data-dri...
Yesterday
$80K - $95K *
Lead the coordination of daily operations, enhancing participant care through collaboration with clinical teams. Drive quality improvement initiatives and ensure compliance to maintain high operationa...
Yesterday
$80K - $95K *
Transform operations by leading interdisciplinary teams, enhancing participant care, and improving workflows to ensure high-quality and compliant service delivery across the PACE center, while fosteri...
2 days ago
$80K - $95K *
Join a team that's dedicated to optimizing interdisciplinary operations and participant care while driving quality improvement and regulatory compliance in a dynamic healthcare environment...
3 weeks ago
$80K - $95K *
Lead Arctic-based research projects from inception to completion, ensuring effective management of scope, schedule, and budgets while coordinating resources, reporting on progress, and engaging with s...
2 weeks ago
Managed Services Program Manager
$99K - $134K *
Drive strategic program management for key managed services clients, ensuring effective service delivery, governance, and risk management. Build trusted relationships with stakeholders and lead cross...
2 weeks ago
Data Collection Program Manager
$120K - $145K *
Drive the end-to-end execution of onsite data collection programs, translating engineering requirements into protocols, managing teams, and ensuring high-quality datasets through rigorous planning and...
3 weeks ago
$67K - $97K *
Lead and support all medical staff operations and coordination, ensuring compliance with evolving standards while fostering professional relationships and guiding departmental initiatives to enhance s...
1 week ago
$131K *
Accelerate the digital transformation of client programs by leading modernization initiatives, developing strategic plans, and integrating innovative solutions for enhanced operational efficiency and...
2 weeks ago
Manager, Product Management, Member Interaction & Engagement Data
$108K - $180K *
Shape the future of product development, leading cross-functional teams to execute strategic initiatives and optimize customer engagement through innovative data solutions and market insights. Drive i...
Reposted today
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.