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.
$75K - $89K *
Champion operational excellence by managing collection activities and vendor performance. Lead call center teams, drive continuous improvement, and ensure compliance with regulations while fostering a...
Reposted 3 days ago
Program Manager - Capital Equipment Contracts and Sourcing
$95K - $115K *
Advance your career by managing capital equipment sourcing for a $600M program. Lead vendor negotiations, oversee compliance, and drive cost-saving initiatives across 392 facilities while collaboratin...
6 days ago
Resource Manager - Engineering/Technical
$106K - $141K *
Empower our engineering team by strategically managing resources to meet mission-critical projects. Collaborate with leadership to attract top talent and ensure operational excellence in support of na...
2 weeks ago
$76K - $95K *
Transform the billing landscape by leading a dynamic team in managing pharmacy and medical claims processing. Drive operational excellence, ensure compliance, and optimize revenue cycle performance wh...
1 week ago
$110K - $130K *
Join a team that's dedicated to optimizing 24x7 NOC operations and enhancing service reliability. Drive accountability, improve monitoring, and elevate incident management while ensuring alignment wit...
Reposted 3 weeks ago
$132K - $198K *
Join a team that's dedicated to establishing robust cost accounting systems and managing program baselines. Play a key role in vendor management and operational effectiveness while advising on staffin...
2 weeks ago
$90K - $110K *
Lead the charge in managing project schedules for road and highway initiatives. Collaborate with teams to ensure accuracy, resolve conflicts, and deliver critical path analysis while mentoring staff a...
1 week ago
$80K - $95K *
Lead a dynamic accounting team to enhance financial processes, ensure compliance, and drive accurate reporting. Collaborate cross-functionally to support audits and mentor staff while contributing to...
4 days ago
$95K - $120K *
Drive seamless office operations and vibrant team events, ensuring a welcoming environment. Oversee logistics for office moves and coordinate multi-day offsites, fostering collaboration and culture in...
4 days ago
$80K - $95K *
Lead workforce management initiatives by translating client demand into effective staffing plans. Collaborate with operations to optimize schedules, enhance performance, and ensure service level compl...
4 weeks ago
Manager, Payor Contract Services
$95K - $115K *
Join a team that's driving strategic leadership in contract negotiations and operational support across diverse healthcare services. This role focuses on enhancing market share and reimbursement initi...
Reposted today
Medical Director, Utilization Management
$206K - $350K *
Seeking a Medical Director to lead Utilization Management, ensuring evidence-based clinical oversight and compliance. Collaborate with teams to enhance care quality, analyze data to reduce FWA risks...
Reposted today
$80K - $95K *
Elevate client success by owning onboarding from kickoff to go-live. Act as a trusted advisor, managing multiple projects in a fast-paced environment while ensuring clients maximize value from solutio...
1 week ago
$80K - $95K *
Support the implementation of pain management and opioid safety initiatives, collaborating with clinical teams to enhance patient care and compliance with national standards while driving improvements...
1 week ago
$80K - $95K *
Unlock potential by leading pain management initiatives and opioid safety programs. Collaborate with clinical teams to enhance patient care, ensure compliance with national standards, and drive improv...
1 week ago
$80K - $95K *
Advance pain management initiatives by collaborating with clinical teams to enhance opioid safety and compliance with national standards, while leading data-driven reviews and implementing risk mitiga...
1 week ago
$110K - $130K *
Join a team that's leading complex IT projects, managing multidisciplinary teams, and ensuring effective contract support across multiple locations. Drive integration planning and enhance communicatio...
1 week ago
$100K - $120K *
Champion the management of complex IT projects, leading multidisciplinary teams to ensure successful contract operations and integration across multiple locations while meeting mission objectives...
1 week ago
Manager, AMS/SAP Platform Administration and Support
$110K - $129K *
Join a team that's leading the evolution of SAP technology, managing a skilled group to enhance enterprise solutions, ensuring security, scalability, and alignment with institutional goals while drivi...
Yesterday
$90K - $110K *
Deliver impactful project management by leading cross-functional teams, ensuring timely and budget-friendly project delivery while enhancing team capabilities and stakeholder engagement...
1 week ago
Capacity and Performance Manager
$100K - $120K *
Advance your career by optimizing mainframe capacity and performance. Analyze data trends, forecast demands, and ensure resource utilization aligns with business needs while preventing system overload...
Yesterday
Manager-Perioperative Analytics
$88K - $105K *
Advance surgical analytics initiatives to enhance efficiency, optimize staffing, and improve operational performance across perioperative services. Collaborate with clinical and administrative leaders...
Yesterday
$65K - $98K *
Manage and support enterprise network infrastructure, ensuring security, performance, and availability across data centers and cloud environments. Collaborate with teams to optimize connectivity and t...
2 weeks ago
Project Manager - Implementation
$95K - $115K *
Champion innovative solutions in financial services by leading complex projects, leveraging AI tools, and collaborating with top private market firms to enhance portfolio monitoring and valuation proc...
1 week ago
Epic Senior Analyst, Care Coordination
$95K - $115K *
Join a team that's dedicated to optimizing healthcare applications. As an Epic Senior Analyst, you'll lead implementation efforts, support junior staff, and collaborate with stakeholders to enhance ap...
Reposted 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.