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.
Manager, Revenue Cycle Reporting
$85K - $110K *
Lead and support our Revenue Cycle Reporting team, overseeing operations and staff to enhance performance, compliance, and process improvements while ensuring accurate financial reporting in alignment...
2 weeks ago
$90K - $120K *
Drive operational excellence by leading a team in benefit configuration, ensuring compliance and quality assurance across core claims platforms. Collaborate cross-functionally to support client implem...
2 weeks ago
Database Administrator Program Management Portal
$115K - $139K *
Advance database management practices by overseeing implementation, enhancing applications, and providing expert training. Collaborate with teams to migrate legacy systems and develop automated workfl...
5 days ago
Manager, Behavioral Health Utilization Management - IL Medicaid
$95K - $206K *
Lead the charge in delivering top-tier utilization management by overseeing clinical teams, driving innovative practices, and elevating care standards to achieve exceptional health outcomes and operat...
1 week ago
$90K - $120K *
Champion the stability and swift recovery of services through effective Major Incident Management. Lead cross-functional teams during critical incidents, driving structured responses, and continuous i...
2 weeks ago
$90K - $130K *
Lead the charge in incident management, ensuring swift recovery from critical outages while driving service reliability and operational excellence across engineering and operations teams...
2 weeks ago
$70K - $95K *
Transform bid responses for OSP construction by managing planning, compliance, and execution across multiple projects. Leverage GIS tools and collaborate with teams to ensure timely, accurate, and eff...
2 weeks ago
$75K - $95K *
Optimize patient experiences by leading a dynamic team, enhancing operational efficiency, and driving service excellence. Foster a collaborative environment while implementing strategies to surpass pe...
3 weeks ago
$80K - $110K *
Advance plant performance as a leader in maintenance operations, ensuring safety, compliance, and reliability. Drive efficiency strategies, oversee team operations, and implement best practices while...
5 days ago
$75K - $95K *
Manage strategic initiatives across healthcare teams, developing project plans that define scope and timelines, while serving as a key liaison to ensure effective communication and collaboration withi...
2 weeks ago
$80K - $110K *
Join as a strategic partner to lead HR initiatives, drive employee relations investigations, and enhance workforce performance in a dynamic healthcare environment while promoting best practices and en...
1 week ago
Access Center Manager, Telehealth
$85K - $110K *
Manage operations and staff of a telehealth program, ensuring efficient workflows, compliance, and performance. Collaborate with leadership and oversee technology systems to drive continuous improveme...
3 weeks ago
$110K - $125K *
Transform elder care by leading a dedicated nursing team, optimizing resident services, and ensuring clinical excellence in a supportive longterm care environment. Drive improvements and manage unit o...
Reposted 4 days ago
Care Coordinator, Utilization Management
$106K *
Join a team that's dedicated to improving patient care through effective coordination, resource utilization, and evidence-based practices while overseeing a designated caseload in a dynamic healthcare...
4 weeks ago
System Manager Payer Analytics Economics
$100K - $130K *
Advance our healthcare delivery by leading payer relations and contracts. You'll manage a dynamic team to negotiate with payers, enhance financial performance, and ensure compliance in a complex healt...
Reposted 5 days ago
System Manager Payer Analytics Economics
$100K - $130K *
Manage strategic payer relations, overseeing contract negotiations and monitoring financial performance to enhance partnerships and ensure optimal reimbursement rates across healthcare operations...
Reposted yesterday
Configuration Manager (Journeyman)
$85K - $110K *
Lead the charge in enhancing configuration management for Army Cyber and Space operations, ensuring disciplined control of software and hardware across diverse engineering and logistics teams in a fas...
3 weeks ago
Utility Energy Manager (Johns Hopkins Facilities & Real Estate)
$99K - $175K *
Drive energy efficiency and sustainability initiatives on campus by leading a team and overseeing energy management systems, regulatory compliance, and budget management to achieve decarbonization goa...
Reposted 1 week ago
Utilization Management Registered Nurse
$75K - $95K *
Transform patient care by ensuring the appropriateness of healthcare services while maintaining compliance and resource efficiency in a supportive environment that promotes quality outcomes and optima...
Reposted 2 days ago
Access Manager - Patient Services - Healthcare
$74K - $87K *
Explore new avenues in patient access as you manage the insurance process. Support clients and patients by coordinating claims, navigating barriers, and ensuring timely approvals with a focus on quali...
3 weeks ago
Site Manager-Base Maintenance (NJUS)
$75K - $95K *
Contribute to the effective management of aircraft maintenance, ensuring compliance with safety and quality standards. Oversee vendor performance and coordinate between various departments to achieve...
6 days ago
$75K - $95K *
Unlock potential by managing maintenance operations to ensure optimal equipment performance, compliance with safety standards, and continuous improvement in a dynamic manufacturing environment. Lead a...
4 days ago
$75K - $95K *
Transform the materials management processes within manufacturing operations to ensure optimal production schedules and compliance with inventory standards while leading a dedicated team in a dynamic...
3 days ago
$75K - $95K *
Lead a dedicated team managing treatment activities in a behavioral health setting, ensuring comprehensive patient care and collaborative planning. Drive improvements in service delivery and support r...
3 days ago
$100K - $149K *
Transform patient care by leading interdisciplinary teams, ensuring compliance, and optimizing clinical staff performance in a fast-paced healthcare environment. Drive quality and foster professional...
6 days ago
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.