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.
$90K - $120K *
Advance enterprise Configuration Management for a DoD satellite portfolio. Lead the design and implementation of a modern JIRA-based CMDB, establishing sustainable processes and driving digital transf...
2 days ago
Clinical Manager, Care Management & TOC
$88K - $105K *
Elevate care management standards by overseeing a dynamic team of professionals, ensuring effective support for members with complex conditions and driving compliance with regulatory requirements for...
1 week ago
$130K - $150K *
Oversee the execution of security technology programs, collaborating with teams to deliver superior solutions on time and within budget while managing risks and client satisfaction through proactive c...
2 weeks ago
$90K - $110K *
Champion impactful partnerships by driving engagement and success with health system/provider networks. Utilize clinical research knowledge to foster collaboration among cross-functional teams and enh...
2 weeks ago
$121K - $188K *
Optimize application support and development for healthcare solutions. Lead a team to enhance system functionality, manage releases, and ensure operational excellence while collaborating with stakehol...
6 days ago
$121K - $188K *
Drive operational success by managing healthcare applications, leading a team and collaborating with stakeholders to ensure efficient system performance and strategic technology implementation...
1 week ago
Utilization Management Medical Director- Remote
$248K - $373K *
Join a team that empowers providers and members to enhance health outcomes through effective clinical review processes and collaboration, ensuring optimal care and cost efficiency across healthcare se...
2 weeks ago
Utilization Management Medical Director - Remote
$248K - $373K *
Help us elevate healthcare by providing expert clinical support and guidance, ensuring optimal benefit determinations and quality care for our members while collaborating with a multidisciplinary team...
Yesterday
Director of Utilization Review
$80K - $100K *
Lead utilization review operations at a new behavioral health facility, ensuring compliance with regulatory standards while managing patient admissions and interactions with insurance payers to optimi...
3 weeks ago
$99K - $114K *
Take ownership of configuration and data management for key defense projects. Collaborate across teams to ensure compliance, maintain baselines, and support audits while fostering an environment of co...
2 weeks ago
$95K - $109K *
Drive success by managing configuration and data for C3I&N programs, ensuring accuracy and compliance in project documentation, conducting audits, and supporting engineering assessments in a dynamic...
2 weeks ago
$85K - $100K *
Empower healthcare outcomes by managing care for diverse patient populations. Collaborate with a dynamic team, leveraging your clinical expertise to drive efficiency and compliance in care management...
Reposted 6 days ago
$142K - $147K *
Develop and manage end-to-end software deliveries, leading teams to deliver business solutions and support ongoing projects. Collaborate cross-functionally to streamline customer engagement and enhanc...
2 weeks ago
$110K - $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...
Reposted 3 weeks ago
$95K - $115K *
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...
Reposted 3 weeks ago
Integrated Production Unit Manager
$95K - $115K *
Accelerate progress at our manufacturing operations by managing product groups, ensuring safety, quality, and efficiency. Lead teams, implement strategies, and drive continuous improvement to achieve...
Reposted 3 weeks ago
Director of Case Management - Utilization Management
$108K - $163K *
Lead a dedicated Case Management Team, enhancing patient care through effective utilization management and discharge planning. Drive strategic initiatives, develop staff capabilities, and ensure quali...
3 weeks ago
EPIC APPLICATION MANAGER-INFORMATION SYSTEMS
$95K - $115K *
Transform healthcare technology by leading a team of Epic analysts, aligning system functionality with clinical goals, and ensuring optimal application performance to enhance patient safety and experi...
2 weeks ago
$123K - $133K *
Unlock your potential by leading configuration management activities for complex systems. Ensure compliance with policies, maintain documentation, and support change control while collaborating across...
3 weeks ago
$90K - $110K *
Champion effective document control management to ensure compliance and project delivery. Lead a team in optimizing documentation processes and systems while collaborating with engineering and project...
Yesterday
Medical Director, Utilization Management (Remote)
$210K - $250K *
Advance healthcare quality by leading utilization management processes. Oversee physician engagement and relationships while ensuring adherence to standards, improving member outcomes, and guiding acc...
6 days ago
Medical Director, Utilization Management (Remote)
$210K - $250K *
Deliver strategic leadership to enhance quality of care for UPMC Health Plan members. Oversee physician collaboration and adherence to health standards while driving comprehensive solutions for utiliz...
6 days ago
Manager, Telecommunications Support
$109K - $159K *
Lead and enhance enterprise telecommunications services, ensuring reliability and performance. Collaborate with stakeholders to drive modernization initiatives, manage vendor relations, and oversee a...
1 week ago
$125K - $132K *
Join a team that's dedicated to implementing best practices in configuration management across complex developmental and operational systems, ensuring baseline integrity and lifetime support for all s...
6 days ago
$106K - $230K *
Elevate customer success by leveraging your expertise in Data 360 & Agentforce. Partner with diverse clients, manage relationships, and strategically implement solutions to enhance consumption and ach...
Reposted 1 week 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.