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.
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$74K - $130K *
Transform project communication by managing change notices, ensuring compliance, and facilitating stakeholder engagement. Drive clarity and accuracy in documentation while supporting contract administ...
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Drive impactful community and economic development communications for global data centers. Shape narratives that highlight economic benefits and engage stakeholders, ensuring alignment with project go...
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Lead a skilled maintenance team to ensure optimal performance of CNC machining equipment. Oversee preventive maintenance, troubleshoot issues, and maintain communication with production teams while en...
2 weeks ago
Project Manager - Behavioral Health
$156K - $176K *
Drive impactful Behavioral Health initiatives by managing project activities, coordinating with stakeholders, and ensuring successful implementation in a dynamic healthcare environment. Join a team de...
4 days ago
Manager, Process and Controls - Education Savings
$69K - $95K *
Champion the administration of education savings programs, ensuring compliance and operational excellence. Collaborate with legal and risk teams to manage sensitive transactions and enhance fraud prev...
Reposted 1 week ago
Manager, Process and Controls - Education Savings
$69K - $95K *
Optimize the management of education savings programs by ensuring compliance, accuracy, and timely resolution of account activities. Collaborate with legal and risk teams to enhance operational effici...
2 weeks ago
Senior Manager, Stop Loss & Health Claims
$68K - $102K *
Lead operational excellence in managing complex claims while developing a high-performing team and collaborating with key stakeholders to enhance customer service and drive growth in the health insura...
Reposted 3 weeks ago
$85K - $104K *
Join a team that's redefining vendor management by optimizing relationships, driving cost efficiencies, and implementing strategic improvements to enhance operational workflows and performance standar...
2 weeks ago
Transaction Manager - Industrial
$90K - $100K *
Strategize and oversee real estate transactions, ensuring optimal outcomes for clients. Collaborate with brokerage teams to manage leases, acquisitions, and dispositions across a diverse portfolio, dr...
1 week ago
Transaction Manager - Industrial
$90K - $100K *
Unlock potential by managing strategic real estate transactions, including leases and acquisitions, for a diverse portfolio. Collaborate with teams to optimize deal terms and drive client success in a...
1 week ago
Transaction Manager - Industrial
$90K - $100K *
Transform real estate transactions by managing leases, acquisitions, and dispositions for a diverse portfolio. Collaborate with brokerage teams to secure optimal outcomes while contributing to strateg...
1 week ago
Transaction Manager - Industrial
$90K - $100K *
Join us to manage strategic real estate transactions, ensuring optimal outcomes for a diverse portfolio. Collaborate with brokerage teams to execute leases, acquisitions, and dispositions while drivin...
1 week ago
Transaction Manager - Industrial
$90K - $100K *
Lead strategic management of real estate transactions, collaborating with teams to optimize deal outcomes for a diverse portfolio. Drive initiatives in leasing, acquisitions, and dispositions while en...
1 week ago
Transaction Manager - Industrial
$90K - $100K *
Lead the charge in managing strategic real estate transactions, including leases and acquisitions, for a diverse portfolio. Collaborate with teams to optimize outcomes and drive innovative solutions t...
1 week ago
Manager, Operational Optimization
$88K - $138K *
Unlock operational excellence by leading continuous improvement initiatives, optimizing contact center processes, and driving efficiency through data-driven strategies. Collaborate cross-functionally...
Reposted 3 weeks ago
Manager - Office of Access Management
$88K - $105K *
Lead and optimize operational functions while fostering high-performing teams. Drive strategic initiatives, enhance communication, and ensure alignment with organizational goals. Cultivate a culture o...
Today
$90K - $110K *
Elevate operational excellence by managing planning, tracking, and delivery processes. Collaborate with teams to implement scalable solutions and enhance training programs, driving efficiency and inno...
Yesterday
Manager, Operational Optimization
$88K - $138K *
Join the charge in driving operational excellence and continuous improvement across contact centre operations, fostering a culture of efficiency and quality to meet customer needs and enhance performa...
Reposted 3 weeks ago
Manager, Operational Optimization
$88K - $138K *
Optimize operational efficiency by leading continuous improvement initiatives. Drive strategic performance across contact center operations, championing Lean methodologies to enhance processes, elevat...
Reposted 3 weeks ago
Manager, Operational Optimization
$88K - $138K *
Engage in a leadership role that champions operational excellence, driving efficiency and continuous improvement across contact centre operations while fostering a culture of data-driven performance a...
Reposted 3 weeks ago
Manager, Operational Optimization
$88K - $138K *
Drive operational excellence and continuous improvement in contact centre operations, leading strategy implementation and performance evaluation to enhance efficiency and quality while meeting custome...
Reposted 3 weeks ago
$95K - $115K *
Advance automation projects in a regulated medical device environment, ensuring timely delivery and compliance. Collaborate with cross-functional teams to enhance manufacturing efficiency and quality...
6 days ago
$80K - $95K *
Unlock potential by leading a dynamic team in Digital Asset Management, ensuring seamless operations, fostering global collaboration, and driving process improvements while delivering exceptional clie...
4 days ago
$70K - $148K *
Empower mission-critical solutions as you manage and coordinate software and hardware configuration changes, ensuring compliance with security and audit requirements while supporting national security...
Reposted 1 week ago
Collections Operations Manager
$135K - $160K *
Shape the future of consumer lending by leading collections operations, developing data-driven strategies, and optimizing performance for a diverse customer base while ensuring compliance and fosterin...
4 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.