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.
Neurodiagnostic Manager-UPMC Presbyterian
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Lead the charge in managing clinic operations, ensuring compliance and quality care while fostering a positive environment for staff and patients. Drive strategic initiatives and oversee daily functio...
5 days ago
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$110K - $130K *
Lead the integration of commercial operations across newly acquired clinics, ensuring alignment in sales, marketing, and payer relations. Drive strategic partnerships and manage risks while coordinati...
2 weeks ago
Release and Configuration Manager
$110K - $130K *
Manage release and configuration processes for enterprise systems, ensuring compliance and efficiency. Coordinate deployments and maintain documentation to support system integrity and ITIL-aligned pr...
3 weeks ago
$100K - $115K *
Drive project success by managing multi-disciplinary teams, ensuring contract compliance, on-time delivery, and customer satisfaction from order receipt through warranty. Collaborate with stakeholders...
2 weeks ago
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Elevate the efficiency of supply chain systems by developing scalable solutions, leading product strategies, and optimizing operations to enhance healthcare services across various platforms...
Reposted 3 days ago
$80K - $95K *
Champion patient care by leading a dynamic team in a fast-paced imaging center. Drive operational excellence, mentor staff, and ensure compliance with safety regulations while promoting business growt...
1 week ago
$120K - $145K *
Transform the landscape of Enterprise Learning Management by leading a dynamic team in delivering innovative PeopleSoft solutions. Engage with clients to ensure high-quality implementations that meet...
2 weeks ago
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Lead the charge in developing and maintaining comprehensive project schedules, ensuring alignment with operational and developmental teams while utilizing advanced scheduling tools to enhance project...
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Unlock potential by managing complex schedules and configurations for developmental systems, ensuring seamless integration and adherence to project timelines while collaborating with cross-functional...
1 week ago
MANAGER- DENIALS PREVENTION - CENTRAL BILLING OFFICE
$82K - $132K *
Develop strategies to minimize payer denials and enhance revenue cycle efficiency. Collaborate with clinical and financial teams to drive initiatives that improve claim accuracy and optimize reimburse...
1 week ago
Change Management Coordinator - ID or NY
$74K - $130K *
Champion change management by ensuring timely, accurate documentation and compliance across projects. Collaborate with stakeholders to streamline notice processes and enhance communication, driving pr...
1 week ago
Change Management Coordinator - ID or NY
$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...
1 week ago
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$130K - $155K *
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...
3 weeks ago
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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...
5 days ago
Manager, Process and Controls - Education Savings
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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
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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
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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 *
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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
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.