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.
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
Collections Operations Manager
$135K - $160K *
Drive the transformation of U.S. consumer-lending collections by leading strategy, optimizing operations, and enhancing customer experience for a diverse clientele. Collaborate cross-functionally to i...
4 days ago
Collections Operations Manager
$100K - $140K *
Transform the U.S. consumer-lending collections function by leading strategy, optimizing operations, and enhancing customer experience while managing a growing team and technology integrations...
5 days ago
$90K - $110K *
Lead facility operations by overseeing maintenance, managing contractors, and driving improvements in a dynamic manufacturing environment. Ensure safety and efficiency while supporting long-term growt...
1 week ago
Clinical Enterprise Plan (CEP) Program Manager
$120K - $150K *
Reimagine enterprise program leadership by driving strategic initiatives within a complex healthcare environment. Collaborate across teams to ensure alignment, governance, and measurable outcomes for...
2 weeks ago
Director - Contracts & Utilization
$110K - $130K *
Optimize contract negotiations and compliance while managing supply utilization. Drive cost reduction initiatives across the health system, serving as a project manager and consultant to enhance produ...
1 week ago
$80K - $95K *
Lead the charge in optimizing clinic operations and improving patient care while developing a motivated team. Collaborate closely with management to implement strategic goals and foster a positive, re...
Reposted 1 week ago
$100K - $120K *
Elevate network operations by developing standards and best practices. Oversee integration of new technologies, ensuring high performance and reliability across data and voice networking systems. Lead...
2 weeks ago
Manager, Billing System Controls
$88K - $105K *
Lead the governance of billing systems in SAP, ensuring accuracy and compliance with tariffs across jurisdictions. Collaborate with multiple teams on updates, testing, and system enhancements for util...
Reposted today
$130K - $150K *
Lead the charge in optimizing maintenance operations, ensuring safety and quality while managing field staff training and resource allocation to enhance customer satisfaction and operational efficienc...
Reposted 6 days ago
$130K - $150K *
Elevate your career by leading maintenance operations, managing field staff, and ensuring exceptional customer service while optimizing resources and training for safety and efficiency...
Reposted 6 days ago
Supervisor Performance Measurement Reporting
$68K - $105K *
Shape the future of performance measurement by leading audit operations, enhancing quality, and developing staff. Oversee reporting and project activities while ensuring compliance and effective feedb...
2 weeks ago
$80K - $95K *
Join a team that's dedicated to delivering compassionate care while overseeing daily operations, ensuring staff efficiency, and fostering a risk-free environment for patients in a dynamic healthcare s...
1 week ago
$98K - $144K *
Deliver project management expertise for multi-million dollar construction initiatives, overseeing renovations, relocations, and facility enhancements while ensuring compliance with corporate standard...
1 week ago
$128K - $193K *
Lead the successful delivery of SAP implementation projects, ensuring client satisfaction and project profitability. Manage resources, timelines, and quality assurance while cultivating strong client...
Yesterday
Business Manager Perioperative Services
$95K - $115K *
Lead the charge in optimizing perioperative services through strategic oversight, financial management, and collaborative initiatives to enhance operational efficiency and patient care across all proc...
Yesterday
$75K - $135K *
Redefine healthcare operations by leading multiple medical practices. Oversee strategic planning, ensure compliance with regulations, and enhance patient satisfaction while managing a diverse team acr...
5 days ago
$90K - $120K *
Join a team that's dedicated to building strong client relationships and delivering exceptional service. Leverage your strategic insight to align HR solutions with client needs, ensuring satisfaction...
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.