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.
$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
$90K - $120K *
Drive client satisfaction as a strategic Account Manager, fostering relationships and aligning services to meet business objectives. Collaborate with internal teams to ensure seamless service delivery...
1 week ago
$90K - $120K *
Champion client success by building strategic relationships and delivering tailored HR solutions. Collaborate with internal teams to enhance service delivery and drive client satisfaction, ensuring al...
1 week ago
Facilities Operations Manager - CMMS
$101K - $152K *
Lead the charge in optimizing facilities operations through effective management of the CMMS, ensuring seamless collaboration across divisions and enhancing asset management practices to drive operati...
1 week ago
$100K - $120K *
Optimize financial controls by leading SOX compliance initiatives, managing documentation, and collaborating with cross-functional teams to ensure robust internal controls and audit readiness in a dyn...
1 week ago
Delegated Network Audit Manager
$90K - $110K *
Elevate your career by managing audit and compliance activities within a delegated network. Collaborate with stakeholders to ensure regulatory adherence, support quality improvement, and enhance opera...
3 weeks ago
$80K - $95K *
Drive the management of Patient Access services, overseeing staff and operations to achieve departmental goals. Collaborate with leadership to enhance service delivery and ensure optimal patient exper...
5 days ago
MANAGER FINANCIAL PLANNING AND ANALYSIS - HYBRID
$95K - $115K *
Join a dynamic team to lead financial strategy and operations, overseeing budgeting, forecasting, and performance improvement initiatives. Collaborate with leadership to enhance financial processes an...
5 days ago
$115K - $130K *
Drive seamless post-merger integrations by coordinating cross-functional teams, unifying processes, and fostering alignment. Lead initiatives that enhance operational efficiency and support future acq...
1 week ago
Sr. Manager, Medical Informatics - Utilization Management Analytics
$120K - $145K *
Lead the charge in healthcare analytics by managing a team focused on utilization management. Drive strategic insights from data to enhance operational performance, improve member outcomes, and suppor...
2 weeks ago
Sr. Manager, Medical Informatics - Utilization Management Analytics
$120K - $145K *
Lead and mentor a team in healthcare analytics, translating clinical priorities into actionable strategies. Drive insights for operational improvement and member outcomes while fostering a culture of...
2 weeks ago
Sr. Manager, Medical Informatics - Utilization Management Analytics
$120K - $145K *
Lead a team in Medical Informatics to drive analytics for Utilization Management. Translate clinical priorities into actionable strategies, enhance performance insights, and support operational improv...
2 weeks ago
Sr. Manager, Medical Informatics - Utilization Management Analytics
$120K - $145K *
Drive impactful healthcare analytics by leading a team focused on utilization management. Transform data into actionable insights to enhance operational performance, improve member outcomes, and suppo...
2 weeks ago
Sr. Manager, Medical Informatics - Utilization Management Analytics
$120K - $145K *
Transform healthcare analytics by leading a team focused on Prior Authorization and Utilization Management. Drive strategic insights that enhance operational performance, improve member outcomes, and...
2 weeks ago
Sr. Manager, Medical Informatics - Utilization Management Analytics
$120K - $145K *
Transform healthcare analytics by leading a team to enhance utilization management strategies, drive operational improvements, and deliver actionable insights that optimize member outcomes and afforda...
2 weeks ago
Sr. Manager, Medical Informatics - Utilization Management Analytics
$120K - $145K *
Join a dynamic team to lead analytics in healthcare utilization management, translating clinical priorities into actionable insights. Drive operational improvements and enhance member outcomes through...
2 weeks ago
Sr. Manager, Medical Informatics - Utilization Management Analytics
$120K - $145K *
Lead the charge in transforming healthcare analytics by guiding a team to enhance utilization management strategies, drive operational improvements, and deliver actionable insights that elevate member...
2 weeks ago
Mobile Integrated Healthcare Manager-Community Paramedicine
$85K - $145K *
Champion the future of Mobile Integrated Healthcare by leading clinical and operational initiatives, ensuring high-quality patient care, and fostering staff development to enhance community health out...
Today
$95K - $115K *
Transform organizational workflows by leading training, task management, and information processes to enhance efficiency and communication at the executive level. Drive improvements in administrative...
Yesterday
$80K - $95K *
Elevate care standards by leading a dedicated team in a long-term care facility. Oversee nursing practices, ensure compliance with regulations, and coordinate resident care to enhance quality of life...
1 week ago
$110K - $130K *
Join a team that's driving financial excellence by overseeing consolidation processes, ensuring compliance with U.S. GAAP and IFRS, and enhancing reporting accuracy across multiple entities. Collabora...
2 weeks ago
Director - System Revenue Cycle
$120K - $150K *
Champion operational excellence in patient registration and admitting, driving financial performance and enhancing the patient experience through strategic leadership and collaboration across departme...
2 weeks ago
Network Operations Manager, Contracting
$119K - $140K *
Shape the future of network partnerships by managing the lifecycle of contracts, from evaluation to negotiation. Collaborate with stakeholders to ensure alignment with operational standards while nurt...
5 days ago
$110K - $130K *
Champion enterprise-wide IT project management practices, ensuring timely, budget-compliant delivery of complex programs. Collaborate with leadership to prioritize initiatives and mentor project teams...
1 week ago
$75K - $90K *
Champion client relationships by managing employee benefits accounts, providing expert guidance, and ensuring compliance with industry standards while driving client satisfaction and program success...
2 weeks 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.