Explore Utilization Manager Jobs

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.

What Does a Utilization Manager Do?

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.

Common Skills and Qualifications

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 Manager Career Opportunities

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.

Find Utilization Manager Jobs on Ladders

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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1
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$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$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...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Enterprise Technology

$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

  •   8 - 10 years exp.  •   Healthcare

$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

  •   8 - 10 years exp.  •   Healthcare

$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

  •   8 - 10 years exp.  •   Healthcare

$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

  •   8 - 10 years exp.  •   Healthcare

$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

  •   8 - 10 years exp.  •   Healthcare

$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

  •   8 - 10 years exp.  •   Healthcare

$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

  •   8 - 10 years exp.  •   Healthcare

$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

  •   8 - 10 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$77K - $135K *

Analyze financial performance and provide strategic insights to drive business decisions. Collaborate with leaders to manage budgeting, forecasting, and reporting, ensuring accurate financial data sup...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$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

  •   8 - 10 years exp.  •   Technical Services

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   8 - 10 years exp.  •   Manufacturing & Automotive

$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

  •   8 - 10 years exp.  •   Hospitals & Medical Centers

$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...

New York, NYRemote

5 days ago

  •   5 - 7 years exp.  •   Healthcare

$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

  •   8 - 10 years exp.  •   Technical Services

$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

  •   Less than 5 years exp.  •   Finance & Insurance

$85K - $100K *

Shape the future of healthcare reimbursement by leading compliance, managing complex financial reporting, and driving strategy across multiple programs to ensure regulatory adherence and optimize paym...

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$75K - $90K *

Empower client success by managing employee benefits accounts, providing expert guidance, and ensuring compliance. Collaborate with clients and carriers to deliver tailored solutions and drive satisfa...

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$90K - $158K *

Lead enterprise-wide Epic implementations across a national health system. Drive clinical application deployments, partner with leadership, and ensure successful adoption in complex care environments...

1 week ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$80K - $95K *

Empower effective project management by coordinating large client projects from RFQ to installation. Ensure alignment with PMO standards, driving accountability and facilitating communication across t...

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Manufacturing & Automotive

Frequently Asked Questions (FAQ)

  • What does a Utilization Manager do?question toggle

    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?question toggle

    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?question toggle

    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?question toggle

    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.