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.
$76K - $114K *
Transform patient care by leading a dedicated team to ensure high-quality home health services, coordinating clinical efforts, and maintaining compliance with regulations while delivering personalized...
2 weeks ago
$89K - $134K *
Provide clinical leadership and coordination for home health services, ensuring high-quality care delivery by supervising an interdisciplinary team, managing patient assessments, and complying with he...
Reposted 3 weeks ago
$80K - $121K *
Empower high-quality home health care by leading an interdisciplinary team, ensuring compliance with physician directives and state regulations, while providing tailored clinical services to enhance p...
3 weeks ago
Financial Management System Requirements Support
$85K - $110K *
Shape the future of financial management within a federal agency by analyzing, documenting, and improving business processes while coordinating stakeholder efforts to enhance governance and project tr...
4 weeks ago
Platform Manager - Microsoft Dynamics 365 CRM
$115K - $160K *
Shape the future of our Microsoft Dynamics 365 platform by leading strategic initiatives, optimizing user experience, and collaborating with cross-functional teams to drive business value and enhance...
2 weeks ago
Platform Manager - Microsoft Dynamics 365 CRM
$115K - $160K *
Partner with us to optimize the Microsoft Dynamics 365 platform, translating business needs into scalable solutions. Lead cross-functional teams, manage product roadmaps, and enhance user experience w...
2 weeks ago
Platform Manager - Microsoft Dynamics 365 CRM
$115K - $160K *
Drive the strategic direction and optimization of Microsoft Dynamics 365, collaborating with stakeholders to translate business needs into effective technology solutions that enhance processes and use...
2 weeks ago
Platform Manager - Microsoft Dynamics 365 CRM
$115K - $160K *
Elevate organizational effectiveness by leading the Microsoft Dynamics 365 platform strategy, optimizing user experience, and aligning technology solutions with business needs through effective stakeh...
2 weeks ago
Platform Manager - Microsoft Dynamics 365 CRM
$115K - $160K *
Drive the strategic direction and optimization of Microsoft Dynamics 365, collaborating with stakeholders to translate business needs into effective technology solutions that enhance processes and use...
2 weeks ago
Platform Manager - Microsoft Dynamics 365 CRM
$115K - $160K *
Lead the strategic direction and optimization of Microsoft Dynamics 365, bridging business needs with technology solutions. Collaborate with stakeholders to enhance processes and user experience while...
2 weeks ago
Platform Manager - Microsoft Dynamics 365 CRM
$115K - $160K *
Shape the future of our Microsoft Dynamics 365 platform by leading strategic initiatives, optimizing user experience, and collaborating with cross-functional teams to drive business value and enhance...
2 weeks ago
$110K - $130K *
Champion effective internal controls and corporate governance by providing independent audit assurance and consulting to management and the Audit Committee, enhancing enterprise risk management and op...
2 weeks ago
$80K - $95K *
Lead the charge in managing electrical construction projects, overseeing cost estimates, schedules, and operational activities while ensuring effective communication with clients and stakeholders thro...
Yesterday
$80K - $95K *
Lead the charge in enhancing patient care by managing operations, staffing, and quality initiatives at the Heart Failure Center. Collaborate with teams to foster a compassionate environment while ensu...
1 week ago
$110K - $130K *
Accelerate progress at the forefront of engineering project management, overseeing CAPEX investments and NPI portfolios. Lead a dynamic team, ensuring timely project execution and compliance while dri...
Reposted yesterday
$85K - $100K *
Optimize surgical operations by leading a dynamic team, ensuring high-quality patient care, and implementing effective systems. Collaborate with staff and management to enhance service delivery in a f...
1 week ago
$80K - $95K *
Support clinical leaders by managing staffing functions and enhancing nursing services, ensuring compliance with policies and regulations while promoting quality resident care and effective team dynam...
3 weeks ago
$95K - $115K *
Elevate operational efficiency by leading shared service improvements and cross-functional collaboration to enhance patient and provider experiences while driving team performance and process excellen...
Reposted 3 weeks ago
$120K - $145K *
Transform the Workday ecosystem by providing strategic leadership and governance for HCM and Financial Management. Lead a dedicated support team to optimize performance, enhance integrations, and driv...
4 weeks ago
$120K - $145K *
Empower your career by leading a skilled team in managing and optimizing Workday’s HCM and Financials. Oversee critical platform governance, enhance integrations, and drive strategic initiatives in a...
4 weeks ago
$110K - $130K *
Join a dynamic team as you guide major banks and fintechs through the integration and launch of the Open USD platform, fostering partnerships and driving growth in a fast-paced environment...
2 weeks ago
$110K - $130K *
Engage with leading banks and fintechs as you guide partners through integration and growth on the Open USD platform. Collaborate with product teams to enhance partner experiences and foster a thrivin...
2 weeks ago
IT Functional Manager-NetSuite Order Management
$98K - $130K *
Join a dynamic team as you optimize order-to-delivery workflows across e-commerce and B2B channels. Collaborate with IT and business stakeholders to enhance processes in NetSuite, aiming for efficienc...
Reposted 4 weeks ago
Continuous Improvement Manager
$80K - $95K *
Innovate with us as a Continuous Improvement Manager, driving Lean Manufacturing initiatives. Enhance customer satisfaction through effective systems, mentor teams, and assess progress across all valu...
Reposted 1 week ago
$80K - $160K *
Play a key role in managing resource allocation for large-scale civil infrastructure projects, ensuring timely staffing and budget adherence across multiple task orders while fostering collaboration a...
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.