Choose from a comprehensive collection of Utilization Manager jobs that pay more than $100,000 a year. Our list includes positions in healthcare policy, insurance, and clinical resources management.
As a Utilization Manager, you will have the opportunity to make a significant impact on healthcare settings by ensuring the effective use of resources and improving patient care. Your role includes evaluating the appropriateness of care, auditing patient records, coordinating with physicians and staffing.
Typical qualifications for these roles include a nursing degree, excellent organizational skills, understanding of medical terminologies and procedures, and strong communication skills. Experience with healthcare databases and patient management systems is also a plus.
$134K - $201K *
Elevate customer success by providing strategic clinical support and implementation leadership for healthcare products. Drive adoption, retention, and satisfaction while collaborating with multidiscip...
3 days ago
Project Manager, Modernization Repair Service
$70K - $95K *
Shape project delivery in service, modernization, and repair. Lead lifecycle execution, ensuring safety, budget adherence, and quality. Collaborate across teams to drive success and exceed client expe...
4 days ago
Sr Clinical Project Research Manager
$100K - $130K *
Deliver impactful project leadership by guiding cross-functional teams through all phases of clinical research, ensuring compliance, effective communication, and timely project milestones that enhance...
Reposted today
Manager, Pricing Enablement & Governance
$130K - $160K *
Transform pricing strategies and governance, driving profitability across TIC Energy and Industrial Automation. Collaborate globally to optimize pricing tools and analytics while ensuring market align...
3 weeks ago
Manager, Healthcare Reimbursement - 2236796
$90K - $120K *
Lead the charge in optimizing healthcare reimbursement strategies, managing client engagements from planning to execution, and developing strong relationships while overseeing project delivery with a...
2 weeks ago
Manager, Healthcare Reimbursement - 2236796
$90K - $120K *
Lead the charge in optimizing Medicare DSH reimbursement for healthcare providers. Oversee client engagements, manage projects, and develop strong client relationships while navigating complex regulat...
2 weeks ago
$90K - $130K *
Optimize internal controls and ESG initiatives by assessing risks, enhancing accounting practices, and collaborating with stakeholders to implement efficient controls and training that align with orga...
1 week ago
$120K - $140K *
Drive operational excellence as you oversee field service operations, enhance performance, and ensure customer satisfaction. Lead a team of technicians while focusing on safety, quality, and efficient...
3 weeks ago
Enterprise Operations Manager- Mail/Shipping & Receiving Services
$90K - $120K *
Lead dynamic multi-state operations, enhancing service quality, driving team development, and maintaining strong client relationships while maximizing operational efficiency and profitability across v...
1 week ago
Manager, Healthcare Reimbursement - 2236796
$90K - $120K *
Support healthcare providers by leading Medicare DSH reimbursement projects, ensuring quality execution and strong client relationships. Manage workflow and inspire team development, translating compl...
2 weeks ago
IT Asset Management Process Lead
$120K - $217K *
Lead continuous improvement in IT Asset Management processes, governing full asset lifecycles while ensuring compliance and operational efficiency across technology platforms and end-user environments...
1 week ago
$75K - $95K *
Manage quality patient care operations while ensuring compliance with regulatory standards. Lead and develop staff, coordinate patient care processes, and drive improvement initiatives to enhance faci...
2 weeks ago
Senior Manager, Patient Access Operations
$80K - $95K *
Shape the future of patient access operations by leading multi-site teams, driving performance improvements, and enhancing patient experiences through data-driven decision-making and operational excel...
3 weeks ago
Senior Manager, Patient Access Operations
$80K - $95K *
Transform patient access operations by leading multi-site teams and enhancing workflows to ensure a patient-centered experience. Utilize data-driven insights to boost efficiency and operational perfor...
3 weeks ago
$75K - $95K *
Transform billing operations by leading a dynamic team, ensuring timely invoicing, and enhancing overall client satisfaction through effective supervision, training, and streamlined processes. Drive r...
1 week ago
$80K - $100K *
Join a team that's transforming patient care as you lead our Oncology practice, ensuring operational excellence while enhancing patient experience and driving team performance in a dynamic healthcare...
2 weeks ago
Cerner Millennium Program Manager
$100K - $130K *
Lead and shape large-scale Cerner Millennium EHR implementations, driving enterprise transformation and fostering collaboration across healthcare organizations to ensure successful adoption and operat...
2 weeks ago
$90K - $120K *
Optimize our core business systems by leading application strategy, ensuring stability, and enhancing performance through stakeholder collaboration across multiple departments, while driving continuou...
3 weeks ago
Manager, TPA Oversight & Operations
$89K - $134K *
Explore a pivotal role in governance and risk management, ensuring operational excellence in Third-Party Administrator relationships. Partner with cross-functional teams to enhance onboarding processe...
1 week ago
Manager, TPA Oversight & Operations
$89K - $134K *
Unlock potential by governing TPAs in Institutional Markets, ensuring compliance and risk management with a focus on operational readiness and effective vendor oversight while collaborating with cross...
3 weeks ago
$75K - $90K *
Unlock access to care by leading intake and referral teams, streamlining workflows across multiple programs, and fostering collaboration to enhance client experiences...
1 week ago
$75K - $90K *
Oversee holistic access to care initiatives across diverse programs, improving client experience through workflow optimization and cross-functional collaboration, while leading intake and referral tea...
1 week ago
$75K - $90K *
Champion the optimization of access to care systems, leading diverse teams to enhance workflows and client experiences. Collaborate cross-functionally to drive strategic initiatives that improve servi...
1 week ago
$75K - $90K *
Seeking an experienced Access Manager to lead teams enhancing care access & efficiency across regions. Drive improvement initiatives, oversee intake processes, and collaborate with leadership to align...
1 week ago
$75K - $90K *
Join us to oversee and enhance access to care systems, leading teams to improve workflows and client experiences across multiple regions while collaborating with clinical and administrative leaders to...
1 week ago
What is a Utilization Manager?
A Utilization Manager is a healthcare professional who is responsible for ensuring that all health and medical services, procedures and facilities are being used in a cost-effective way in the healthcare setting.
What are the typical duties of a Utilization Manager?
Utilization Managers typically review patient services to determine efficiency and necessity, work to enhance the cost-effectiveness of health management strategies, and determine if a case or treatment plan is clinically appropriate based on a patient’s needs and overall health.
What qualifications do I need for a Utilization Manager job?
Most Utilization Manager positions require a degree in nursing and relevant experience in a clinical setting. You should also have a good understanding of medical terminologies and procedures.