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.
Health Care Professional - Utilization Review / First-Level Reviewer
$87K - $93K *
Transform utilization review processes for injured workers by assessing treatment requests and applying clinical guidelines. Collaborate with providers to ensure timely decisions in a dynamic remote s...
2 weeks ago
DIRECTOR - CENTRAL BUSINESS OFFICE
$110K - $130K *
Lead revenue cycle operations across multiple behavioral health facilities, ensuring efficient billing, collections, and patient accounting. Collaborate with executive leadership to drive improvements...
3 weeks ago
Program Manager, Specialty Care Program Office Support
$110K - $130K *
Architect high-impact specialty care programs, ensuring successful execution and alignment with VHA priorities. Drive strategic planning and effective stakeholder engagement to support and enhance hea...
Reposted 3 weeks ago
Project Manager, Enterprise Data Risk Management
$151K - $173K *
Transform enterprise risk management by leading cross-functional projects. Drive clarity and structure in complex environments, collaborating with senior stakeholders to deliver actionable solutions a...
2 weeks ago
Case Manager - Ambulatory - 26-94
$100K - $123K *
Transform patient care by delivering virtual case management services, focusing on post-hospitalization support to prevent readmissions. Collaborate with healthcare teams for seamless care coordinatio...
4 weeks ago
Case Manager - Ambulatory - 26-94
$100K - $123K *
Optimize patient care by managing transitions from hospitalization to home. Collaborate with healthcare teams remotely, enhancing outcomes through effective case management while addressing member nee...
4 weeks ago
Financial Management & Program Analyst
$68K - $113K *
Join our team as an Acquisition Financial Management & Program Analyst, providing critical financial support for acquisition programs. Enhance decision-making with your expertise in budgeting, fiscal...
1 week ago
$90K - $110K *
Elevate website performance through strategic optimizations, overseeing web operations from lead generation to checkout. Collaborate with teams and stakeholders to enhance user experience, improve SEO...
2 weeks ago
$113K - $165K *
Lead quality initiatives to achieve operational excellence and enhance customer satisfaction. Drive continuous improvement through effective management of quality metrics, audits, and team development...
Reposted today
$113K - $165K *
Inspire quality excellence as you lead continuous improvement initiatives, ensure compliance with quality standards, and manage quality functions to drive operational success in a manufacturing settin...
1 week ago
$113K - $165K *
Lead the charge in driving quality excellence at our manufacturing facility. Implement and sustain a world-class quality management system, ensuring compliance and continuous improvement while shaping...
1 week ago
$130K - $190K *
Empower our team to elevate quality standards, ensuring exceptional performance while fostering a culture of continuous improvement in an engineer-to-order manufacturing environment...
3 weeks ago
Deployment Manager (Client Services)
$170K - $185K *
Lead and optimize deployment of AI solutions for enterprise clients, managing complex implementations and fostering strong executive relationships to ensure successful project delivery and client sati...
3 weeks ago
$130K - $190K *
Grow your career with a leadership role focused on enhancing quality systems, optimizing processes, and driving continuous improvement in a manufacturing setting. Collaborate cross-functionally to ens...
3 weeks ago
Quality Management Program Manager- Financial Services
$110K - $130K *
Lead and oversee the execution of an enterprise-wide quality management program, ensuring compliance with change execution policies while fostering a robust governance framework to mitigate risks and...
Reposted 3 days ago
Quality Management Program Manager- Financial Services
$110K - $130K *
Unlock potential by overseeing the Enterprise Change Execution Quality Management Program, ensuring adherence to policies, leading a dedicated team, and implementing effective quality management revie...
Reposted 3 days ago
Quality Management Program Manager- Financial Services
$110K - $130K *
Lead a high-impact team to develop and execute quality management for enterprise change, ensuring compliance with governance policies and procedures, while enhancing risk management practices across t...
Reposted 3 days ago
Project Manager - General & Initiatives
$95K - $115K *
Pioneer effective project management across Finance, HR, Legal, and IT functions. Lead systems implementations and upgrades, ensuring timely delivery and stakeholder alignment while optimizing process...
2 weeks ago
$80K - $95K *
Grow your career with a dynamic role focusing on customer collaboration, supply chain validation, and new product introduction, ensuring smooth execution aligned with strategic objectives in a fast-pa...
4 weeks ago
$80K - $95K *
Collaborate with cross-functional teams to ensure timely program delivery, support strategic objectives, and effectively manage customer relationships while overseeing supply chain operations and new...
4 weeks ago
Manager, Patient Access (Onsite)
$85K - $100K *
Champion operational excellence by leading the Patient Access team to define goals and enhance service delivery, ensuring top-quality management and staff development within the hospital environment...
Reposted 2 weeks ago
Manager, Patient Access (Onsite)
$80K - $95K *
Lead the charge in managing Patient Access staff, setting strategic goals, and driving project success through effective oversight and collaboration with hospital management...
Reposted 2 weeks ago
$90K - $105K *
Join a team that transforms restaurant operations by owning vital technology systems. Leverage your expertise in POS and inventory management to enhance efficiency and guest experience across multiple...
2 weeks ago
$100K - $120K *
Take ownership of daily operations for a large government facility, ensuring compliance with contract requirements while leading a diverse team. Develop operational strategies to optimize resources, e...
1 week ago
$50K - $500K *
Shape the future of office operations by managing daily workflows, vendor relations, and team culture. Play a key role in creating an efficient work environment that supports growth and fosters a posi...
Reposted 2 weeks 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.