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.
Manager Revenue Management(Chargemaster / CDM)
$90K - $120K *
Drive the optimization of revenue processes through effective project management, ensuring compliance and enhancing service delivery while overseeing the Revenue Integrity department and leading cross...
Reposted 4 days ago
$93K - $141K *
Empower healthcare excellence as you lead patient care and staff in a high-impact nursing unit. Your expertise will shape quality care, optimize resources, and support a dedicated team to enhance pati...
Reposted 2 days ago
Manager, Model Risk Management
$100K - $172K *
Shape the future of model risk management by developing and implementing policies while collaborating with teams to enhance practices, ensuring compliance with industry standards through rigorous risk...
Reposted 2 weeks ago
$79K - $90K *
Join us to enhance IT operations by maintaining data integrity and optimizing processes. Drive strategic initiatives, foster collaboration, and improve risk management to align IT with business goals...
6 days ago
$90K - $120K *
Take ownership of cross-functional operations to optimize value stream performance. Lead teams to meet KPIs in safety, quality, delivery, and cost while fostering continuous improvement and effective...
2 weeks ago
$75K - $95K *
Join a dynamic team driving maintenance excellence and value creation through Total Productive Maintenance. Lead initiatives to enhance equipment reliability, reduce downtime, and foster a culture of...
2 weeks ago
$90K - $120K *
Champion end-to-end manufacturing processes, driving data integrity and operational excellence. Collaborate across teams to enhance performance, improve workflows, and implement continuous improvement...
5 days ago
Missions Support Operations Manager
$100K - $130K *
Elevate your career by leading vital operational support for defense intelligence missions. Leverage your expertise to manage logistics, IT, and resource allocation while optimizing efficiency across...
4 days ago
$90K - $120K *
Lead the charge in advancing patient-centered quality care through strategic project management and collaboration, enhancing healthcare outcomes and efficiency within a comprehensive medical organizat...
3 weeks ago
$75K - $95K *
Oversee safety and regulatory compliance while leading facility operations and staff. Drive revenue growth and continuous improvement by managing waste processing in line with state and federal regula...
6 days ago
$75K - $95K *
Shape the future of patient care by leading nursing teams to enhance safety and quality. Collaborate with diverse departments to ensure optimal outcomes while managing resources effectively. Join us i...
Reposted 5 days ago
$72K - $109K *
Transform your leadership skills by guiding a dynamic team to exceed excellence in quality and productivity. Collaborate with management to streamline processes and enhance employee engagement in a th...
4 weeks ago
$137K - $161K *
Drive your career forward by managing innovative Paratransit services, ensuring efficient operations, compliance, and quality service delivery while leading a dedicated team and enhancing access for i...
Today
Patient Care Manager 4.2 Ortho
$90K - $110K *
Lead the charge in enhancing patient care by overseeing department operations, setting goals, ensuring regulatory compliance, and fostering a high-performing team committed to quality service delivery...
Reposted 2 weeks ago
Ancillary Applications Analyst
$80K - $100K *
Unlock the potential of healthcare technology by supporting and optimizing clinical applications. Collaborate with cross-functional teams to enhance patient care and operational efficiency through exp...
3 weeks ago
$120K - $135K *
Manage security projects within the Intelligence Community, ensuring compliance and effective stakeholder engagement. Leverage your expertise in construction security while overseeing project manageme...
Reposted 6 days ago
$75K - $95K *
Transform payroll operations by leading a dedicated team to ensure accurate, timely processing, compliance with regulations, and the enhancement of payroll policies and systems to support organization...
6 days ago
District Channel Manager - WOTC
$80K - $120K *
Develop and execute strategic sales initiatives, cultivate client relationships, and drive revenue growth within a defined territory by leveraging industry knowledge and sales acumen to meet customer...
6 days ago
$81K - $101K *
Lead and optimize maintenance operations to enhance equipment reliability and safety. Drive continuous improvement initiatives while managing a skilled team. Oversee maintenance planning and resource...
1 week ago
Director of Clinical Operations
$100K - $130K *
Lead clinical operations by optimizing provider scheduling and workflows. Drive efficiency, compliance, and communication within healthcare teams to enhance patient care and support provider success i...
Reposted 1 week ago
Business Applications SME - Commercial P&C AMS, Automation & Application Governance
$120K - $150K *
Join a team that's committed to optimizing business applications through expert oversight, driving process improvements and technical solutions across various operations, while fostering collaboration...
2 weeks ago
Business Applications SME - Commercial P&C AMS, Automation & Application Governance
$120K - $150K *
Champion process optimization by serving as a key SME across business applications. Collaborate with stakeholders and IT teams to enhance operational efficacy through solutions in commercial P&C, ensu...
2 weeks ago
Finance Manager, Operations Excellence
$143K - $169K *
Join a team that drives financial transformation and operational excellence, spearheading the evolution of supply chain finance through advanced analytics and innovative design, while collaborating wi...
3 weeks ago
$75K - $95K *
Shape the future of patient care by coordinating comprehensive cancer management, advocating for patient needs, and enhancing healthcare delivery through collaboration and clinical expertise...
1 week ago
Manager Risk Adjustment Program
$85K - $110K *
Champion the development and implementation of risk adjustment strategies while managing team performance and ensuring compliance with coding practices to improve healthcare outcomes and organizationa...
3 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.