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.
Maintenance Manager (ONSC) | Ontario
$120K - $180K *
Unlock potential by spearheading the maintenance strategies of facility equipment, leading a team of technicians to ensure optimal operation and safety while implementing best practices in a dynamic l...
2 weeks ago
$75K - $95K *
Optimize client relations by overseeing service center support operations, driving improvement initiatives, and collaborating with cross-functional teams to enhance the customer experience and meet se...
Today
$65K - $100K *
Unlock business efficiency as a Business Systems Manager, overseeing system integrations, vendor relationships, and technology optimizations to enhance multi-unit Med Spa operations and support cross...
3 weeks ago
$65K - $100K *
Engage with cross-functional teams to optimize business systems, focusing on technology implementation, enhancing operations efficiency, and providing vendor support to ensure seamless service deliver...
3 weeks ago
$65K - $100K *
Manage cross-functional projects focused on enhancing business systems to optimize efficiency and profitability within med spa operations, ensuring proper integration and support of technology solutio...
3 weeks ago
$130K - $180K *
Take ownership of commercial performance and strategy for a crucial product portfolio. Lead cross-functional teams to drive growth, define market positioning, and influence product direction, ensuring...
5 days ago
Medical Director, Utilization Management
$200K - $250K *
Engage in exemplary health care delivery by leading utilization management efforts. This fully remote role fosters collaboration between providers and health plans, ensuring compliance with quality st...
1 week ago
Medical Director, Utilization Management
$200K - $250K *
Unlock the potential of healthcare management by leading efforts to enhance quality and utilization standards, fostering collaboration between providers and ensuring optimal health outcomes for member...
1 week ago
Medical Director, Utilization Management
$200K - $250K *
Lead the charge in enhancing quality care delivery as a Medical Director. You'll oversee utilization management, ensuring high standards while fostering provider collaboration in a fully remote role d...
2 weeks ago
Medical Director, Utilization Management
$200K - $250K *
Lead the Utilization Management team in ensuring high-quality healthcare delivery. Oversee provider engagement and compliance with standards, fostering collaboration with physicians and hospitals to e...
2 weeks ago
$70K - $101K *
Transform supply chain excellence by driving process improvements, enhancing ERP capabilities, and fostering collaboration across teams. Join us to bring data-driven insights and structured clarity to...
Reposted 3 weeks ago
$70K - $101K *
Join us to enhance procurement excellence, streamline operations, and drive continuous improvement initiatives. Leverage your skills to implement effective practices and support strategic sourcing acr...
Reposted 3 weeks ago
$90K - $130K *
The Utility Project Manager will oversee and coordinate all design works related to utilities for major transportation projects, ensuring effective management of utility design consultants. This role...
Reposted 6 days ago
Clinical Guide Part A: Utilization Management Nurse
$85K - $95K *
Join a team that's dedicated to evaluating medical necessity in inpatient and post-acute services. You'll collaborate with clinical staff to ensure compliance with CMS guidelines, while making impactf...
1 week ago
Clinical Guide Part A: Utilization Management Nurse
$85K - $95K *
Lead the charge in Utilization Management by reviewing inpatient, behavioral health, and post-acute services to ensure compliance with CMS and Medicare Advantage standards while evaluating medical nec...
1 week ago
$90K - $130K *
Grow partnerships by leveraging data analytics and strategic insights to drive digital payment solutions and enhance client success in a high-impact, revenue-focused role within the US market...
1 week ago
$100K - $130K *
Champion innovative cloud solutions while providing expert support in configuration management and O&M activities, ensuring optimal application performance and security within a dynamic team environme...
Today
$90K - $120K *
Champion the delivery of transportation services through collaboration with operations, ensuring compliance, enhancing client relationships, and driving productivity in a dynamic, multi-million dollar...
Reposted 3 weeks ago
$140K - $190K *
Lead the success of Lighter-Than-Air (LTA) programs by managing all phases from proposal to execution, ensuring delivery meets contract standards, budgets and timelines while interfacing with customer...
Reposted 1 week ago
$130K - $170K *
Manage configuration oversight of systems throughout their lifecycle, ensuring integrity and compliance. Collaborate with technical teams to implement best practices and drive quality while optimizing...
1 week ago
$75K - $105K *
Drive success by coordinating project activities, enhancing customer satisfaction, and maintaining compliance. Embrace a dynamic, fast-paced environment while overseeing financials and mentoring team...
1 week ago
Medical Director - Utilization Management
$210K - $227K *
Champion clinical excellence as a Medical Director overseeing utilization management. Lead strategic initiatives, integrate interdisciplinary care, and ensure compliance while enhancing member outcome...
2 weeks ago
$90K - $120K *
Transform vendor management for ancillary benefits, ensuring compliance, quality, and performance excellence while collaborating with teams to enhance member services and operational efficiencies...
3 weeks ago
$75K - $95K *
Lead the charge in delivering exceptional clinical and administrative management for a subacute unit, ensuring quality care and compliance while guiding a dedicated nursing team and fostering a therap...
6 days ago
Manager, Maintenance & Utilities
$78K - $130K *
Optimize the efficiency and effectiveness of building operations through expert supervision, maintenance, and management of mechanical systems, ensuring compliance with safety and quality standards wh...
Reposted 5 days 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.