Welcome to Utilization Manager Job Opportunities at Ladders

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.

Why Choose a Career as a Utilization Manager?

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.

Qualifications for Utilization Manager Jobs

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.

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$100K - $149K *

Transform patient care by leading interdisciplinary teams, ensuring compliance, and optimizing clinical staff performance in a fast-paced healthcare environment. Drive quality and foster professional...

6 days ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$90K - $130K *

Empower a dedicated team to deliver exceptional client services while guiding execution and resolving issues to ensure revenue and retention success. Collaborate with various internal teams to enhance...

3 weeks ago

  •   Less than 5 years exp.  •   Business Services

$100K - $130K *

Drive transformative strategies in Utilization Review to enhance hospital case management, ensuring compliance and optimizing patient care and resource utilization across multiple facilities. Lead, me...

1 week ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$190K - $250K *

Join us to drive mission execution as you oversee program timelines, coordinate teams, and manage customer relationships. Leverage your technical expertise to ensure successful launches and compliance...

1 week ago

  •   Less than 5 years exp.  •   Aerospace & Defense

$118K - $132K *

Optimize claims audit processes by leading a team to ensure vendor compliance, achieve key performance metrics, and enhance accuracy in claims handling while fostering interdepartmental collaboration...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $293K *

Lead the charge in transforming clinical operations for integrated health, enhancing care delivery and provider performance through innovative programs and strategies. Collaborate across payers and pr...

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $293K *

Empower your career by leading clinical operations transformations that enhance care delivery, optimize resource utilization, and improve provider performance across healthcare settings. Drive innovat...

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $293K *

Join a team that's dedicated to transforming healthcare delivery through innovative care models. You will spearhead initiatives that enhance patient outcomes, streamline operations, and promote collab...

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $120K *

Champion seamless 401(k) plan implementations by leading teams, ensuring operational excellence, regulatory compliance, and building strong partnerships for optimal service experiences...

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$100K - $130K *

Join a dynamic pharmacy team to manage drug utilization reviews and appeals, collaborating with healthcare professionals. Ensure compliance with regulations while driving improvements in medication ma...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $110K *

Transform patient care efficiency by leading the Patient Flow Team. This role ensures optimal bed utilization, capacity planning, and timely discharges across the hospital, enhancing overall operation...

2 weeks ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$75K - $95K *

Manage daily operations and staff across multiple school districts, ensuring quality service delivery, effective hiring processes, and performance improvement. Collaborate with stakeholders to meet pr...

4 weeks ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$75K - $95K *

Drive impactful program management in healthcare; lead a dedicated team to enhance patient access to medications while ensuring compliance and operational excellence for optimal client support...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $115K *

Champion effective clinical assessments and care delivery for vulnerable populations. Ensure timely, accurate documentation and support intake and enrollment teams for optimal participant enrollment a...

Reposted 5 days ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Lead the charge in ensuring high-quality, patient-centered care by managing ICU operations, staffing, and performance initiatives. Collaborate with interdisciplinary teams to promote clinical excellen...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $145K *

Unlock your potential as you navigate complex insurance claims, advocate for clients, and analyze data trends to drive strategic improvements across portfolios, ensuring optimal experiences and profit...

US-AnywhereRemote

4 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$100K - $130K *

Champion customer experience by leading a dynamic team in executing growth strategies and managing key accounts, ensuring seamless program operations in a fast-paced manufacturing environment...

3 weeks ago

  •   Less than 5 years exp.  •   Manufacturing & Automotive

$90K - $120K *

Lead the charge in enhancing patient safety and risk management programs, overseeing compliance initiatives and guiding a dedicated team to ensure organizational goals of safe care are met effectively...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $108K *

Empower transformation by managing change initiatives, aligning teams and stakeholders through effective planning, engagement, and communication strategies. Drive readiness and adaptation while foster...

Markham, ONIn-Person

Reposted yesterday

  •   5 - 7 years exp.  •   Healthcare

$100K - $150K *

Partner with us to drive mission success by leading customer integrations and enhancing product efficacy while ensuring robust operational processes in a dynamic, innovative environment that bridges e...

2 weeks ago

  •   8 - 10 years exp.  •   Aerospace & Defense

$75K - $95K *

Drive program excellence by serving as a data expert, coaching leaders and staff to meet quality and performance standards. Implement effective methods for continuous improvement and support data-driv...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $130K *

Unlock potential by governing infrastructure operations, overseeing modernizations, developing standards, and advising leadership to ensure resilience and compliance in diverse IT environments...

1 week ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$64K - $129K *

Drive exceptional customer experiences by overseeing service job bookings and billing. Collaborate with diverse teams to ensure efficiency and accountability in a dynamic service environment, focusing...

2 weeks ago

  •   Less than 5 years exp.  •   Business Services

$70K - $95K *

Join a dynamic team to enhance brand visibility and drive community engagement through innovative marketing strategies and effective communication in the behavioral health sector...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$111K - $150K *

Drive impactful outcomes in Medicaid's complex ecosystem by managing configuration processes, ensuring system integrity, and leading project teams. Collaborate to enhance system documentation and comp...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

Frequently Asked Questions (FAQ)

  • What is a Utilization Manager?question toggle

    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?question toggle

    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?question toggle

    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.