Utilization Managers help organizations make informed, consistent decisions about how services and resources are used. In healthcare, they often oversee utilization review, care coordination, and processes that support appropriate, evidence-based care. Explore vetted Utilization Manager opportunities on Ladders, including positions with salaries of $100,000 or more.
Responsibilities vary by employer and industry. Healthcare Utilization Managers may lead teams that review care requests, assess cases against clinical guidelines and organizational policies, monitor service utilization, and coordinate with clinicians, insurers, and other stakeholders. They may also track performance measures, identify workflow improvements, and help ensure regulatory and documentation requirements are met.
Employers commonly seek experience in utilization management, utilization review, case management, or healthcare operations. Helpful qualifications may include a nursing or other relevant clinical background, familiarity with clinical criteria and payer processes, leadership experience, and strong analytical, communication, and problem-solving skills. Requirements differ by role, so review each job description for specific credentials and experience.
Utilization Managers work across health plans, hospitals, health systems, and other healthcare organizations. Depending on the employer, roles may focus on clinical review, care management, quality, compliance, or team leadership. Search current openings to compare responsibilities, work arrangements, and compensation, and find a position aligned with your experience and career goals.
Ladders features vetted professional opportunities with salaries of $100,000 or more. Browse Utilization Manager jobs to discover senior-level openings and explore opportunities to make an impact on healthcare delivery and organizational performance.
Technology Utilization Representative
$112K - $169K *
Shape the future of construction technology by driving adoption and utilization of innovative solutions. Engage with customers and dealers to enhance productivity and safety, while building lasting re...
Today
Medical Director Utilization Management
$210K - $250K *
Unlock potential by providing clinical expertise and leadership across various functions, enhancing quality of care, and driving efficiency in medical policy interpretation and program development for...
4 days ago
$80K - $95K *
Drive operational excellence by managing claims for Commercial, ASO, and Medicare products. Lead staff training, coordinate with health plan departments, and ensure timely claims processing while reso...
Today
$95K - $115K *
Shape your career by managing client relationships and driving AI solutions in the automotive sector. Leverage your expertise in conversational AI and marketing automation to enhance performance metri...
Yesterday
$60K - $120K *
Unlock potential by managing builder relationships, driving revenue growth, and mentoring sales teams. This role requires strategic prospecting and effective pipeline management to enhance community s...
1 week ago
Utility Distribution Project Manager I
$95K - $145K *
Lead the management of electric distribution projects, ensuring timely delivery and effective stakeholder coordination throughout all phases, from planning to closeout, while maintaining budgetary con...
Reposted 3 weeks ago
$85K - $135K *
Transform service management by leading governance and performance initiatives for IT services, ensuring reliability and efficiency across cloud platforms and ITIL processes while driving continuous i...
5 days ago
$78K - $106K *
Transform client payment policies by ensuring accuracy and compliance. Engage with internal and external teams to manage medical policy updates, conduct analyses, and enhance client relationships whil...
1 week ago
$79K - $87K *
Empower nursing staff and enhance resident care by overseeing daily operations, managing clinical processes, and collaborating with interdisciplinary teams to ensure compliance and quality improvement...
4 days ago
$66K - $96K *
Drive operational excellence by managing medical supply inventory, ensuring timely ordering, receiving, and stocking, while identifying cost-saving opportunities and enhancing supply chain efficiency...
1 week ago
$66K - $96K *
Manage daily operations for medical inventory control, including ordering, receiving, and stocking supplies. Identify and implement cost-saving measures and operational improvements to enhance supply...
1 week ago
$97K - $143K *
Drive operational excellence by leading a dedicated maintenance team to ensure equipment reliability and boost plant productivity. Implement preventive strategies while integrating advanced technologi...
4 weeks ago
$80K - $95K *
Join a team that's redefining clinical engineering operations, overseeing multi-site performance and budgets while driving impactful results and developing talent to enhance patient care and operation...
5 days ago
$80K - $95K *
Lead the charge in managing clinical and non-clinical equipment for capital projects across multiple locations, ensuring optimal quality and cost-effectiveness while aligning with ministry goals and s...
1 week ago
Access Manager - Healthcare Claims, PAs, Reimbursement & Appeals
$74K - $87K *
Unlock patient access by managing the insurance verification process, addressing barriers to care, and ensuring seamless coordination among stakeholders to facilitate timely therapy access and support...
4 days ago
Manager - Total Performance | WC, GL, AUTO and PD
$95K - $115K *
Unlock your potential by leading quality initiatives and training programs to enhance team performance and compliance. Collaborate with management to drive operational excellence and support colleague...
4 days ago
Manager - Total Performance | WC, GL, AUTO and PD
$100K - $120K *
Unlock potential by leading quality initiatives and training programs to enhance team performance and compliance. Drive operational excellence through audits, coaching, and strategic planning while fo...
5 days ago
Manager - Total Performance | WC, GL, AUTO and PD
$80K - $95K *
Advance operational excellence by overseeing quality compliance and training initiatives, driving performance improvements, and managing colleague development to enhance overall team effectiveness and...
5 days ago
Manager Quality - Unified Quality Medical Center SES
$95K - $115K *
Lead quality assurance initiatives to enhance clinical outcomes and regulatory compliance. Collaborate with cross-functional teams to standardize processes, oversee data integrity, and drive performan...
1 week ago
$80K - $95K *
Transform population health initiatives by leading strategic operations, enhancing patient engagement, and driving quality outcomes while ensuring compliance and financial sustainability across divers...
5 days ago
$80K - $95K *
Join a dynamic healthcare team to lead operations, enhance patient experiences, and drive financial performance in a busy primary care practice. Foster staff development and implement process improvem...
1 week ago
$80K - $95K *
Pioneer operational excellence in a dynamic primary care setting, leading teams to enhance patient experiences, optimize workflows, and drive financial performance while ensuring compliance and contin...
1 week ago
$140K - $160K *
Lead complex IT project implementations by leveraging advanced scheduling expertise and project management principles. Collaborate with diverse teams to ensure timely delivery and alignment with busin...
Reposted 2 days ago
Case Management Program Manager
$88K - $105K *
Inspire excellence in patient care by leading a dynamic Case Management team, ensuring seamless service delivery and continuity of care through effective collaboration and resource management in a fas...
1 week ago
$103K - $118K *
Drive operational excellence by overseeing maintenance teams, ensuring efficient equipment performance, and implementing safety protocols. Collaborate with vendors and manage budgets to enhance servic...
1 week ago
What does a Utilization Manager do?
A Utilization Manager oversees processes for reviewing and managing the use of services and resources. In healthcare, this can include leading utilization review, supporting care coordination, monitoring performance, and ensuring decisions follow applicable clinical guidelines and policies.
What qualifications are commonly required for Utilization Manager jobs?
Qualifications vary by employer. Many roles ask for experience in utilization management, utilization review, case management, or healthcare operations. Some may require a clinical credential, relevant degree, leadership experience, or knowledge of payer and regulatory requirements.
Where do Utilization Managers work?
Utilization Managers may work for health plans, hospitals, health systems, and other healthcare organizations. Their focus can include clinical review, care management, quality, compliance, or team leadership.
How can I find Utilization Manager jobs paying $100,000 or more?
Browse Utilization Manager listings on Ladders, where professional jobs are vetted and pay $100,000 or more. Review each listing for salary details, qualifications, responsibilities, and work arrangement.