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.
$82K *
Transform community engagement by leading operations for our Ambassador program, ensuring quality service delivery and effective team management to enhance guest experiences through innovative solutio...
1 week ago
Medication Use Policy Coordinator Acute
$105K - $195K *
Join a dynamic team to optimize medication utilization and improve patient outcomes through formulary management. Drive initiatives focusing on cost reduction while ensuring quality assurance and coll...
2 weeks ago
Utilization Review Registered Nurse, Case Management, FT, 07A-7:30P Local Remote
$73K - $96K *
Champion optimal patient outcomes by conducting comprehensive chart reviews, coordinating with healthcare teams, and resolving reimbursement issues to minimize delays and ensure efficient resource uti...
Today
$80K - $95K *
Drive growth by managing key accounts through consultative selling to capture new business opportunities in a defined geographic area, enhancing customer relationships and ensuring service excellence...
Reposted 2 days ago
$90K - $130K *
Partner with us to manage client engagements, optimizing project delivery and financial success while leading diverse teams to achieve client goals and satisfaction in a dynamic, collaborative environ...
2 weeks ago
$90K - $130K *
Take ownership of client relationships and project success by managing engagements with multiple clients. Leverage resources, oversee budgets, and ensure adherence to best practices to deliver excepti...
2 weeks ago
Executive Director of Clinical Healthcare Operations
$120K - $150K *
Join a leading healthcare organization by providing executive-level operational oversight for clinical and behavioral health programs. Drive efficiency, compliance, and performance across multiple ope...
3 weeks ago
CMS and NCQA Utilization Management, RN - Florida Remote
$77K - $126K *
Champion compliance and quality in healthcare by applying expertise in utilization management. Collaborate across departments to enhance service delivery, mitigate risks, and optimize program performa...
Reposted yesterday
$90K - $120K *
Manage existing accounts and drive new business initiatives in a dynamic territory. Build relationships with clients while leveraging product knowledge to enhance service offerings and foster growth i...
Reposted 2 days ago
$90K - $120K *
Champion the implementation and support of IT systems, ensuring operational excellence through management of infrastructure, troubleshooting, and optimizing performance across various platforms and de...
Today
$90K - $120K *
Support and optimize IT systems infrastructure, ensuring operational reliability. Manage server and network devices, provide Tier 1 and Tier 2 support, and enhance security measures while communicatin...
Today
Senior Director, Utilization & Case Management
$120K - $150K *
Elevate care management standards across acute care systems, driving teamwork and operational effectiveness. Lead strategic initiatives to improve patient outcomes, efficiency, and compliance while fo...
3 weeks ago
$80K - $128K *
Optimize IT asset lifecycle operations by managing tracking systems, governance, and inventory for federal IT projects. Collaborate with cross-functional teams to enhance efficiency, ensure compliance...
2 weeks ago
$90K - $130K *
Unlock potential by optimizing databases across Azure-managed PostgreSQL and Oracle environments. Collaborate with engineering teams to enhance performance, ensure data integrity, and implement monito...
1 week ago
$100K - $125K *
Join us to oversee operations for Class A retail within a luxury mixed-use development, ensuring high tenant satisfaction and financial performance while working closely with ownership and senior lead...
1 week ago
$140K - $180K *
Optimize trade operations by ensuring accurate reconciliation and settlement. Lead a team, mentor analysts, and enhance process efficiency in a fast-paced environment while collaborating with trading...
6 days ago
$90K - $120K *
Join a team that's dedicated to enhancing coding services, ensuring operational excellence, and fostering positive client relationships. Manage resources effectively while mentoring staff to meet prod...
1 week ago
Insurance Manager (Risk Management & Coverage Audit)
$70K - $95K *
Elevate our insurance service by managing corporate and personal coverage needs, ensuring accurate assessments and proposals while fostering strong client relationships. Leverage your expertise to del...
2 days ago
$80K - $100K *
Transform complex public-sector architecture projects by leading diverse teams, managing processes, and fostering collaboration to deliver high-quality solutions that meet client needs within scope, b...
4 weeks ago
$75K - $95K *
Transform provider enrollment operations by leading a dynamic team, enhancing workflows, and fostering client relationships to achieve departmental success and consistency in enrollment processes...
2 weeks ago
Mobility Engineering Finance Manager
$130K - $170K *
Lead the charge in transforming Engineering Finance processes and systems for the Mobility Group. Oversee forecasting, project accounting, and partner closely with engineering leadership to drive data...
Yesterday
Mobility Engineering Finance Manager
$130K - $170K *
Engage in transformative Engineering Finance support, owning forecasting and project accounting processes. Drive system migrations, enhance data transparency, and partner closely with Mobility Enginee...
Yesterday
Mobility Engineering Finance Manager
$130K - $170K *
Execute comprehensive finance strategies in Engineering, driving end-to-end accounting and forecasting improvements while leading transformative initiatives within the Mobility Group for enhanced oper...
Yesterday
Mobility Engineering Finance Manager
$130K - $170K *
Lead engineering finance transformation by overseeing project accounting, forecasting, and financial partnerships. Drive improvements in processes and data transparency for the Mobility Group, ensurin...
Yesterday
Mobility Engineering Finance Manager
$130K - $170K *
Optimize financial processes and lead Engineering Finance transformation, ensuring accurate forecasting and project accounting while partnering with leadership to enhance data transparency and operati...
Yesterday
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.