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.
$88K - $105K *
Shape the future of client transitions by managing implementation functions across multiple locations, ensuring quality service delivery, and fostering strong sales relationships to meet productivity...
2 weeks ago
$80K - $95K *
Lead the Implementation function to enhance service delivery, manage client transitions, and ensure quality objectives are met. Collaborate with Sales and develop high-performance teams to drive produ...
2 weeks ago
$110K - $130K *
Join a dynamic team to enhance mechanical system reliability through strategic maintenance and performance monitoring. Collaborate with leadership to drive asset management initiatives and ensure opti...
3 weeks ago
$66K - $132K *
Optimize project coordination in data center construction, supporting multiple initiatives. Collaborate with teams to maintain trackers, organize updates, and ensure timely communication. Drive effici...
Today
$66K - $132K *
Unlock potential by leading IT projects that enhance healthcare delivery and operational efficiency. Collaborate with diverse teams to manage project lifecycles, ensuring alignment with clinical and s...
4 days ago
$120K - $145K *
Manage and transform priority initiatives by leading high-stakes projects, ensuring effective execution of supplemental appropriations while collaborating across teams to drive programmatic success an...
Reposted 1 week ago
Manager, Finance & Administration
$95K - $115K *
Empower financial integrity and operational excellence by leading finance, administration, and technology oversight. Translate complex financial data into actionable insights while ensuring compliance...
4 weeks ago
$81K - $99K *
Empower your career by driving sales growth and building relationships with dental professionals. Leverage your expertise to identify opportunities, manage territory activities, and support customer s...
1 week ago
$81K - $99K *
Oversee territory growth by building relationships with dental professionals, driving sales, and providing tailored solutions to meet customer needs while collaborating with dealer partners for sustai...
1 week ago
Operations Manager of Survivorship and Palliative Care
$133K *
Lead operational excellence in cancer survivorship and palliative care programs, ensuring efficient workflows, patient access, and interdisciplinary collaboration to enhance care delivery and support...
6 days ago
Revenue Cycle Manager, Medi-Cal
$80K - $95K *
Drive the end-to-end Medi-Cal revenue cycle by designing workflows, ensuring compliance, and fostering collaboration among clinical, billing, and finance teams to enhance efficiency and accuracy in cl...
1 week ago
Academic Center Executive / Great Plains
$144K - $189K *
Accelerate progress at leading academic centers by promoting innovative rare disease treatments. Build relationships with healthcare professionals to enhance patient care and drive product adoption in...
3 weeks ago
$80K - $95K *
Lead project delivery by managing schedules, budgets, and customer relations. Ensure compliance with specifications while driving resolutions to keep projects on track. Collaborate across departments...
1 week ago
$80K - $95K *
Elevate project success by managing diverse portfolios, ensuring design accuracy, and coordinating production and delivery. Collaborate with teams to enhance quality and customer satisfaction while na...
1 week ago
Manager, Inventory & Cost Accounting
$95K - $115K *
Optimize your career with a key role in inventory and cost accounting, focusing on production reporting and financial controls. Collaborate with cross-functional teams to enhance processes and ensure...
6 days ago
$110K - $130K *
Transform enterprise business systems by leading strategy, integration, and continuous improvement. Collaborate across functions to enhance processes, data integrity, and technology investments, drivi...
2 weeks ago
$95K - $115K *
Lead the financial operations, ensuring accurate reporting and compliance for the Fund while guiding and training a team through dynamic tasks and complex regulatory requirements. Foster relationships...
Reposted 2 weeks ago
$95K - $115K *
Support the financial operations by overseeing quarterly reports, managing capital calls, and ensuring compliance with regulations while providing team leadership and training for effective performanc...
Reposted 2 weeks ago
$95K - $115K *
Lead the charge in overseeing financial reporting and compliance for a dynamic Fund, ensuring accurate communication with Limited Partners and General Partners, while driving team performance and deve...
Reposted 2 weeks ago
Revenue Cycle Management Transformation Manager
$78K - $113K *
Join us in transforming Revenue Cycle Management by leveraging analytical skills to enhance operational excellence across various RCM functions, driving process improvements and supporting financial p...
1 week ago
$110K - $130K *
Elevate global post-market surveillance by leading a team focused on safety, compliance, and performance of medical devices. Drive field actions, analyze data, and collaborate cross-functionally to en...
1 week ago
$110K - $130K *
Transform financial planning and analysis by building core forecasting rhythms, providing enterprise insights, and collaborating across decentralized businesses to enhance decision-making and drive op...
Today
$80K - $95K *
Drive customer success by leading a team to enhance client relationships, streamline processes, and improve satisfaction across a diverse portfolio. Collaborate with cross-functional teams to ensure o...
1 week ago
$95K - $115K *
Drive excellence in managed services by leading support teams, ensuring service delivery, and enhancing client satisfaction. Collaborate across departments to maintain system health and improve operat...
6 days ago
$95K - $115K *
Transform managed services delivery by leading support teams, ensuring client satisfaction, and driving operational excellence. Collaborate across departments to enhance service quality and implement...
6 days 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.