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.
$95K - $115K *
Oversee operational excellence across multiple healthcare clinics, driving performance improvements, team development, and patient satisfaction. Lead strategic initiatives to enhance efficiency and co...
1 week ago
$90K - $110K *
Lead operational excellence across multiple care teams, driving continuous improvement and fostering a culture of collaboration. Manage strategic initiatives to enhance patient care and achieve financ...
1 week ago
Project Manager, Business Process & Systems
$88K - $105K *
Accelerate progress at optimizing business processes and systems by leading initiatives that align with strategic objectives. Collaborate with cross-functional teams to enhance efficiency and drive co...
4 days ago
Resident Care Manager (Unit Manager) RN
$108K - $127K *
Manage daily operations of a nursing unit, providing clinical leadership and ensuring high-quality resident care while fostering a supportive team environment and compliance with regulations...
1 week ago
REVENUE CYCLE APP MANAGER - INFORMATION TECHNOLOGY
$80K - $95K *
Lead a dynamic team to optimize revenue cycle applications, ensuring efficient resource utilization and meeting health system needs. Drive project management and collaboration for seamless integration...
Reposted 2 days ago
$131K - $182K *
Empower revenue teams by leading a dynamic group of Revenue Enablement Managers. Drive ongoing performance through strategic coaching, hands-on training, and AI-first initiatives, ensuring alignment a...
1 week ago
$110K - $130K *
Transform your career by leading a dynamic team in engineering development and prototyping. Drive program success through strategic oversight, customer collaboration, and innovative solutions while en...
1 week ago
$85K - $115K *
Lead multiple complex projects, ensuring timely delivery, budget adherence, and scope management while fostering strong client relationships and coordinating internal resources effectively...
3 days ago
$88K - $105K *
Champion project success by overseeing complex IT initiatives, coordinating teams, managing budgets, and ensuring seamless integration of systems to enhance operational efficiency and support healthca...
Today
Project Manager_Enterprise PMO
$95K - $115K *
Join a team that's driving project success by managing multiple initiatives within the ePMO. Lead cross-functional teams, ensure alignment with business goals, and apply diverse methodologies to deliv...
5 days ago
AVP, FCRM, Model Management and Transaction Monitoring, Canada
$160K - $200K *
Lead the development and optimization of Transaction Monitoring models, enhancing detection effectiveness in Financial Crime Risk Management. Collaborate with stakeholders to shape strategies and driv...
3 days ago
$90K - $110K *
Champion digital integration projects, driving transformation in rail systems. Lead cross-functional teams, manage deliverables, and ensure seamless transitions from project to operations, enhancing c...
Reposted today
$133K - $154K *
Shape the future of project execution by leading Building Management and Electrical Power Monitoring Systems. Collaborate with diverse teams to ensure design integrity and operational excellence acros...
Today
$80K - $95K *
Elevate operational excellence by overseeing clinic management, enhancing staff performance, and ensuring patient satisfaction while driving financial growth and maintaining a safe environment. Travel...
Reposted 1 week ago
$130K - $150K *
Optimize IT operations by managing systems, enhancing security, and leading projects. Ensure seamless network infrastructure and provide technical support while coordinating with vendors and maintaini...
Yesterday
$110K - $130K *
Take ownership of multidisciplinary engineering projects, leading teams and driving business development. Leverage your expertise in geotechnical engineering to ensure quality, safety, and operational...
1 week ago
$88K - $105K *
Empower project success by leading diverse initiatives in manufacturing. Utilize your expertise in pharma, biotech, or medical devices to drive projects from inception to completion, ensuring complian...
4 days ago
$80K - $95K *
Optimize project outcomes by leading diverse initiatives in manufacturing, focusing on pharma, biotech, and medical devices. Leverage your expertise to drive success in commissioning, qualification, a...
4 days ago
$88K - $105K *
Join our team as a Project Manager to lead diverse manufacturing projects, ensuring timely delivery and compliance. Leverage your expertise in pharma, biotech, or medical devices to drive success and...
4 days ago
$80K - $95K *
Join us to lead diverse manufacturing projects, ensuring timely delivery and compliance. Leverage your expertise in pharma, biotech, or medical devices to drive success and foster collaboration across...
4 days ago
$80K - $95K *
Lead the charge in managing diverse manufacturing projects, ensuring timely delivery and compliance. Collaborate with teams to drive success in capital, construction, and qualification initiatives whi...
4 days ago
$80K - $95K *
Elevate project success by leading diverse initiatives in the manufacturing sector. Utilize your expertise in pharma, biotech, or medical devices to drive projects from inception to completion, ensuri...
4 days ago
$75K - $90K *
Lead diverse manufacturing projects by developing and implementing strategic plans, ensuring timely delivery and compliance while fostering team collaboration and stakeholder communication...
4 days ago
$97K - $133K *
Accelerate progress at the department by overseeing strategic projects, enhancing communication, and driving operational readiness. Collaborate cross-functionally to implement initiatives and resolve...
6 days ago
$110K - $130K *
Drive operational excellence through data-driven process optimization, leveraging Lean Six Sigma and advanced analytics. Collaborate with cross-functional teams to achieve measurable improvements in e...
Reposted 2 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.