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.
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Transform managed services delivery by leading support teams, ensuring client satisfaction, and driving operational excellence. Collaborate across departments to enhance service quality and implement...
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Champion innovative solutions as you manage and secure a global IT database. Collaborate with diverse teams, mentor peers, and ensure effective manpower allocation while interfacing with senior leader...
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$70K - $117K *
Lead financial operations by overseeing deposits, billing, and commissions. Drive accuracy, operational excellence, and continuous improvement while managing teams and collaborating with stakeholders...
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Manager - Deposits, Billing and Commissions
$70K - $117K *
Optimize financial operations by leading teams in deposits, billing, and commissions. Drive accuracy, enhance service quality, and foster continuous improvement while collaborating with key stakeholde...
1 week ago
Manager - Deposits, Billing and Commissions
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Drive operational excellence by leading financial operations teams, ensuring accurate billing, deposits, and commissions. Collaborate with stakeholders to enhance service quality and implement continu...
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Project Manager Portfolio Governance & Executive Reporting
$110K - $130K *
Champion centralized oversight and reporting for the Fraud Technology portfolio, translating detailed data into executive insights. Collaborate with leadership to ensure portfolio health through effec...
Reposted 2 days ago
Project Manager Portfolio Governance & Executive Reporting
$110K - $130K *
Shape the future of portfolio governance by providing centralized oversight and insights for the Fraud Technology portfolio. Collaborate with leadership to ensure accurate reporting, financial perform...
Reposted 2 days ago
$89K - $94K *
Engage with diverse teams to manage complex programs, ensuring effective service delivery and resource allocation. Lead initiatives that support vulnerable populations while achieving organizational g...
5 days ago
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Elevate your career by leading data-driven initiatives that enhance performance measurement and quality improvement across diverse programs. Collaborate with cross-functional teams to foster a culture...
Today
Project Manager, Business Process & Systems
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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
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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...
2 weeks ago
REVENUE CYCLE APP MANAGER - INFORMATION TECHNOLOGY
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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...
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4 days ago
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Project Manager_Enterprise PMO
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6 days ago
MANAGER, ABSENCES AND ACCOMMODATIONS
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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.