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.
$66K - $135K *
Support mission planning and scheduling by optimizing resources across multiple operations. Collaborate with teams to develop detailed plans and execute mission strategies in a fast-paced environment...
2 days ago
$80K - $100K *
Shape and drive the growth of Empower's Field Sales Program by recruiting, training, and managing sales contractors in new markets, while optimizing processes and ensuring effective team workflows for...
2 weeks ago
$92K - $110K *
Champion high-quality patient care by leading operations at an outpatient dialysis center. Oversee clinical and administrative functions, ensuring compliance and optimal outcomes while fostering staff...
Today
$85K - $100K *
Lead a dynamic team to optimize inventory management and enhance supply chain efficiency across a vast facility, ensuring timely product availability and compliance with operational standards...
2 weeks ago
$85K - $100K *
Lead a dynamic Supply Chain team to optimize inventory management and enhance operational efficiency across a vast distribution network, ensuring timely product availability and compliance with indust...
2 weeks ago
$85K - $100K *
Lead a dynamic team to optimize supply chain operations across vast facilities, ensuring efficient inventory management and compliance with standards while driving process improvements and cross-depar...
2 weeks ago
$80K - $95K *
Elevate our supply chain operations by leading a dynamic team to optimize inventory management, enhance process efficiency, and collaborate across departments to ensure seamless logistics and complian...
2 weeks ago
$80K - $95K *
Transform supply chain operations by leading a dynamic team to optimize inventory management, enhance process efficiency, and drive cross-functional collaboration in a large-scale distribution environ...
2 weeks ago
$84K - $104K *
Drive strategic business management for the Laboratory Animal Resources department, overseeing financial operations, budgeting, and compliance. Collaborate with leadership to ensure effective resource...
2 weeks ago
$110K - $130K *
Join a team that's driving impactful technology programs within a leading asset management firm. Collaborate across functions to manage project milestones, dependencies, and stakeholder communications...
Reposted 1 week ago
$110K - $130K *
Engage with cross-functional teams to lead NetSuite projects, providing architecture and configuration expertise in a regulated life sciences environment. Drive standardization and governance while en...
2 weeks ago
Oracle Program Manager - CX, ERP, HCM & Release Managementransitions
$120K - $145K *
Grow your career with a dynamic role leading Oracle Cloud transformation programs. Oversee multiple projects across CX, ERP, and HCM platforms, ensuring alignment with business objectives while managi...
6 days ago
Manager, Coding (Claims Operations)
$78K - $134K *
Transform provider claim payment processes by leading analytics and reimbursement teams. Drive improvements through data insights, manage vendor relationships, and ensure compliance while fostering te...
Yesterday
Manager, Coding (Claims Operations)
$78K - $134K *
Unlock your potential by leading teams in payment analytics and reimbursement policy. Drive improvements in claims processing accuracy, manage vendor relationships, and report insights to senior leade...
Yesterday
Manager, Coding (Claims Operations)
$78K - $134K *
Champion data-driven improvements in claims payment accuracy and vendor management. Lead a team to analyze trends, recover overpayments, and enhance operational efficiency while collaborating with sta...
Yesterday
$80K - $95K *
Grow your career by managing key customer relationships in healthcare technology. Drive renewals, expansion, and new business opportunities while collaborating with cross-functional teams to achieve c...
1 week ago
HCS Operational Project Manager - Care Access - Service Integration
$88K - $105K *
Unlock your potential as you lead projects to optimize and expand the Verint platform, ensuring operational excellence across diverse teams while driving strategic initiatives that enhance system-wide...
4 days ago
$100K - $160K *
Join a team that's dedicated to delivering expert valuation services for diverse clients. Leverage your finance and accounting skills to support M&A, financial reporting, and strategic planning while...
1 week ago
$100K - $160K *
Unlock your potential by joining a dynamic team that delivers expert valuation services for M&A, financial reporting, and strategic planning, while fostering client relationships and mentoring staff i...
1 week ago
$100K - $160K *
Unlock the potential of valuation services by guiding clients through M&A, financial reporting, and strategic planning. Collaborate with a diverse team to deliver expert insights and foster client rel...
1 week ago
$100K - $160K *
Transform client valuation processes by leveraging expertise in M&A, financial reporting, and strategic planning. Engage with diverse industries to deliver comprehensive valuation solutions while fost...
1 week ago
$100K - $160K *
Transform client valuation processes by leveraging your expertise in finance and accounting. Collaborate with diverse teams to deliver insights on M&A, financial reporting, and strategic planning, whi...
1 week ago
$120K - $140K *
Join a team that's transforming higher education through ERP solutions. Lead strategy, governance, and optimization initiatives while managing a talented team to enhance operational performance and dr...
Today
$78K - $163K *
Lead a dynamic team to address operational gaps through capability integration and planning. Collaborate with various stakeholders to develop and implement innovative solutions that enhance mission ef...
2 weeks ago
Manager, Customer Implementations
$95K - $115K *
Transform customer experiences by leading a dynamic team in delivering successful SaaS implementations. Drive excellence, foster collaboration, and embrace innovation to enhance onboarding processes a...
2 weeks 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.