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.
$120K - $160K *
Lead and develop multiple Claims Teams, ensuring compliance and performance excellence. Drive initiatives in employee training, operational improvements, and customer service, fostering a culture of i...
2 weeks ago
$75K - $95K *
Manage Fiber-to-the-Home projects from design to closeout, ensuring adherence to budget, quality and safety standards while maintaining stakeholder communications and project alignment with organizati...
Today
$75K - $95K *
Advance healthcare by serving as a clinical expert, educator, and consultant. Collaborate with staff to enhance patient care quality, monitor clinical practices, and lead education initiatives for bet...
1 week ago
Revenue Operations Data Analyst
$103K - $130K *
Unlock the potential of data analytics to enhance sales, marketing, and enrollment operations. Drive strategic insights and support revenue growth through effective reporting and incentive compensatio...
1 week ago
Project Manager, Implementation
$70K - $95K *
Drive successful project execution by managing timelines, budgets, and resources. Collaborate with teams to meet milestones and achieve business goals in a dynamic environment, ensuring effective comm...
Yesterday
$75K - $90K *
Manage day-to-day operations of facilities, ensuring safety and functionality. Collaborate with internal teams and vendors to enhance the campus experience, support continuous improvement, and contrib...
3 weeks ago
$108K - $146K *
Drive successful execution of medium-to-large Power Lifeline projects. Lead project teams in managing scope, budget, and schedules while ensuring quality standards are met. Foster collaboration and ma...
3 weeks ago
$80K - $150K *
Engage and grow a diverse portfolio of residential and commercial accounts, ensuring service excellence and maximizing client satisfaction through proactive relationship management and revenue-driving...
2 weeks ago
$90K - $130K *
Champion excellence in program management for US Navy engineering contracts, leading multi-disciplinary teams to ensure superior support for hull, mechanical, and electrical systems. Drive innovation...
2 weeks ago
$90K - $120K *
Champion multi-disciplinary contract program support for the US Navy's In-Service Engineering, driving maintenance and modernization initiatives for Hull, Mechanical, and Electrical systems while ensu...
4 weeks ago
$90K - $120K *
Accelerate project delivery by leading mid to large-scale IT initiatives. Collaborate with cross-functional teams and manage vendor relationships to ensure the timely completion of programs while alig...
2 weeks ago
$88K - $132K *
Lead the charge in shaping IT support operations, managing teams and vendors while enhancing stakeholder engagement and driving incident resolution to optimize service delivery across various channels...
4 weeks ago
$76K - $117K *
Elevate surgical practice management by leading operations for a multi-physician team, focusing on financial growth, compliance, and optimal patient care delivery. Drive strategic improvements while c...
4 days ago
$100K - $130K *
Empower project success as you lead comprehensive project controls for large-scale capital programs, integrating strategies across cost, schedule, and performance metrics to ensure data-driven decisio...
3 weeks ago
$149K - $187K *
Lead the charge in integrated project controls for major capital programs, driving data-driven decision-making through expertise in cost management, scheduling, and risk analysis while collaborating a...
3 weeks ago
Program Manager Revenue Integrity
$85K - $110K *
Join a team that's integral to enhancing research revenue integrity by managing complex billing practices and fostering collaboration across departments to ensure compliance and efficiency in capturin...
3 weeks ago
Sys Manager Reimbursement-Government Programs Appeals
$90K - $120K *
Champion healthcare reimbursement excellence by leading strategic management and reporting initiatives, ensuring compliance with regulatory standards while optimizing team performance and enhancing fi...
4 days ago
$75K - $95K *
Lead integration operations by managing a team to ensure quality and timely execution of customer projects, coordinating workflows across functions to meet operational standards and customer expectati...
2 weeks ago
$75K - $95K *
Lead operations at our clinical research network, ensuring optimal team performance and protocol adherence. Drive patient care excellence while managing resources and meeting financial goals within a...
3 weeks ago
$139K - $165K *
Unlock potential by leading data protection and governance initiatives. Drive impactful projects, mentor teammates, and deliver tailored Microsoft solutions that ensure security and compliance across...
Reposted 1 week ago
$139K - $165K *
Launch innovative data protection solutions that safeguard client data. Shape complex security strategies, mentor teams, and lead client engagements while driving compliance and governance initiatives...
Reposted 1 week ago
$139K - $165K *
Reimagine data protection strategies by leading governance initiatives, guiding clients through security challenges, and mentoring teams to implement comprehensive Microsoft solutions across diverse d...
Reposted 1 week ago
$139K - $165K *
Transform data protection and governance solutions by leading client engagements, guiding teams, and implementing robust Microsoft Purview strategies for secure and compliant data management across di...
Reposted 1 week ago
$139K - $165K *
Pioneer data protection solutions by guiding teams and clients through security initiatives. Collaborate on design, governance, and compliance while ensuring effective project delivery and mentorship...
Reposted 1 week ago
$139K - $165K *
Lead the charge in delivering cutting-edge data protection and governance solutions. Drive client engagements, mentor teams, and implement Microsoft Purview strategies to ensure secure data management...
Reposted 1 week ago
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.