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 *
Develop and implement scalable enablement programs for customer-facing teams, ensuring they are equipped with the latest knowledge and skills to excel in a fast-paced environment. Collaborate cross-fu...
1 week ago
Internal Project Manager / Risk Manager
$100K - $166K *
Champion project execution and risk management in complex energy infrastructure, driving operational efficiency and digital innovation while collaborating with cross-functional teams to enhance projec...
5 days ago
Office Management-Staff Officer Support - Skill Level 4 122-013
$88K - $105K *
Unlock potential by providing expert office management support, coordinating inter-agency agreements, facilitating policy delivery, and enhancing operational efficiency through effective communication...
Reposted 1 week ago
Clinical Documentation Manager
$73K - $115K *
Lead the charge in enhancing clinical documentation integrity and coding accuracy. Collaborate with cross-functional teams to develop educational resources and support audit readiness, driving improve...
6 days ago
$93K - $114K *
Champion project success by managing diverse electrical systems, ensuring timely completion and budget adherence while enhancing customer operations through effective communication and technical suppo...
4 days ago
Clinical Documentation Manager
$73K - $115K *
Unlock the potential of clinical documentation integrity by driving ICD-10-CM coding accuracy and enhancing provider education. Collaborate with cross-functional teams to support risk adjustment initi...
1 week ago
$95K - $115K *
Oversee and enhance the Quality Management System, ensuring compliance with ISO 9001:2015 and regulatory standards. Lead quality assurance initiatives, manage audits, and drive continuous improvement...
2 weeks ago
$95K - $115K *
Lead the charge in managing the complete lifecycle of IT assets, ensuring compliance and optimizing utilization. Collaborate with cross-functional teams to drive data-driven insights and enhance asset...
6 days ago
$120K - $145K *
Drive operational excellence and growth by leading GPU NPI programs, collaborating across teams, and managing complex initiatives. This role demands strong communication skills and a proven ability to...
2 days ago
$91K - $209K *
Elevate your career by overseeing complex AI infrastructure and GPU delivery initiatives. Collaborate across teams to drive strategic planning, execution, and operational readiness, ensuring successfu...
2 days ago
$90K - $209K *
Lead the charge in managing complex programs by collaborating with cross-functional teams to ensure timely delivery, alignment with corporate strategy, and effective resource utilization. Drive contin...
1 week ago
$120K - $150K *
Lead maintenance operations in a dynamic manufacturing setting, ensuring equipment reliability, implementing preventative strategies, and managing a skilled team to drive operational excellence and co...
Reposted today
Patient Safety Process Manager
$80K - $95K *
Grow your career with a pivotal role in patient safety management, supporting event reporting and analysis across multiple sites. Collaborate with leaders and frontline staff to enhance safety practic...
1 week ago
$142K - $180K *
Lead the charge in managing Healthcare Products from design to deployment, ensuring successful delivery through effective team oversight and adherence to stakeholder goals while fostering collaboratio...
1 week ago
$142K - $180K *
Lead the delivery of innovative healthcare solutions, managing teams and projects from design to deployment. Ensure adherence to stakeholder goals while fostering collaboration and optimizing performa...
1 week ago
$110K - $130K *
Join a dynamic leadership team to drive revenue retention and expansion through strategic account management. Lead a high-performing team, collaborate cross-functionally, and foster customer-first thi...
2 weeks ago
$120K - $145K *
Develop and lead a high-performing Account Management team to drive revenue retention and expansion through renewals, cross-sells, and upsells, while collaborating with cross-functional teams to ensur...
2 weeks ago
$100K - $120K *
Join our dynamic team to lead Account Managers in driving revenue retention and expansion. Collaborate with cross-functional teams to enhance customer satisfaction and develop strategies for long-term...
2 weeks ago
$110K - $130K *
Lead a high-performing Account Management team to drive revenue retention and expansion through renewals, cross-sells, and upsells, while collaborating with cross-functional teams to ensure customer s...
2 weeks ago
$95K - $115K *
Shape the future of product quality by leading initiatives across operations, engineering, and supply chain. Drive continuous improvement and compliance while managing a dedicated team to enhance cust...
2 weeks ago
Multi Functional Research Administrative Manager - Anesthesiology
$92K - $106K *
Lead grant lifecycle management and oversee a multi-disciplinary team to ensure compliance, budget management, and effective completion of projects within the academic research environment...
Reposted 5 days ago
Project Manager - Institutional
$100K - $120K *
Lead the charge in delivering complex healthcare construction projects, ensuring safety, budget adherence, and compliance. Collaborate with multidisciplinary teams to enhance patient care while managi...
Today
Program Manager, HUB Operations
$88K - $105K *
Lead the management of pharmaceutical programs, ensuring client satisfaction and operational excellence. Oversee daily activities, supervise staff, and drive strategic planning while maintaining stron...
2 weeks ago
$66K - $96K *
Elevate project outcomes by managing all phases of development, from scope definition to execution. Collaborate with stakeholders, analyze data, and deliver insightful reports to drive success in the...
1 week ago
$80K - $95K *
Join our team to oversee interdisciplinary operations, enhance participant care, and drive excellence in healthcare delivery. Collaborate with leaders to ensure compliance and optimize workflows for i...
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.