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.
Case Management Program Manager
$88K - $105K *
Inspire excellence in patient care by leading a dynamic Case Management team, ensuring seamless service delivery and continuity of care through effective collaboration and resource management in a fas...
1 week ago
$103K - $118K *
Drive operational excellence by overseeing maintenance teams, ensuring efficient equipment performance, and implementing safety protocols. Collaborate with vendors and manage budgets to enhance servic...
1 week ago
$112K - $140K *
Lead the charge in optimizing maintenance operations, ensuring safety and compliance while managing a skilled team. Drive efficiency through preventive maintenance and budget management, fostering a c...
1 week ago
$90K - $110K *
Elevate project outcomes by managing the full lifecycle, ensuring alignment with business objectives, and driving successful execution through effective planning, budgeting, and risk management...
Reposted 3 days ago
$95K - $115K *
Take ownership of complex supply chain projects, driving transformation and efficiency. Collaborate with stakeholders to define goals, manage resources, and ensure timely delivery while maintaining hi...
1 week ago
$90K - $110K *
Transform the operational landscape of a dynamic healthcare practice by overseeing management, revenue cycles, and staff coordination across multiple locations, ensuring exceptional patient care and c...
Yesterday
$90K - $110K *
Grow your career with a dynamic healthcare practice overseeing operations, revenue cycle management, and staff supervision across multiple locations, ensuring exceptional patient care and compliance w...
Yesterday
Utilization Management Clinician (Tuesday - Saturday)
$70K - $106K *
Drive exceptional member care by coordinating healthcare services with a multidisciplinary team. Utilize your nursing or behavioral health expertise to promote effective utilization and achieve qualit...
4 days ago
$85K - $100K *
Drive financial integrity and compliance by overseeing accounting, reporting, and budgeting for government-funded programs. Collaborate with leadership to provide strategic financial insights and ensu...
2 weeks ago
CLINICAL PROCESS IMPROVEMENT MANAGER
$80K - $95K *
Elevate your career by leading clinical quality improvement initiatives, enhancing patient care through effective management and innovative strategies in a dynamic healthcare environment...
5 days ago
$153K - $210K *
Elevate your career by managing end-to-end product lifecycles, ensuring operational excellence, and driving continuous improvement initiatives in a dynamic manufacturing environment. Lead cross-functi...
1 week ago
$95K - $115K *
Engage with us to drive successful SaaS implementations in healthcare. Oversee projects, collaborate with clients, and ensure seamless software adoption while enhancing operational efficiency across d...
6 days ago
$105K - $132K *
Join a team that's dedicated to optimizing employee benefits programs. You'll manage US benefits operations, enhance vendor performance, and shape global strategies, ensuring a seamless, employee-cent...
5 days ago
$80K - $95K *
Champion quality excellence by leading cross-functional teams to drive data-driven improvements, enhance processes, and empower a high-performance culture. Your strategic insights will elevate product...
Reposted today
$105K - $118K *
Manage maintenance operations for an Automated Baggage Handling System, leading a team to ensure efficiency and safety while driving continuous improvement and aligning with customer expectations and...
5 days ago
$90K - $120K *
Shape the future of naval R&D by managing documentation and configuration processes, ensuring quality control, and supporting critical operations for submarine and surface ship weapon systems testing...
1 week ago
Workflow & Resource Allocation Manager
$80K - $95K *
Champion the optimization of production workflows across Tax teams, ensuring efficient staff deployment and capacity utilization. Leverage data analytics and AI tools to enhance operational effectiven...
1 week ago
Workflow & Resource Allocation Manager
$80K - $95K *
Unlock potential by managing and optimizing production workflows across Tax teams. Lead resource allocation, enhance capacity utilization, and ensure timely project delivery while fostering collaborat...
1 week ago
Workflow & Resource Allocation Manager
$80K - $95K *
Shape the future of operational efficiency by managing production workflows across Tax teams. Utilize data analytics and AI tools to optimize resource allocation, resolve bottlenecks, and ensure timel...
1 week ago
$90K - $110K *
Lead maintenance operations to enhance equipment reliability and team performance. Drive continuous improvement initiatives while ensuring safety and compliance in a fast-paced manufacturing environme...
2 weeks ago
SYSTEM PATIENT EXPERIENCE MANAGER
$85K - $95K *
Transform patient experiences by leading initiatives to enhance satisfaction scores, collaborating with unit leadership, and managing a team of Patient Experience Managers to ensure compliance and ope...
Today
Utilization Review RN - Utilization Management
$85K - $100K *
Join our team to provide utilization review and care coordination, ensuring quality and cost-effective healthcare for members across the continuum. Your expertise will enhance patient outcomes and str...
Today
$95K - $115K *
Lead the charge in risk management by identifying and mitigating threats to the organization's financial and operational integrity. Collaborate across divisions to implement strategies that ensure com...
Reposted 4 days ago
$100K - $120K *
Lead the strategic implementation of Salesforce programs, overseeing project lifecycles, stakeholder management, and process improvements. Drive cross-functional collaboration to ensure timely deliver...
3 days ago
$80K - $95K *
Drive impactful projects within Geriatrics by managing data, collaborating with teams, and presenting insights to enhance operational efficiency and support strategic goals across the organization...
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.