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.
Asset, Change and Configuration Manager
$130K - $140K *
Join a team that's dedicated to enhancing IT asset and configuration management practices, ensuring accurate inventory and controlled changes while driving audit readiness and improving service reliab...
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Tackle professional coding denials by leading initiatives for prevention, resolution, and performance improvement. Collaborate across departments to optimize revenue integrity while ensuring complianc...
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$140K - $175K *
Elevate your career by leading operations and fostering client relationships in a dynamic environment. Drive growth through mentorship and strategic initiatives while ensuring high-quality service and...
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$86K - $106K *
Join a team that's dedicated to ensuring accurate pupil accounting and enrollment processes. Oversee compliance, manage reporting, and lead a skilled team to support student membership and funding in...
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Operations Integration Project Manager
$90K - $110K *
Drive strategic initiatives by leading integration projects across functions, focusing on M&A, quality improvements, and system implementations. Collaborate with teams to ensure successful transitions...
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Payment Integrity Clinical Readmission Manager
$73K - $125K *
Champion clinical reviews of inpatient admissions and readmissions, ensuring compliance with guidelines. Leverage strong clinical expertise to assess cases, document findings, and support appeals, whi...
2 weeks ago
Payment Integrity Clinical Readmission Manager
$73K - $125K *
Transform clinical review processes by conducting thorough prepayment and post-payment assessments of inpatient admissions. Leverage your expertise to ensure compliance, support appeals, and enhance q...
2 weeks ago
$80K - $95K *
Partner with us to manage construction projects from design to completion, ensuring client satisfaction through effective scheduling, budgeting, and coordination. Leverage your expertise to enhance pr...
1 week ago
$85K - $105K *
Advance your career by leading a dynamic warehouse team, enhancing operations, and driving performance improvements in a hands-on management role focused on accountability and collaboration...
1 week ago
$73K - $88K *
Accelerate progress at expanding customer accounts by driving annual recurring revenue and enhancing retention through structured sales strategies and digital engagement, while managing a high-volume...
6 days ago
$95K - $115K *
Unlock potential by leading large-scale power generation projects, ensuring timely delivery, budget adherence, and quality standards. Collaborate with diverse teams to drive project success from incep...
Reposted yesterday
$88K - $105K *
Drive project success by collaborating with engineers and clients, managing schedules, budgets, and construction processes from design to completion. Utilize strong organizational skills to handle mul...
1 week ago
MEFPAK Manager- Air Mobility Command
$82K - $172K *
Champion MEFPAK Process Management, enhancing Air Force Medical Readiness through strategic planning, process improvement, and effective communication. Collaborate with teams to optimize operations an...
1 week ago
$95K - $115K *
Lead a dynamic QA team to ensure software quality through effective testing strategies, collaboration, and continuous improvement. Drive manual and automated testing efforts, coordinate releases, and...
1 week ago
Workday HCM Optimization Manager
$118K - $196K *
Deliver optimized Workday solutions through assessments, deployments, and client engagements. Lead design sessions, streamline processes, and enhance customer satisfaction in a collaborative and innov...
Reposted 1 week ago
$136K - $211K *
Manage and oversee capital projects, ensuring timely delivery, budget adherence, and compliance with safety regulations. Collaborate with diverse teams to coordinate design and construction efforts, w...
1 week ago
$136K - $211K *
Lead the strategic management of architecture and construction projects, ensuring timely delivery, budget adherence, and compliance with regulations. Collaborate with diverse teams to enhance campus d...
1 week ago
Financial Management (FM) Palantir Data Management Data Analyst
$110K - $130K *
Join a dynamic team to enhance financial management solutions using Palantir, driving data transparency and decision-making for Department of War clients. Lead projects, mentor team members, and build...
2 weeks ago
Utilization Management Nurse Consultant - Medical Review (Remote)
$54K - $116K *
Empower patients by leveraging your clinical expertise as a Utilization Management Nurse Consultant. Collaborate with providers to ensure timely, medically necessary care through thorough clinical rev...
3 days ago
$95K - $115K *
Pioneer project execution by managing construction teams, ensuring quality, safety, and budget adherence. Oversee project performance, maintain schedules, and foster subcontractor relationships to ach...
6 days ago
Continuous Improvement Manager
$88K - $105K *
Inspire operational excellence by leading continuous improvement initiatives across manufacturing. Collaborate with teams to enhance safety, quality, and efficiency while fostering a culture of innova...
Reposted 1 week ago
Enterprise Quality Manager - Production
$95K - $115K *
Lead the charge in shaping enterprise quality strategies to enhance manufacturing processes. Collaborate with cross-functional teams to prevent defects, stabilize operations, and drive continuous impr...
4 days ago
$80K - $95K *
Drive quality excellence by leading compliance initiatives, enhancing processes, and fostering collaboration across teams. Utilize your expertise to maintain ISO standards and develop impactful qualit...
1 week ago
$91K *
Drive the efficiency of accounts payable operations, ensuring compliance and accuracy in disbursements. Lead a team, manage vendor relations, and enhance processes to support financial integrity and o...
2 weeks ago
$114K - $145K *
Champion project success by managing diverse electrical systems, ensuring timely completion and budget adherence while enhancing customer operations through effective communication and technical suppo...
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.