Explore Utilization Manager Jobs

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.

What Does a Utilization Manager Do?

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.

Common Skills and Qualifications

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 Manager Career Opportunities

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.

Find Utilization Manager Jobs on Ladders

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.

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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...

Yesterday

  •   5 - 7 years exp.  •   Energy & Utilities

$86K - $106K *

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$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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  •   5 - 7 years exp.  •   Staffing

$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

  •   5 - 7 years exp.  •   Healthcare

$73K - $125K *

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United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

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1 week ago

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$85K - $105K *

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$73K - $88K *

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6 days ago

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$95K - $115K *

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Reposted yesterday

  •   Less than 5 years exp.  •   Energy & Utilities

$88K - $105K *

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1 week ago

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$95K - $115K *

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1 week ago

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$118K - $196K *

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Reposted 1 week ago

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$136K - $211K *

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$136K - $211K *

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$110K - $130K *

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2 weeks ago

  •   5 - 7 years exp.  •   Business Services

$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...

Missouri, USRemote

3 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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

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$88K - $105K *

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Reposted 1 week ago

  •   5 - 7 years exp.  •   Manufacturing & Automotive

$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...

5 days ago

  •   5 - 7 years exp.  •   Real Estate & Construction

$80K - $95K *

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1 week ago

  •   Less than 5 years exp.  •   Manufacturing & Automotive

$180K - $190K *

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  •   Less than 5 years exp.  •   Real Estate & Construction

$91K *

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2 weeks ago

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$114K - $145K *

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2 weeks ago

  •   5 - 7 years exp.  •   Energy & Utilities

$93K - $114K *

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3 weeks ago

  •   5 - 7 years exp.  •   Energy & Utilities

Frequently Asked Questions (FAQ)

  • What does a Utilization Manager do?question toggle

    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?question toggle

    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?question toggle

    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?question toggle

    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.