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.
SAP - IS-U Billing Manager - Consulting - Location OPEN
$142K - $261K *
Develop innovative SAP IS-U Billing solutions, leading design and delivery while ensuring alignment across utility operations. Collaborate with stakeholders to drive quality and operational readiness...
Reposted yesterday
$80K - $95K *
Elevate customer relationships by owning renewals and upsells, driving revenue growth through strategic engagement and executive partnerships. Collaborate cross-functionally to ensure customer success...
2 weeks ago
User Terminal Program Manager, Mil-Ka
$110K - $130K *
Shape the future of satellite communications by leading complex user terminal development programs. Collaborate with cross-functional teams and external suppliers to ensure timely and successful deliv...
4 weeks ago
$80K - $95K *
Drive strategic marketing initiatives and business development efforts, connecting execution with corporate revenue goals. Collaborate with leadership to enhance market presence and foster client rela...
2 weeks ago
$80K - $95K *
Lead the charge in connecting strategy with execution to drive revenue growth. Collaborate with leadership to develop and implement marketing strategies, enhance proposal quality, and build client rel...
2 weeks ago
Maintenance and Facility Manager
$80K - $95K *
Lead the maintenance and facilities management efforts for a state-of-the-art manufacturing site. Oversee equipment installation, utility system validation, and develop preventive maintenance programs...
Reposted yesterday
$118K - $161K *
Lead the charge in overseeing case management and utilization review, ensuring effective patient care coordination and resource utilization while fostering a collaborative team environment and promoti...
2 days ago
$80K - $95K *
Champion efficiency in the revenue cycle as you lead a dedicated billing team. Drive performance improvements, oversee compliance, and identify revenue opportunities while cultivating a culture of exc...
Reposted 3 weeks ago
Director of Quality Management
$95K - $115K *
Join a dynamic team to oversee quality management initiatives, ensuring compliance with regulatory standards and enhancing patient care outcomes through effective performance improvement strategies an...
3 weeks ago
$130K - $150K *
Analyze enterprise-level financial data and forecasts to drive strategic decision-making. Collaborate with senior leadership and support M&A activities while enhancing financial models and reporting a...
6 days ago
$95K - $115K *
Empower compliance excellence by leading AML/ATF examinations across diverse business lines. Ensure adherence to regulatory standards while fostering collaboration and enhancing the effectiveness of t...
4 days ago
$80K - $95K *
Elevate your career by leading a dynamic clinical team in home health. Drive patient outcomes, ensure compliance, and foster professional growth while enjoying a stable work-life balance in a supporti...
3 weeks ago
$80K - $95K *
Join a dynamic team to optimize training operations within a Mission Training Complex, providing leadership and technical support for diverse training activities while ensuring effective scheduling an...
6 days ago
$90K - $110K *
Lead Lean process improvement initiatives to enhance quality, revenue, and efficiency. Collaborate with teams to foster a culture of continuous improvement and optimize operations across the organizat...
2 weeks ago
$104K - $136K *
Champion data integrity and operational excellence in specialty pharmacy services. Lead data lifecycle management, enhance reporting capabilities, and collaborate across teams to ensure reliable data...
4 days ago
Enrollment Systems and CRM Manager
$66K - $106K *
Join a team that's dedicated to enhancing student recruitment through effective CRM management and data analysis. This role involves overseeing technology systems, developing communication strategies...
2 weeks ago
Program Development Manager, Capacity Planning
$150K - $180K *
Explore a high-impact role in capacity planning, driving strategic frameworks and tools to optimize infrastructure for global operations. Collaborate across teams to enhance forecasting, improve suppl...
2 weeks ago
$80K - $95K *
Lead the daily operations of a Family Birthplace, ensuring compliance and excellence in care. Supervise staff, participate in hiring, and uphold regulatory standards while fostering a positive environ...
5 days ago
Proposal Production Manager - Remote
$91K - $163K *
Champion the production of high-quality Medicaid proposals, ensuring compliance and excellence from RFP release to submission. Collaborate with stakeholders and vendors to enhance processes and delive...
Yesterday
Operations Analyst II - Change Management
$86K - $110K *
Join a team that's dedicated to optimizing business processes and driving change. As an Operations Analyst II, you'll analyze workflows, lead improvement projects, and enhance operational efficiency i...
4 days ago
$95K - $115K *
Lead our warehouse operations to optimize material flow and enhance service delivery. Engage a large team, manage inventory performance, and drive continuous improvement initiatives to achieve operati...
5 days ago
$110K - $130K *
Unlock potential by driving revenue growth through effective management of our tech stack, ensuring data quality, and fostering cross-functional collaboration to enhance Sales, Marketing, and CX initi...
Yesterday
$66K - $101K *
Join us to make a meaningful impact as a Medical Case Manager, facilitating recovery for injured workers through collaboration with patients, families, and healthcare providers. This role involves loc...
3 weeks ago
$107K - $117K *
Unlock insights by analyzing customer behavior and optimizing marketing strategies. Drive performance through data-driven decisions, leveraging advanced analytics and visualization tools to enhance ca...
1 week ago
$95K - $115K *
Lead the charge in executing complex HR initiatives, driving strategic alignment and operational excellence across the organization while fostering collaboration and managing stakeholder relationships...
Yesterday
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.