Choose from a comprehensive collection of Utilization Manager jobs that pay more than $100,000 a year. Our list includes positions in healthcare policy, insurance, and clinical resources management.
As a Utilization Manager, you will have the opportunity to make a significant impact on healthcare settings by ensuring the effective use of resources and improving patient care. Your role includes evaluating the appropriateness of care, auditing patient records, coordinating with physicians and staffing.
Typical qualifications for these roles include a nursing degree, excellent organizational skills, understanding of medical terminologies and procedures, and strong communication skills. Experience with healthcare databases and patient management systems is also a plus.
$100K - $130K *
Lead the planning and implementation of benefits management solutions, acting as the primary contact and expert for operational and technical aspects, while enhancing existing products based on analyt...
4 days ago
$90K - $120K *
Join our team to lead the planning and implementation of innovative Cardiovascular and Radiology solutions. As a key point of contact, you will drive operational efficiency and partner with teams to e...
4 days ago
$90K - $120K *
Join a team that's revolutionizing Cardiovascular and Radiology solutions. Lead project planning and implementation while serving as a key liaison, ensuring efficient operations and collaboration with...
4 days ago
Financial Analysis Manager (Administrator I)
$120K - $130K *
Champion financial initiatives that drive growth and sustainability. Collaborate with leadership to develop strategic models, analyze financial performance, and support key decision-making at a forwar...
Reposted 5 days ago
$87K - $130K *
Transform healthcare delivery by coordinating clinical responsibilities and enhancing patient experience. Collaborate with leadership for quality control, compliance, and performance improvement while...
5 days ago
$77K - $176K *
Lead the integration of configuration management practices and enhance cyber resilience to ensure data integrity across complex IT environments, partnering with engineering teams and stakeholders to d...
2 days ago
$77K - $176K *
Join a team that's pioneering change management in a complex cyber IT landscape. You'll establish frameworks for configuration control, ensuring resilient data delivery while collaborating with engine...
2 weeks ago
$120K - $150K *
Elevate model performance by designing fine-tuning pipelines and evaluation frameworks for Vision-Language Models. Collaborate in a dynamic environment to build training infrastructure on AWS and enha...
Yesterday
$90K - $120K *
Support the implementation and management of Cardiovascular and Radiology Benefits Management solutions while collaborating with business partners to enhance product offerings and optimize operational...
2 days ago
$90K - $120K *
Transform your career by leading the implementation of cutting-edge Cardiovascular and Radiology solutions. Engage directly with business partners and enhance product offerings through data-driven ins...
4 days ago
$90K - $120K *
Lead the charge in implementing and managing innovative Cardiovascular and Radiology solutions, acting as a key contact for business partners while driving product enhancements based on analytics and...
4 days ago
$90K - $120K *
Lead the charge in implementing Cardiovascular and Radiology solutions, serving as the main contact for product enhancement, operational management, and analytics consultation to elevate partner perfo...
4 days ago
$90K - $120K *
Join a dynamic team to lead the planning and implementation of innovative Cardiovascular and Radiology solutions. Serve as the key contact for operational, technical, and business interactions, drivin...
4 days ago
$90K - $120K *
Engineer the implementation of Cardiovascular and Radiology solutions, serving as the subject matter expert and primary contact for business partners. Lead projects, consult on product enhancements, a...
4 days ago
Manager, Employee Disability (Accommodation, Disability & Workplace Health)
$105K - $155K *
Unlock potential by leading employee disability management and health initiatives. Collaborate with stakeholders to promote workplace safety, sustainability, and employee well-being through effective...
3 weeks ago
Enterprise Risk Management Audit, Assistant Vice President
$80K - $140K *
Innovate within Enterprise Risk Management by leading complex audit engagements, enhancing team capabilities, and ensuring compliance with CCAR and financial risk protocols, all while fostering strong...
2 weeks ago
Enterprise Risk Management Audit, Assistant Vice President
$80K - $140K *
Elevate enterprise risk management by overseeing comprehensive audits in capital analysis and financial risk. Lead teams, ensure compliance, and foster development to enhance internal controls and cli...
2 weeks ago
$90K - $110K *
Make your mark at Universal Health, where you will excel in managing patient care, collaborating with medical teams, and improving outcomes in post-acute settings, supported by comprehensive training...
Reposted 3 days ago
$90K - $110K *
Join a team that transforms patient care in post-acute facilities. Collaborate with healthcare professionals to manage and coordinate exceptional care, ensuring positive outcomes for patients in your...
Reposted 2 days ago
$102K - $127K *
Lead a dedicated team in overseeing maintenance operations, ensuring compliance with DOT standards while optimizing equipment performance and service delivery across multiple shifts. Drive continuous...
2 weeks ago
Global Academic Adoption Program Manager
$90K - $120K *
Transform academic engineering education by leading global programs that drive the adoption of Emerson T&M platforms. Collaborate with universities, empower students, and enhance real-world readiness...
Today
Project Manager, Operational Excellence
$83K - $110K *
Transform your career by leading OPEx initiatives, driving continuous improvement, and empowering cross-functional teams to achieve strategic goals through LEAN methodologies and effective project man...
Reposted 1 week ago
$100K - $130K *
Grow your career with a leading role overseeing IT program operations across multiple sites, ensuring delivery of high-quality services while managing compliance, financial performance, and customer e...
Today
Work Comp TPA Oversight Claims Consultant
$72K - $141K *
Solve complex Workers’ Compensation claims through technical oversight, strategic guidance, and collaboration with Third-Party Administrators to ensure optimal outcomes and compliance with industry be...
3 weeks ago
Work Comp TPA Oversight Claims Consultant
$72K - $141K *
Champion high-exposure Workers' Compensation claims through expert oversight, guiding strategic decisions, and enhancing partnerships with TPAs to achieve optimal outcomes while ensuring compliance wi...
3 weeks ago
What is a Utilization Manager?
A Utilization Manager is a healthcare professional who is responsible for ensuring that all health and medical services, procedures and facilities are being used in a cost-effective way in the healthcare setting.
What are the typical duties of a Utilization Manager?
Utilization Managers typically review patient services to determine efficiency and necessity, work to enhance the cost-effectiveness of health management strategies, and determine if a case or treatment plan is clinically appropriate based on a patient’s needs and overall health.
What qualifications do I need for a Utilization Manager job?
Most Utilization Manager positions require a degree in nursing and relevant experience in a clinical setting. You should also have a good understanding of medical terminologies and procedures.