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.
$110K - $130K *
Champion large-scale IS project delivery by managing complex programs, ensuring alignment of scope, budget, quality, and schedule while leading and mentoring junior project managers within a collabora...
1 week ago
$90K - $110K *
Explore opportunities to enhance workforce analytics by developing robust data models and processes. Collaborate across teams to ensure accurate, secure, and accessible HR data while utilizing Microso...
3 weeks ago
$90K - $110K *
Innovate workforce analytics by developing data models and tools that improve HR processes. Collaborate with cross-functional teams to ensure data integrity and streamline reporting solutions using Mi...
3 weeks ago
$90K - $110K *
Join a team that's driving workforce analytics forward by developing efficient data models and tools that enhance HR's analytical capabilities, ensure data quality, and streamline reporting processes...
3 weeks ago
$88K - $105K *
Drive your career with a pivotal role in workforce analytics, developing and enhancing data models and tools to optimize HR data management and analytics capabilities across the organization...
3 weeks ago
$80K - $95K *
Lead the charge in developing impactful learning programs that elevate agent performance and certification success. Drive team coaching and ensure innovative, measurable, and strategic alignment in le...
Yesterday
Manager, Enrolment Systems and Planning
$83K - $140K *
Manage and optimize enrolment systems while leading a skilled team to implement enhancements and streamline processes. Collaborate with campus partners to improve student administration services and d...
2 days ago
1000000531.INFRASTRUCTURE ADMINISTRATOR SENIOR.INFO TECH SERVICES
$80K - $95K *
Champion operational excellence by leading infrastructure platform administration, enhancing service delivery processes, ensuring data integrity, and fostering collaboration across IT teams to optimiz...
3 weeks ago
Manager, SIU Intelligence & Innovation
$87K - $157K *
Drive the strategic vision for anti-fraud initiatives by optimizing analytics and data resources. Lead a team to enhance fraud detection strategies while collaborating with stakeholders to improve pro...
3 weeks ago
$80K - $95K *
Shape the future of accounting by leading core operations, financial reporting, and process improvements in a dynamic specialty insurance environment. Collaborate with cross-functional teams to enhanc...
Today
$116K - $177K *
Partner with us to enhance quality systems and ensure compliance in a dynamic environment. This role encompasses internal audits, supplier quality management, and CAPA processes, driving continuous im...
4 weeks ago
$86K - $141K *
Champion operational excellence by leading diverse teams, enhancing service delivery, and driving customer satisfaction. Elevate your career while ensuring operational objectives are met in a dynamic...
2 days ago
Patient Care Manager OT, PT or ST
$89K - $134K *
Join a team that oversees patient care coordination, ensuring quality service delivery by managing interdisciplinary clinical teams to meet physician directives and regulatory compliance for home heal...
Today
$98K - $162K *
Advance your career by leading and evolving a comprehensive site security program, ensuring safety across multiple locations. Collaborate with senior leaders to shape proactive strategies, risk manage...
Reposted 1 week ago
$133K - $274K *
Transform enterprise architecture by creating sustainable technology roadmaps, ensuring alignment with business strategies, and guiding architectural standards through collaboration with executive sta...
Reposted today
Manager, HAS Administrative Operations
$81K - $92K *
Lead the charge in managing administrative operations for Student Housing. Supervise staff, ensure effective workflow, and engage in data analysis while providing exceptional support and customer serv...
1 week ago
Claims Manager, Risk Management
$110K - $130K *
Transform risk management by overseeing claims, conducting coverage analysis, and ensuring effective resolution of complex scenarios while collaborating with diverse stakeholders across jurisdictions...
Yesterday
Claims Manager, Risk Management
$95K - $115K *
Drive effective claims management by overseeing third-party processes and directly handling a diverse range of claims. Collaborate closely with stakeholders to ensure timely evaluations and negotiatio...
Yesterday
Claims Manager, Risk Management
$95K - $115K *
Lead the charge in managing complex claims, ensuring effective oversight and resolution while collaborating with stakeholders to deliver impactful outcomes in risk management and litigation...
Yesterday
Claims Manager, Risk Management
$95K - $115K *
Elevate claims management by overseeing third-party administrators and handling high-impact claims with a focus on legal analysis, effective negotiation, and timely communication across various jurisd...
Yesterday
Claims Manager, Risk Management
$100K - $120K *
Drive effective risk management by overseeing claims processes, analyzing coverage, negotiating settlements, and managing TPA relationships to support organizational risk strategies and ensure complia...
Yesterday
Claims Manager, Risk Management
$95K - $115K *
Engage with a dynamic team overseeing claims management, conducting audits, and negotiating settlements. Shape strategic directions by providing critical insights on loss impacts across multiple juris...
1 week ago
Claims Manager, Risk Management
$95K - $115K *
Shape the future of claims management by leading oversight and handling of complex primary and excess claims, ensuring timely evaluations and effective negotiation processes to drive success in a fast...
1 week ago
Claims Manager, Risk Management
$95K - $115K *
Transform the approach to claims management by overseeing claims and conducting thorough analysis, negotiations, and evaluations. Drive efficient settlements while collaborating with underwriters and...
1 week ago
Claims Manager, Risk Management
$95K - $115K *
Take ownership of claims management and risk assessment processes, driving efficient oversight of complex liability claims while collaborating with third-party administrators and internal stakeholders...
1 week 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.