Welcome to Utilization Manager Job Opportunities at Ladders

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.

Why Choose a Career as a Utilization Manager?

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.

Qualifications for Utilization Manager Jobs

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.

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$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...

Calgary, ABIn-Person

1 week ago

  •   11 - 15 years exp.  •   Energy & Utilities

$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

  •   Less than 5 years exp.  •   Business Services

$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

  •   Less than 5 years exp.  •   Business Services

$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

  •   Less than 5 years exp.  •   Business Services

$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

  •   Less than 5 years exp.  •   Business Services

$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...

US-AnywhereRemote

Yesterday

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$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...

Edmonton, ABIn-Person

2 days ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$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

  •   Less than 5 years exp.  •   Information Technology

$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...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Finance & Insurance

$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

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$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...

US-AnywhereRemote

2 days ago

  •   8 - 10 years exp.  •   Business Services

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$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

  •   Less than 5 years exp.  •   Enterprise Technology

$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

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$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

  •   5 - 7 years exp.  •   Finance & Insurance

$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

  •   5 - 7 years exp.  •   Finance & Insurance

$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

  •   5 - 7 years exp.  •   Finance & Insurance

$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

  •   5 - 7 years exp.  •   Finance & Insurance

$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

  •   5 - 7 years exp.  •   Finance & Insurance

$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

  •   5 - 7 years exp.  •   Finance & Insurance

$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

  •   5 - 7 years exp.  •   Finance & Insurance

$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

  •   5 - 7 years exp.  •   Finance & Insurance

$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

  •   5 - 7 years exp.  •   Finance & Insurance

Frequently Asked Questions (FAQ)

  • What is a Utilization Manager?question toggle

    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?question toggle

    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?question toggle

    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.