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.
$100K - $120K *
Unlock operational excellence in cellular therapy by managing facility operations, quality systems, and regulatory compliance. Collaborate with clinical and research teams to enhance program capabilit...
2 weeks ago
Account Manager - National Rollouts and Services
$80K - $110K *
Champion customer relationships and drive sales growth nationally by identifying opportunities, providing tailored solutions, and ensuring exceptional service for both new and existing clients in the...
6 days ago
$88K - $133K *
Drive impactful case management operations, enhancing care coordination and compliance while leading a dedicated team to improve health outcomes across diverse populations and programs...
Today
$88K - $133K *
Shape the future of health services by leading a dynamic Case Management team. Oversee operations, enhance care coordination, and drive compliance while fostering relationships with providers and stak...
Today
$110K - $130K *
Oversee and coordinate multiple Snowflake Cortex AI initiatives, ensuring timely delivery of projects, effective stakeholder alignment, risk management, and cross-project dependency oversight while su...
Reposted 3 weeks ago
$122K - $160K *
Lead project management initiatives across diverse teams, ensuring adherence to governance, effective resource allocation, and timely delivery of project milestones while fostering collaboration and c...
Today
$106K - $137K *
Drive project success by managing governance, schedules, and resources across multiple initiatives. Collaborate with diverse teams to ensure quality deliverables while adapting to evolving priorities...
5 days ago
$145K - $189K *
Join our team to lead multiple projects, ensuring adherence to governance, managing resources, and delivering quality outcomes. Collaborate across departments to drive success and navigate changing pr...
5 days ago
$106K - $137K *
Lead project management initiatives across diverse teams, ensuring adherence to governance, effective resource allocation, and timely delivery of project milestones while fostering collaboration and c...
1 week ago
$106K - $137K *
Lead project management efforts across multiple initiatives, ensuring adherence to governance, resource allocation, and stakeholder communication while driving successful project delivery in a dynamic...
1 week ago
$122K - $160K *
Join a team that's dedicated to driving project success across multiple sectors. You'll manage project governance, schedules, and resources while ensuring quality deliverables and effective communicat...
2 weeks ago
$131K - $172K *
Empower your career by managing diverse IT projects, ensuring governance, and driving collaboration across teams. You'll oversee schedules, resources, and deliverables while adapting to evolving prior...
Yesterday
Configuration Management Manager
$95K - $115K *
Drive excellence by leading configuration management for aerospace products, ensuring traceability and compliance throughout their lifecycle. Collaborate with cross-functional teams to optimize proces...
3 weeks ago
Manager - Credit Operations - Remote
$91K - $163K *
Lead transformative credit operations by optimizing workflows, enhancing AI integration, and driving process excellence. Collaborate across functions to manage multi-million-dollar portfolios and ment...
1 week ago
$113K - $141K *
Advance your career by managing high-impact modernization projects, ensuring financial success and customer satisfaction through collaboration with diverse teams and effective communication...
Reposted yesterday
$120K - $170K *
Explore opportunities to lead construction projects, ensuring compliance and safety while fostering strong relationships with clients and teams. Drive project success through effective planning, commu...
3 weeks ago
$80K - $95K *
Lead the charge in managing Medicare/Medicaid reimbursement functions, ensuring compliance and accuracy across assigned hospitals while providing expert guidance and support to internal teams and exte...
Today
$93K - $144K *
Manage operational performance in manufacturing, driving safety, quality, and cost objectives while leading a team and fostering a culture of continuous improvement and engagement...
Reposted 1 week ago
$125K - $167K *
Lead the charge in managing complex healthcare technology initiatives, focusing on Epic EHR implementations and optimizations. Collaborate with stakeholders to ensure timely, compliant delivery of hig...
1 week ago
$80K - $95K *
Champion clinical excellence by managing operations and quality assurance, supervising BCBAs, and ensuring ethical treatment for clients. Collaborate with leadership to enhance clinic growth and staff...
1 week ago
$80K - $95K *
Manage and oversee technical projects from inception to completion, ensuring timely delivery within scope and budget. Foster strong client relationships and effective communication while adapting to p...
1 week ago
Finance Transformation Manager
$130K - $160K *
Innovate finance transformation by automating workflows and integrating data systems. Collaborate with cross-functional teams to enhance reporting and streamline operations, ensuring a single source o...
4 days ago
$100K - $120K *
Champion the future of automation by leading PLC and Robotics Programming teams. Drive project success through technical oversight, resource management, and continuous improvement, ensuring high-quali...
Yesterday
$85K - $102K *
Drive financial management excellence by analyzing budgets, developing policies, and ensuring compliance with regulations. Collaborate with teams to enhance program execution and provide strategic rec...
Today
$104K - $175K *
Champion operational excellence by leading a high-performing claims team, enhancing customer experience, and driving strategic initiatives to improve outcomes and reduce costs across the claims depart...
1 week ago
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.