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.
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
Claims Manager, Risk Management
$95K - $115K *
Drive effective risk management through oversight of claims, ensuring comprehensive analysis and negotiation for optimal resolutions while collaborating with stakeholders to maintain policy integrity...
1 week ago
Account Manager - Delta V Saas SCADA
$80K - $95K *
Join a team that's dedicated to enhancing client partnerships and driving growth through expert software solutions. Leverage your skills in account management to foster strong relationships and meet c...
2 weeks ago
$133K - $274K *
Lead the design and implementation of Enterprise Architecture aligning IT with business strategy. Collaborate with executive stakeholders and mentor teams to maintain robust technology roadmaps and go...
Reposted today
$133K - $274K *
Champion the development and governance of Enterprise Architecture, ensuring alignment with business strategies while managing cross-domain collaboration and guiding teams to drive innovation effectiv...
Reposted today
$250K - $350K *
Join a team that's driving sales excellence by delivering innovative software solutions to enterprise accounts, collaborating closely with Sales Engineers to exceed quotas and foster strong client rel...
Reposted 1 week ago
Manager - Graduate Medical Education
$80K - $95K *
Oversee daily operations of a dynamic residency program, ensuring compliance with accreditation standards while managing various programmatic activities and building strong relationships with faculty...
2 days ago
Manager - IT - FACTS Financial Aid
$110K - $120K *
Build a collaborative environment by leading development teams, fostering relationships across departments, and driving initiatives that enhance quality and efficiency within the organization...
1 week ago
$95K - $115K *
Take ownership of multi-disciplinary planning initiatives, managing projects from conception to delivery. Collaborate with stakeholders and ensure compliance, while producing high-quality documentatio...
2 weeks ago
Manager of Operational Excellence and Quality
$90K - $110K *
Lead the charge in enhancing quality and optimizing processes in supply chain and production operations. Collaborate with cross-functional teams to ensure efficiency, safety, and compliance while supp...
3 weeks ago
$80K - $100K *
Build a high-performing audio-visual support team, enhancing tech solutions for faculty and staff. Lead operations, optimize service delivery, and drive strategic planning for a seamless audio-visual...
Reposted today
$108K - $130K *
Lead and develop a dynamic software engineering team, ensuring technology solutions align with business needs while driving continuous improvement in processes and culture...
2 weeks ago
Implementation Manager/Director
$200K - $280K *
Shape the future of ERP implementations by leading customer success initiatives, fostering relationships, and optimizing methodologies to enhance customer experiences and satisfaction. Drive outcomes...
Reposted 1 week ago
$86K - $138K *
Join a dynamic team to lead cyber investigations and support mission-critical operations in a collaborative environment focused on national security and innovative problem-solving...
2 weeks ago
$92K - $98K *
Collaborate with cross-functional teams to drive project success by managing timelines, risks, and communication on business-process automation initiatives in the Oil & Gas and Mining sectors. Foster...
Today
$85K - $95K *
Join a team that supports and enhances the Maintenance Department, leading projects and optimizing operations while ensuring safety and compliance. Develop training that enhances skills and drives con...
Reposted 2 weeks ago
Continuous Improvement Manager
$88K - $105K *
Analyze and enhance the GXO Operating System by driving Lean methodologies. Collaborate with teams to implement process improvements, mentor staff, and track progress across supply chain sites, foster...
Reposted 2 days ago
Senior Manager, Revenue Cycle Program Management Office (PMO)
$98K - $214K *
Pioneer improvements in revenue cycle management to enhance operational performance. Lead projects in patient access, coding, billing, and automation while collaborating with key stakeholders to drive...
1 week ago
Senior Manager, Revenue Cycle Program Management Office (PMO)
$98K - $214K *
Accelerate progress at revenue cycle initiatives by managing a diverse project portfolio. Collaborate with leaders to ensure effective execution of performance improvements, technology enhancements, a...
1 week ago
Program Manager Advisory Services
$135K - $200K *
Accelerate progress at the intersection of business transformation and IT by leading advisory engagements focused on application assessments, PMO deployment, and strategic roadmaps that deliver measur...
2 weeks ago
Doc. & Business Processes Supervisor
$80K - $95K *
Pioneer solutions in shipping documentation by overseeing global regulations, enhancing procedures, and serving as the knowledge center for compliance, while managing projects and collaborating with v...
1 week ago
Continuous Improvement Program Manager
$80K - $95K *
Unlock potential by leading continuous improvement initiatives that promote operational excellence and enhance capability across teams, fostering a culture of accountability and driving measurable cha...
Reposted 1 week ago
Risk Adjustment Manager - CoxHealth Plans
$80K - $95K *
Shape the future of healthcare risk adjustment by managing programs that align revenue with member health status. Collaborate with teams to analyze data and develop operational strategies, ensuring co...
2 weeks ago
Archibus Technical Project Manager
$113K - $188K *
Oversee the end-to-end implementation of Archibus modules, ensuring project milestones are met and fostering collaboration across teams for a successful deployment...
1 week ago
Archibus Technical Project Manager
$113K - $188K *
Champion the end-to-end implementation of Archibus modules, driving project success through collaboration, defined requirements, and strategic management within a dynamic team to meet critical milesto...
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.