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.
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
$100K - $120K *
Manage third-party vendor performance for clinical research studies, ensuring compliance with GCP and ICH guidelines. Coordinate cross-functional teams and oversee budgets while maintaining quality se...
2 days ago
$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
$112K - $128K *
Lead the charge in enhancing facility operations, ensuring quality service delivery and client satisfaction while managing teams, projects, and resources to meet profitability goals and implement best...
Reposted 3 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
$110K - $130K *
Empower compliance excellence in a high-growth fintech. Lead BSA/AML and sanctions initiatives while collaborating with cross-functional teams to optimize compliance processes and ensure regulatory al...
1 week 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
Manager, Central Operations (Asset Management)
$145K - $165K *
Lead the charge in optimizing 24/7 fleet operations through data-driven strategies and performance management. Build a high-performing operations center, ensuring accountability and efficiency in asse...
1 week ago
$95K - $115K *
Manage program-wide configuration activities, ensuring robust baselines for hardware, software, and licenses while supporting DoD compliance and effective change control processes across the project l...
3 weeks ago
$120K - $170K *
Transform utility-scale energy storage projects by managing full project lifecycles, from permitting to commissioning, ensuring technical and financial viability while engaging stakeholders and buildi...
1 month ago
$109K - $132K *
Oversee day-to-day IT operations, ensuring performance, security, and reliability while leading teams and managing vendors. Collaborate across the organization to enhance technology initiatives and im...
Reposted 6 days ago
Employee Benefits Operations Manager
$80K - $95K *
Join a dynamic team leading operational strategies to enhance client retention, empower employees, and drive business growth. Engage in cross-functional collaboration while implementing process improv...
3 weeks ago
Employee Benefits Operations Manager
$80K - $95K *
Empower operational excellence by implementing strategies that enhance client experiences, drive team performance, and foster business growth. Lead a dynamic team to achieve organizational goals while...
3 weeks ago
Employee Benefits Operations Manager
$88K - $105K *
Champion operational excellence by enhancing processes, driving client retention, and leading a high-performing team to achieve strategic business goals while fostering a culture of accountability and...
3 weeks ago
Business Systems Analyst Finance & Systems Authorization
$80K - $95K *
Optimize financial processes as a key liaison between finance teams and IT. Enhance system performance, manage authorizations, and ensure regulatory compliance to drive business efficiency and support...
1 week ago
$99K - $137K *
Drive operational excellence by managing multiple maintenance shops and teams to ensure efficient vehicle repairs and adherence to safety standards. Leverage expertise to enhance productivity and over...
4 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.