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.
$95K - $115K *
Shape the future of IT capacity management by ensuring resources meet business demand in a regulated environment. Collaborate with teams to optimize performance, manage risks, and align strategies for...
Reposted 3 weeks ago
$80K - $95K *
Lead the charge in enhancing quality processes and team performance, driving continuous improvement initiatives while ensuring compliance with safety and operational standards in a dynamic manufacturi...
1 week ago
$71K - $103K *
Join a team that's dedicated to optimizing warehouse operations and leading a high-performing team. You'll oversee safety, efficiency, and inventory management while fostering a culture of excellence...
5 days ago
$91K - $163K *
Join a team that's transforming provider networks through strategic analysis and relationship management. Leverage your expertise to enhance performance and drive impactful change in the Medicare Adva...
Today
Configuration Management Database Manager
$88K - $105K *
Optimize enterprise CMDB strategy and governance while ensuring data quality and compliance. Collaborate with technical teams to enhance service mapping and dependency management, driving continuous i...
1 week ago
$113K - $165K *
Transform the production landscape by leading our clutch operations team to optimize performance, drive continuous improvement, and foster a culture of safety and quality that meets and exceeds custom...
Reposted 2 weeks ago
Utilities Client Manager - Arizona
$135K - $150K *
Join a dynamic team as you manage key utility client relationships, ensuring project delivery and growth. Lead a dedicated team while driving strategic initiatives and fostering strong partnerships wi...
Today
$97K - $143K *
Unlock potential by leading value stream operations, optimizing production, and driving continuous improvement initiatives while managing a diverse team in a fast-paced manufacturing environment...
3 weeks ago
$80K - $95K *
Lead a team dedicated to managing capital projects, ensuring timely completion and adherence to budgets while fostering strong relationships with stakeholders and maintaining high standards of propert...
4 days ago
Manager, Implementation - Enterprise Select
$109K - $165K *
Drive exceptional service delivery by leading a skilled team of Implementation Consultants, ensuring successful deployment and adoption of connected operations solutions for enterprise clients while p...
Reposted 3 weeks ago
Manager, Utilization Management - Must have a MA RN License
$83K - $132K *
Deliver comprehensive oversight of utilization management activities, ensuring consistency in service delivery, regulatory compliance, and optimal member outcomes through effective team leadership and...
Reposted 2 weeks ago
$80K - $95K *
Transform patient care by leading a dedicated team in a dynamic behavioral health setting. Oversee nursing operations, ensure safety, and collaborate with clinical services to achieve optimal treatmen...
1 week ago
Material and Inventory Control Manager
$80K - $95K *
Join a team that's dedicated to optimizing materials management and inventory control. Oversee logistics, ensure procurement efficiency, and lead a team to maintain inventory accuracy while adhering t...
4 days ago
Manager, Billing & Reimbursement
$80K - $95K *
Lead billing operations and reimbursement processes, ensuring timely claims submission and compliance. Collaborate with teams to enhance revenue cycle management and drive financial performance throug...
3 days ago
$119K - $143K *
Lead the asset management program, driving governance and continuous improvement across lifecycle strategies and processes for optimization of performance, risk, and investment practices to enhance or...
Reposted 1 week ago
$80K - $95K *
Lead and inspire a team of Field Service Technicians to achieve exceptional service delivery, optimize operations, and enhance customer satisfaction while fostering a positive work environment and mee...
4 days ago
Shared Services Manager | Hospital – Revenue Cycle Management
$88K - $105K *
Shape operational excellence in revenue cycle management by leading cash posting and credit balance teams, enhancing productivity, ensuring compliance, and fostering collaboration across departments f...
3 weeks ago
$80K - $109K *
Join a team that's dedicated to enhancing patient access and operational excellence. Lead preservice operations, ensuring compliance and efficiency while fostering a culture of continuous improvement...
1 week ago
Data Integration Administrator, TPA
$74K - $115K *
Join a dynamic team to develop and support SQL-based ETL processes, ensuring data quality and integration performance across business applications. Collaborate with technical teams to enhance data exc...
2 weeks ago
$83K - $100K *
Engage with clients as a key partnership lead, translating business needs into actionable strategies. Drive alignment across teams, manage expectations, and ensure exceptional client experiences while...
3 weeks ago
$83K - $100K *
Lead the charge in client partnership management, ensuring seamless communication and alignment across teams. Drive strategic initiatives and foster trusted relationships to deliver exceptional client...
3 weeks ago
$83K - $100K *
Join a team that's redefining client partnerships in advertising. As a Business Supervisor, you'll manage day-to-day client communications, drive alignment across teams, and ensure exceptional deliver...
3 weeks ago
$102K - $127K *
Champion inventory planning and order management, leading a team to ensure accuracy and efficiency. Collaborate cross-functionally to align supply and demand while driving ERP/MRP improvements and mai...
1 week ago
$95K - $115K *
Drive modernization initiatives by managing projects and teams to enhance systems and equipment. Ensure timely, budget-friendly completion while upholding safety and quality standards. Collaborate wit...
2 weeks ago
$88K - $105K *
Transform operational efficiency by overseeing task areas and personnel, ensuring seamless communication between teams and government monitors. Drive performance standards and support mission objectiv...
Today
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.