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.
Project Manager, Quality, Operations
$90K - $100K *
Lead impactful projects within our Quality Management team, driving collaboration and ensuring deliverables meet quality standards. Utilize your expertise to manage resources, budgets, and timelines w...
5 days ago
Project Manager, Quality, Operations
$90K - $100K *
Accelerate progress at our Quality Management team as a Project Manager, driving key projects through collaboration, resource planning, and risk management to ensure successful outcomes while maintain...
5 days ago
Project Manager, Quality, Operations
$90K - $100K *
Optimize project outcomes by leading cross-functional teams, managing budgets, and ensuring timely delivery. Collaborate with stakeholders to drive quality and efficiency while adhering to project sco...
5 days ago
Project Manager, Quality, Operations
$90K - $100K *
Manage key projects within the Quality Management team, ensuring timely delivery, budget adherence, and stakeholder engagement while driving innovative solutions and best practices for quality and cli...
5 days ago
Project Manager, Quality, Operations
$90K - $100K *
Transform project management by driving collaboration, ensuring quality, and delivering results on time and within budget. Leverage your expertise to manage stakeholder relations and implement effecti...
5 days ago
Fleet Manager - Managed Aircraft
$92K - $110K *
Empower our aircraft management team by overseeing fleet maintenance operations, ensuring optimal reliability and availability, and providing expert guidance across all maintenance activities for a di...
4 weeks ago
$125K - $140K *
Lead operations at our facility, focusing on profitability and efficiency. Mentor staff, develop growth strategies, and ensure compliance with industry standards while cultivating strong customer rela...
1 week ago
Business Project Manager - Global Client Services
$105K - $150K *
Lead the charge in executive support and strategic sales initiatives, managing schedules, communications, and events for the EVP of Global Client Services. Drive efficiency and stakeholder engagement...
5 days ago
$77K - $134K *
Lead the charge in enhancing patient access operations, driving excellence in service delivery, team development, and operational efficiency. Collaborate across departments to optimize workflows and i...
Yesterday
$78K - $121K *
Lead the charge in managing operations for two Palliative Care Clinics, ensuring efficient workflows and high-quality patient care while collaborating with clinical leadership and overseeing a dedicat...
1 week ago
$78K - $121K *
Join us in overseeing the efficient operations of multiple clinics, managing staff, budgets, and compliance to enhance patient care and team performance in a dynamic healthcare environment...
3 weeks ago
$94K - $98K *
Champion the efficiency of data center operations by managing maintenance tasks, coordinating preventive measures, and ensuring compliance through effective use of CMMS systems. Collaborate with teams...
Today
Manager, Revenue Cycle Operations
$100K - $130K *
Join a dynamic team to lead and enhance billing and coding operations, ensuring quality and compliance across multiple markets. Drive performance, coach leaders, and collaborate cross-functionally to...
2 weeks ago
$80K - $95K *
Optimize cost control processes within a PMO, ensuring consistent governance, effective budgeting, and accurate forecasting across all programs. Collaborate with leadership to enhance reporting and id...
3 weeks ago
$91K *
Lead the development and support of business applications, ensuring system efficiency and data integrity while collaborating with users to meet organizational objectives and enhance application functi...
Today
Manager, Infrastructure Engineering
$110K - $130K *
Lead the operational management of enterprise infrastructure, ensuring security, reliability, and compliance across network and cloud environments. Drive cyber operations and collaborate with external...
2 weeks ago
Remote Field Reimbursement Manager
$80K - $95K *
Educate healthcare providers on patient support programs and reimbursement strategies, addressing access barriers while navigating payer landscapes. Collaborate with internal teams to ensure complianc...
Reposted 3 weeks ago
$80K - $95K *
Transform training programs across the DOE complex by leading curriculum design, development, and delivery. Collaborate with multi-disciplinary teams to enhance instructional quality and ensure operat...
1 week ago
Advanced Practice Manager - Neurosurgery
$125K - $150K *
Lead the charge in advanced practice operations within Neurosurgery, overseeing clinical care and compliance. Collaborate with a dedicated team of APPs to enhance patient outcomes and ensure high-qual...
Today
$200K - $240K *
Unlock potential by leading strategic investments in startups that drive innovation for government solutions. Collaborate across teams to enhance technology integration and market strategies, while fo...
Reposted 3 days ago
Manager, Resource Optimization & Employer Value
$80K - $95K *
Unlock potential by managing complex client benefit portfolios, translating intricate materials into clear, actionable content. Drive resource optimization and enhance employee experiences through met...
3 weeks ago
$90K - $110K *
Accelerate program implementation and stakeholder engagement in pharmaceutical market access. Oversee daily operations, client relations, and staff management while ensuring adherence to budgets and p...
Reposted 3 weeks ago
$85K - $100K *
Pioneer quality excellence by developing and enhancing systems that elevate customer satisfaction, streamline processes, and ensure compliance across our manufacturing operations. Lead a dedicated tea...
1 week ago
Manager, Reliability and Observability
$135K - $185K *
Optimize the delivery of reliability and performance for mission-critical services. Lead and mentor a high-performing team, oversee scalable infrastructure design, and drive cross-functional alignment...
4 weeks ago
Manager, Reliability and Observability
$135K - $185K *
Unlock potential by leading a dynamic team dedicated to delivering reliability and performance in mission-critical services. Drive automation, mentor talent, and foster cross-functional alignment to a...
4 weeks 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.