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.
$70K - $95K *
Engage with client health systems to extract and validate critical healthcare data for our analytics platform. Collaborate with technical teams while ensuring compliance with regulatory standards and...
3 weeks ago
$80K - $95K *
Join a team that's focused on maintaining and enhancing hybrid infrastructure. You'll manage Windows Server and cloud environments, automate processes, and ensure systems are reliable and efficient, d...
4 days ago
$97K - $145K *
Drive the development of comprehensive training programs, enhancing employee engagement and performance by leading a team dedicated to innovative learning experiences and onboarding excellence across...
4 weeks ago
Project Manager-Full Performance-TS/SCI Clearance
$100K - $120K *
Empower successful project outcomes by managing design and construction phases, overseeing contractor performance, and coordinating with stakeholders in fast-paced, facilities-related projects while e...
Yesterday
Manager, ESM Center of Excellence
$149K - $171K *
Transform operational excellence by standardizing processes, driving continuous improvement, and implementing effective training programs across the enterprise. Collaborate closely with cross-function...
2 weeks ago
Manager, ESM Center of Excellence
$179K - $205K *
Join a team that's focused on driving operational excellence and enhancing supplier management processes. You'll optimize workflows, manage knowledge resources, mentor teams, and implement governance...
2 weeks ago
Manager, ESM Center of Excellence
$149K - $171K *
Optimize supplier management practices through process improvement, develop training modules, and establish governance frameworks to support operational excellence and efficiency across cross-function...
2 weeks ago
Manager, ESM Center of Excellence
$164K - $188K *
Empower your career by driving operational excellence and process improvement as a subject matter expert, mentoring cross-functional teams, and shaping best practices for supplier management initiativ...
2 weeks ago
Foreign Assistance Program Manager
$98K - $163K *
Advance foreign assistance initiatives by leading strategic planning, engaging stakeholders, and managing technical programming. Support vital global projects to enhance security and stability in digi...
3 days ago
$140K - $160K *
Drive project success by leading teams and ensuring timely delivery within budget. Collaborate across departments to optimize project scope and profitability while upholding company standards and fost...
Reposted 2 weeks ago
Patient Billing and Collections Manager - PB Financial Services - FT Days
$80K - $95K *
Manage and enhance billing operations while leading a dedicated team to achieve targets in professional fee collections, ensuring compliance and quality across all billing processes in a dynamic healt...
Reposted yesterday
Manager, ESM Center of Excellence
$149K - $171K *
Join a team that's committed to enhancing operational excellence through innovative supplier management, knowledge sharing, and impactful training initiatives. Your expertise will drive process improv...
2 weeks ago
JB061892 - Sr. Performance Test Engineer
$120K - $145K *
Take ownership of performance engineering efforts, utilizing LoadRunner and GCP to enhance healthcare applications. Collaborate with cross-functional teams, lead critical incidents, and drive continuo...
2 days ago
$125K - $150K *
Lead the charge in transforming critical infrastructure operations through innovative technology solutions and strategic initiatives. Oversee program execution, stakeholder alignment, and governance...
1 week ago
Project Manager - Patient Experience
$70K - $106K *
Unlock potential by managing patient experience platform operations and strategy. Drive enhancements through cross-functional collaboration, data analysis, and project ownership to improve outcomes fo...
4 weeks ago
Unified Communications Engineer
$95K - $115K *
Transform your career with a hands-on role responsible for modernizing and optimizing enterprise cloud communications, ensuring secure and scalable solutions that enhance customer and employee experie...
2 weeks ago
Health Care Operations Manager
$80K - $95K *
Lead and inspire a dedicated team to drive operational excellence and foster patient-centric care. Oversee clinic management, enhance financial performance, and cultivate relationships to impact commu...
4 weeks ago
$66K - $96K *
Join a team that's committed to driving cash collection and reducing delinquency. As a key leader, you'll guide a team of specialists, enhance operational efficiency, and collaborate across functions...
1 week ago
Manager, Enterprise Risk Management
$85K - $135K *
Drive the enterprise risk management framework while leading third-party risk assessments and ensuring strategic contract compliance. Collaborate across teams to foster a risk-aware culture and achiev...
2 weeks ago
Manager, Enterprise Risk Management
$85K - $135K *
Lead enterprise risk management initiatives, overseeing risk frameworks, vendor assessments, and compliance efforts while fostering a culture of risk-awareness and collaboration across the organizatio...
2 weeks ago
$80K - $95K *
Join a team that's committed to excellence in maintenance operations across multi-shift food production. Drive safety, compliance, and team development while managing proactive strategies to ensure eq...
Reposted 2 weeks ago
$96K - $132K *
Lead the charge in ambulatory coding audits, combining expertise in clinical documentation with client education. Engage with diverse customers to improve processes, ensuring quality and compliance ac...
Reposted 3 weeks ago
Supervisor, Medicare/Medicaid Eligibility
$90K - $119K *
Inspire excellence by leading a proactive Eligibility team, ensuring continuous access to community-based care for seniors. You will manage operations, enhance participant eligibility processes, and c...
Yesterday
Manager, CS Operations Reporting & Analytics
$100K - $120K *
Champion growth by leading a team that delivers analytics and reporting, enhancing Customer Success performance through data-driven insights and operational metrics to support strategic decision-makin...
1 week ago
$95K - $115K *
Engage with clients to design and implement tailored Manhattan WMS solutions, ensuring optimal performance and support throughout the project lifecycle. Leverage your expertise to transform supply cha...
3 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.