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.
$79K - $125K *
Oversee nursing operations, ensuring high-quality, person-centered care while providing clinical leadership and supporting interdisciplinary collaboration on an assigned unit...
Reposted 2 weeks ago
$95K - $105K *
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2 weeks ago
$79K - $114K *
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3 weeks ago
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$110K - $130K *
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2 weeks ago
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$95K - $115K *
Unlock your potential by leading a dedicated team in managing hospital billing claims. Drive efficiency and ensure compliance while collaborating across departments to enhance revenue cycle operations...
Reposted 5 days ago
$110K - $130K *
Advance your career by leading complex engineering programs, managing cross-functional teams, and driving strategic initiatives to deliver innovative solutions across multiple projects and stakeholder...
Reposted yesterday
$110K - $130K *
Architect robust SAP middleware solutions, leading integration efforts across platforms. Drive strategic direction, ensuring reliability and scalability while collaborating with stakeholders to enhanc...
Yesterday
$95K - $115K *
Lead and manage comprehensive security programs, ensuring compliance and risk mitigation across facilities. Oversee incident response, investigations, and asset protection while fostering a high-perfo...
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$95K - $115K *
Drive excellence in patient care by managing clinical operations and leading nursing teams. Collaborate with stakeholders to enhance quality, efficiency, and patient experience while ensuring adherenc...
1 week ago
$75K - $105K *
Tackle comprehensive project management for onboarding HME providers, driving digital transformation across healthcare. Collaborate strategically, enhance platform adoption, and leverage data insights...
3 weeks ago
$90K - $110K *
Lead the charge in managing complex ERP implementation projects, ensuring alignment between customer needs and internal resources. Drive project success through effective communication, risk managemen...
5 days ago
$80K - $95K *
Champion seamless onboarding and integrations for provider and supplier clients, leveraging technology and consulting expertise to deliver exceptional project management and process improvements that...
Reposted 1 week ago
$87K - $130K *
Shape the future of Patient Access operations by leading daily activities, managing metrics, and mentoring staff to enhance service delivery and achieve organizational goals. Drive strategic planning...
1 week ago
$112K - $135K *
Transform the airline industry by leading a critical, high-visibility program that orchestrates multiple technology workstreams. Drive accessibility initiatives and engage effectively with stakeholder...
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$95K - $115K *
Join a dynamic team to manage Walmart's emergency notification platform, ensuring operational readiness and technical support. Collaborate with key stakeholders to enhance platform performance and dri...
2 weeks ago
$100K - $120K *
Lead the charge in operational excellence by managing Walmart's emergency mass notification platform. Collaborate with key teams to ensure platform readiness, provide technical support, and drive cont...
2 weeks ago
$164K - $201K *
Lead cross-functional teams to drive innovative product development and commercialization. Collaborate with stakeholders to refine project plans, mentor future leaders, and enhance NPI processes for s...
1 week ago
Management and Program Analyst (Student Eligibility)
$80K - $95K *
Transform educational program management by analyzing compliance, interpreting federal policies, and enhancing operational efficiency to support military-connected students across multiple regions...
Today
$87K - $157K *
Grow your career with a dynamic role managing risk adjustment and quality improvement processes across multiple departments, driving operational excellence and strategic initiatives for healthcare pro...
3 weeks ago
$100K - $120K *
Shape the future of enterprise project management by leading cross-functional initiatives, driving operational improvements, and ensuring successful project execution from initiation to closeout while...
Reposted 6 days ago
Collections Operations Manager
$135K - $160K *
Shape the future of collections by leading strategic initiatives, optimizing operations, and enhancing customer experiences for a diverse clientele. Drive performance metrics and compliance while buil...
4 days ago
$120K - $145K *
Elevate your career by leading off-site services, fostering customer satisfaction and engineering innovation while managing diverse teams globally. In this role, you will drive results and effectively...
1 month ago
$75K - $90K *
Lead the charge in overseeing financial operations, ensuring compliance and exceptional service while managing billing, Medicaid processes, and team support in a dynamic healthcare environment...
2 weeks ago
$80K - $95K *
Help us lead Revenue Cycle operations, driving strategic initiatives and enhancing team performance to improve health outcomes. Join us in fostering excellence, compassion, and teamwork in a dynamic h...
1 week ago
$90K - $110K *
Transform Revenue Cycle operations by leading teams, optimizing processes, and ensuring high-quality outcomes. Drive strategic planning and resource management while fostering a culture of continuous...
1 week 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.