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.
$136K - $188K *
Manage complex, high-budget projects by leading cross-functional teams and ensuring alignment with stakeholders. Drive project execution, optimize processes, and implement best practices for continuou...
4 weeks ago
$90K - $110K *
Join a dynamic team to lead utilization review activities, ensuring accurate pre-certifications, appeals, and compliance within a supportive environment focused on teamwork and patient care...
Yesterday
$80K *
Join a team that's dedicated to enhancing employee benefits administration, ensuring compliance with regulations, and improving processes to foster a positive benefits experience for union and non-uni...
4 weeks ago
Technical Supervisor, Claims - Accident Benefits
$72K - $121K *
Lead a dynamic claims team, driving superior service and innovation through expert coaching, operational management, and strategic analytics to enhance client experience and team performance in a hybr...
1 week ago
Capital Delivery Project Manager
$100K - $140K *
Engage in coordinating and executing large capital projects with best practices. Lead design and construction phases while ensuring effective project delivery and asset optimization for administrative...
2 weeks ago
$100K - $151K *
Join us to manage engineering projects in laser processing, leading cross-functional teams to ensure timely, high-quality customer solutions that meet industry standards. Drive collaboration and conti...
2 weeks ago
$80K - $110K *
Transform business activities through strategic support and dynamic solutions. Lead the charge in operational efficiency while collaborating closely with teams to drive successful program implementati...
2 weeks ago
Technical Supervisor, Claims - Accident Benefits
$72K - $121K *
Lead and inspire a diverse team as you manage operations and enhance client service in a hybrid environment, driving performance and engagement in claims processing for superior results and operationa...
1 week ago
Technical Supervisor, Claims - Accident Benefits
$72K - $121K *
Reimagine client relationships as you lead a dynamic claims team, enhancing service quality, optimizing operations, and fostering a collaborative environment to achieve claims excellence and employee...
1 week ago
Technical Supervisor, Claims - Accident Benefits
$72K - $121K *
Advance client service excellence by managing claims unit operations, coaching staff, and optimizing performance to achieve key objectives while fostering a positive team culture and ensuring complian...
1 week ago
Technical Supervisor, Claims - Accident Benefits
$72K - $121K *
Drive exceptional client service while leading a dynamic claims team. Manage operations, develop staff, optimize processes, and ensure compliance in a hybrid work environment for a leading insurance u...
1 week ago
Technical Supervisor, Claims - Accident Benefits
$72K - $121K *
Elevate your career as you lead and inspire a diverse claims team, ensuring superior client service while managing operations, resource planning, and coaching to achieve departmental objectives in a d...
1 week ago
Technical Account Manager (Canada - Remote)
$92K - $121K *
Elevate customer relationships by acting as a trusted advisor, optimizing technical solutions, and driving adoption of product features to enhance client success and satisfaction throughout their soft...
3 weeks ago
$90K - $120K *
Lead financial reporting and accounting operations, ensuring compliance and enhancing internal controls while collaborating with cross-functional teams in a dynamic P&C insurance environment...
3 weeks ago
$106K - $137K *
Optimize project outcomes by managing governance and resources across diverse teams. Drive progress by creating schedules, tracking deliverables, and ensuring effective communication. Navigate complex...
1 week ago
Oracle Utilities CSS and WACS Test Lead
$94K - $266K *
Lead QA efforts by driving test planning and execution for Oracle Utilities CCS and WACS. Collaborate with stakeholders to ensure all testing phases are effectively managed, and quality standards are...
2 weeks ago
$131K - $172K *
Join a dynamic team to execute project management across diverse sectors, ensuring the successful delivery of multiple concurrent projects while adhering to governance protocols and fostering collabor...
5 days ago
IT Operations Manager - Enterprise Tools & Systems
$90K - $120K *
Lead the management and optimization of enterprise systems, ensuring performance compliance and continuous improvement in support of critical business operations for a high-performing IT environment...
6 days ago
$90K - $130K *
Unlock your potential by leading finance operations within a dynamic global startup. Collaborate closely with senior leaders to optimize financial processes and enhance management reporting as we scal...
Reposted 3 days ago
$100K - $160K *
Lead the implementation of ABB's Controlled Unclassified Information program for Motion, ensuring compliance with U.S. regulations, and overseeing program activities while engaging with stakeholders f...
Reposted yesterday
$100K - $160K *
Drive compliance by leading the implementation of a CUI program, ensuring adherence to security regulations while collaborating with cross-functional teams to protect sensitive information and enhance...
Reposted yesterday
$100K - $160K *
Unlock potential by leading the implementation of a compliance program focused on Controlled Unclassified Information (CUI), ensuring adherence to regulations while promoting security best practices a...
Reposted yesterday
Region Manager Revenue Cycle CDI-Central
$90K - $120K *
Empower CDI teams to excel in performance and compliance. Develop strategic plans focusing on improving accuracy and integrity of inpatient medical records. Collaborate with providers and leadership t...
1 week ago
$130K - $160K *
Drive product vision and roadmap for Enrollment, Wealth, and Investments across teams. Lead development with a focus on market trends and client engagement. Bring your expertise to maximize product va...
2 weeks ago
$130K - $150K *
Champion product vision and roadmap by collaborating across teams, driving user engagement, and maximizing value. Operate autonomously as a subject matter expert to identify innovation opportunities a...
2 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.