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.
$150K - $185K *
Lead the charge in developing and managing advanced control systems, overseeing a multidisciplinary team to ensure safe, reliable, and maintainable solutions for cutting-edge technology programs and e...
6 days ago
$73K - $100K *
Champion quality improvement initiatives by leading accreditation efforts, analyzing data, and facilitating multidisciplinary teams to enhance patient safety and performance outcomes in a dynamic heal...
4 days ago
$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 *
Engage in impactful leadership as you oversee nursing operations, ensuring high-quality, person-centered care for residents. Collaborate with teams to enhance clinical outcomes and foster a supportive...
2 weeks ago
$79K - $114K *
Transform your career by leading nursing operations in a dynamic healthcare environment. Oversee resident care, ensure compliance with standards, and collaborate with interdisciplinary teams to enhanc...
3 weeks ago
$80K - $95K *
Empower your career by overseeing multiple maintenance shops and teams, ensuring efficient fleet operations and compliance with safety standards. Drive improvements in maintenance processes while mana...
2 weeks ago
$80K - $95K *
Accelerate project success by leading daily field execution and vendor oversight. Ensure compliance and quality in construction projects while coordinating with teams and stakeholders for efficient op...
5 days ago
$80K - $95K *
Join a team that's dedicated to executing construction projects safely and efficiently. As a Field Project Manager, you'll oversee daily operations, vendor coordination, and ensure compliance with sta...
1 week ago
$80K - $95K *
Lead the charge in field project execution, ensuring compliance and efficiency across construction sites. Oversee vendor coordination, daily operations, and quality assurance while serving as the key...
2 weeks ago
$115K - $190K *
Engage with Investment Managers and Financial Advisors to implement trade instructions, manage portfolios, and enhance business efficiencies. Collaborate with teams to deliver customized services and...
3 weeks ago
$79K - $158K *
Optimize customer and vendor account management, ensuring accurate job bookings, timely billing, and effective resolution of financial discrepancies to enhance cash flow and customer satisfaction...
Today
Systems Analyst - Team Lead (Epic HB Claims and Remittance)
$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
Ambulatory Oncology Nursing Manager
$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
$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...
1 week 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
$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
Clean Energy Manager (Compliance and Risk Manager)
$110K - $130K *
Support compliance and risk management in clean energy initiatives. Analyze data, enhance processes, and collaborate across teams to drive operational efficiency and ensure adherence to regulatory sta...
2 weeks ago
$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
$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
$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
$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...
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
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
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.