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.
$80K - $95K *
Shape the future of maintenance operations in a dynamic 24/7 manufacturing environment. Lead initiatives to enhance equipment reliability, optimize budgets, and foster a culture of safety and continuo...
6 days ago
$80K - $120K *
Advance your career by managing critical incident responses and integrating command-and-control systems for military operations. Collaborate with diverse teams to ensure seamless communication and ope...
6 days ago
$100K - $120K *
Join a team that's pivotal in maintaining global network operations for Special Operations Forces. As a Senior Incident Manager, you'll integrate critical data for decision-making and ensure seamless...
1 week ago
Workers Compensation Claims Manager
$72K - $141K *
Oversee a team of claims professionals, ensuring timely and accurate resolution of workers' compensation claims while driving team performance and customer satisfaction through effective coaching and...
2 weeks ago
Workers Compensation Claims Manager
$72K - $141K *
Lead the charge in managing a dynamic team of claims professionals, ensuring timely and accurate resolution of workers' compensation claims while driving team performance and customer satisfaction thr...
2 weeks ago
$100K - $120K *
Partner with us to lead cost estimating for tenant fit-out projects, overseeing budgets from inception to final GMP while collaborating with cross-functional teams to ensure accuracy and efficiency in...
4 weeks ago
$85K - $95K *
Manage and empower the Account Resolution team to enhance borrower engagement, drive compliance, and optimize default resolution strategies while ensuring high-quality interactions and operational eff...
2 weeks ago
$105K - $130K *
Drive plant maintenance excellence by leading a skilled team, managing projects, and optimizing equipment performance to ensure safety, quality, and minimal downtime while fostering a culture of conti...
1 week ago
$80K - $100K *
Drive your career with a leadership role overseeing operations of convenience stores and travel plazas. Lead teams, develop business plans, and implement strategies to maximize sales while ensuring co...
3 weeks ago
$100K - $120K *
Drive strategy and execution for high-value Federal business opportunities. Collaborate across teams to shape RFPs and win strategies, ensuring alignment with mission needs and fostering sustained gro...
2 weeks ago
$110K - $130K *
Shape the future of business development by leading capture strategies and execution for high-value federal opportunities. Collaborate across teams to drive successful proposals and contract awards, e...
2 weeks ago
Clearable DCEO Facility Manager, LCK InfraOps DCEO
$117K - $171K *
Lead the charge in managing critical data center operations, ensuring optimal performance and reliability of electrical, mechanical, and HVAC systems while overseeing a team of technicians and coordin...
2 days ago
$80K - $95K *
Lead the charge in providing strategic direction and support to Field Engineering teams across multiple locations, ensuring effective problem resolution and resource management to enhance operational...
Today
$80K - $95K *
Support our EMR and clinical applications projects by leading cross-functional teams, managing timelines, and ensuring successful implementation. Collaborate with stakeholders to enhance workflows and...
3 weeks ago
$100K - $120K *
Champion the delivery of utility infrastructure for data centers, ensuring projects are completed on time and within budget. Collaborate with diverse stakeholders to manage construction and optimize p...
2 weeks ago
$83K - $93K *
Join a dynamic team to coordinate resident care, ensuring effective communication and timely treatment adjustments. Utilize your clinical expertise to enhance patient experiences and manage care trans...
2 weeks ago
$80K - $95K *
Transform customer project delivery by managing timelines, scope, and quality. Collaborate cross-functionally to ensure successful execution and foster strong client relationships while driving innova...
4 days ago
$86K - $112K *
Deliver comprehensive nursing care to frail and elderly participants in clinic and home settings, collaborating with interdisciplinary teams to ensure individualized care plans and adherence to clinic...
Today
Programme Management Officer (Investment Management-One-Organisation Enablement)
$110K - $130K *
Manage the One-Organization Enablement project, enhancing governance and decision-making across investment teams. Drive the implementation of Total Portfolio Approach best practices, ensuring effectiv...
2 weeks ago
$100K - $120K *
Engage clients by implementing and supporting asset management software solutions, focusing on mining and equipment maintenance. Collaborate with a global consulting team to enhance client satisfactio...
2 weeks ago
$90K - $105K *
Manage and maintain local area network systems, ensuring stability and user support. Oversee hardware and software installations, coordinate maintenance, and provide training to users while documentin...
1 week ago
Nurse Manager, Complex Case Management,
$122K - $177K *
Advance your nursing career by managing complex case management and er duties. Collaborate with interdisciplinary teams to improve patient outcomes, streamline discharges, and enhance operational perf...
Reposted 2 weeks ago
$95K - $115K *
Drive cross-functional projects in optics and photonics, ensuring timely delivery and budget adherence. Collaborate with teams, manage customer relations, and mitigate risks while fostering a high-tec...
1 week ago
$110K - $130K *
Lead the charge in the production of EVA hardware, overseeing design, build, and testing phases. Collaborate with teams to ensure timely delivery and quality outcomes while managing resources and reso...
2 weeks ago
$85K - $102K *
Unlock potential by leading the design and implementation of MES solutions in a dynamic environment. Collaborate with teams to enhance manufacturing excellence and ensure compliance with industry stan...
5 days 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.