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.
$110K - $120K *
Optimize data integrity and management processes ensuring compliance with regulations. Collaborate with cross-functional teams on configuration control and documentation, while supporting audits and m...
Today
$108K - $162K *
Inspire quality healthcare outcomes by leading a team of clinicians to optimize member benefits, applying clinical knowledge for effective care coordination, and managing service authorizations with a...
Today
$108K - $162K *
Empower a team of clinicians to enhance member outcomes, optimize benefits, and promote cost-effective service delivery, driving quality and adherence to medical policies in a collaborative work envir...
3 days ago
$108K - $162K *
Redefine medical management by leading a clinical team to enhance member outcomes, optimize benefits, and drive resource efficiency through policy adherence and cost-effective care coordination...
3 days ago
$108K - $162K *
Advance quality member outcomes by leading a team of clinicians to optimize resources and ensure adherence to medical policies while fostering a dynamic and adaptable workplace. Utilize clinical exper...
3 days ago
$108K - $162K *
Champion a team of clinicians to enhance member outcomes and ensure quality medical management. Drive adherence to policies while optimizing resources, leading both directly and through effective coll...
3 days ago
$108K - $162K *
Lead a dedicated team of clinicians to enhance member outcomes, optimize benefits, and drive effective resource utilization, ensuring high-quality and cost-effective healthcare delivery within a colla...
3 days ago
Maintenance Automation Manager
$88K - $150K *
Grow your career with a dynamic role overseeing maintenance operations, optimizing automated systems, and leading a skilled team to enhance efficiency while ensuring compliance and safety standards in...
4 weeks ago
$90K - $130K *
Partner with us to drive complex enterprise deployments by managing multi-stakeholder programs, aligning teams, and ensuring client satisfaction and swift execution in highly regulated environments...
3 weeks ago
Program Manager - Federal Contact Center Operations
$90K - $120K *
Lead strategic initiatives by overseeing the establishment and operational readiness of a 24/7 law enforcement facility. Collaborate with stakeholders to ensure compliance, on-time delivery, and funct...
Reposted 2 days ago
$90K - $105K *
Lead the charge in delivering high-impact client onboarding by managing multiple implementations, advocating client needs, and ensuring successful project execution through effective collaboration and...
5 days ago
Manager- Executive Administration
$92K - $120K *
Transform executive operations by providing high-level administrative support, enhancing collaboration across teams, and mentoring dedicated staff to drive excellence in executive assistance and strat...
6 days ago
$90K - $120K *
Drive innovation by leading a talented team in developing cutting-edge technology solutions that enhance the customer experience and define the digital landscape for industry-leading products...
Yesterday
Utilization Management Nurse Specialist RN II
$88K - $142K *
Join a team that's dedicated to optimizing patient care through efficient utilization management and collaborative nursing expertise, ensuring timely referrals and exceptional service within a support...
1 week ago
RN Nurse Manager – Case Management
$90K - $110K *
Shape the future of patient care by leading care coordination and utilization management teams to deliver high-quality, cost-effective, patient-centered services while ensuring compliance and enhancin...
Reposted 1 week ago
CLINICAL ASSESSMENT MANAGER - CARE DELIVERY
$110K - $115K *
Execute comprehensive assessments and develop individualized care plans for older adults, ensuring their access to essential services while enhancing health and independence through proactive clinical...
2 weeks ago
RN Case Manager - Utilization Review
$98K - $132K *
Take ownership of patient quality and resource management to ensure effective care delivery. Collaborate with healthcare providers to promote cost containment and achieve clinical outcomes across the...
3 weeks ago
Senior Director, Complex Care Management and Utilization Management - 2947
$120K - $150K *
Transform integrated care delivery for complex populations as a strategic senior leader. Oversee national Complex Care Management and Utilization Management programs to improve health outcomes, ensure...
1 week ago
Senior Director, Complex Care Management and Utilization Management - 2947
$120K - $150K *
Elevate integrated care delivery by strategically leading Complex Care Management and Utilization Management programs, ensuring alignment with value-based care principles and driving health outcomes f...
1 week ago
$101K - $107K *
Transform community utility services through effective project management and collaboration. Lead capital projects, budget management, and compliance to enhance water and wastewater infrastructure, en...
Reposted 6 days ago
$70K - $95K *
Lead the charge in project management by coordinating diverse teams to deliver successful projects within scope, budget, and timeline, ensuring quality and stakeholder satisfaction throughout the proc...
2 weeks ago
$75K - $95K *
Drive security excellence by managing comprehensive protection strategies for personnel and sensitive operations while ensuring compliance with federal and military regulations. Lead efforts to safegu...
1 week ago
Configuration/Data Manager II (D&NS)
$85K - $115K *
Oversee configuration and data management activities for technical baselines, ensuring document accuracy and integrity throughout the product lifecycle while collaborating across engineering and progr...
2 weeks ago
$140K - $175K *
The Implementation Manager at Courier Health will lead end-to-end platform implementations for Life Sciences clients, ensuring timely delivery and seamless onboarding. This role involves building stra...
Reposted 3 weeks ago
Clinical Utilization Management Pharmacist
$100K - $130K *
Take ownership of drug utilization management by leading reviews, ensuring compliance, and collaborating with stakeholders. Enhance pharmacy operations through expertise and trend analysis, impacting...
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.