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.
$83K - $100K *
Join a team that's redefining client partnerships in advertising. As a Business Supervisor, you'll manage day-to-day client communications, drive alignment across teams, and ensure exceptional deliver...
3 weeks ago
$102K - $127K *
Champion inventory planning and order management, leading a team to ensure accuracy and efficiency. Collaborate cross-functionally to align supply and demand while driving ERP/MRP improvements and mai...
1 week ago
$95K - $115K *
Drive modernization initiatives by managing projects and teams to enhance systems and equipment. Ensure timely, budget-friendly completion while upholding safety and quality standards. Collaborate wit...
2 weeks ago
$88K - $105K *
Transform operational efficiency by overseeing task areas and personnel, ensuring seamless communication between teams and government monitors. Drive performance standards and support mission objectiv...
Today
$87K - $134K *
Transform claims operations by leading a dedicated team, ensuring compliance, and optimizing processes to drive efficiency and performance while achieving departmental goals...
4 weeks ago
$88K - $105K *
Lead the charge in ensuring project success by managing resources, deadlines, and stakeholder relationships. Drive efficiency and enhance processes while participating in all phases of project deliver...
Reposted 3 weeks ago
$97K - $107K *
Lead the charge in enhancing child welfare services by managing performance evaluations and quality improvement initiatives across provider agencies. Collaborate with stakeholders to ensure accountabi...
4 days ago
$110K - $160K *
Shape the future of semiconductor supply chains by leading sourcing and procurement efforts. Collaborate with engineers and partners to streamline operations and drive efficiency in a dynamic startup...
1 week ago
Revenue Operations & Clean Claim Manager
$95K - $115K *
Drive revenue operations excellence by leading clean-claim workflows, overseeing claim accuracy, and enhancing cross-functional collaboration. Partner with various departments to ensure timely billing...
3 weeks ago
Maintenance Automation Manager
$88K - $150K *
Join a dynamic team as you lead maintenance operations in a highly automated distribution environment, ensuring optimal performance and reliability of systems while driving continuous improvement and...
2 weeks ago
$90K - $110K *
Lead and optimize accounts receivable, credit, and collections processes while managing a team. Collaborate with cross-functional partners to enhance cash flow, minimize risk, and drive continuous imp...
1 week ago
$80K - $95K *
Drive client success by managing service delivery, optimizing account performance, and collaborating with internal teams to resolve issues. Leverage expertise in workers' compensation to enhance clien...
2 weeks ago
$80K - $95K *
Empower client success by managing service delivery, optimizing account performance, and collaborating with internal teams to resolve challenges in workers' compensation and casualty claims, ensuring...
2 weeks ago
Utilization Management Clinician (Tuesday - Saturday)
$70K - $106K *
Lead cross-functional collaboration with healthcare professionals to enhance service delivery, assess benefits, and coordinate resources to guarantee effective patient outcomes while ensuring quality...
Reposted 1 week ago
Utilization Management Clinician (Tuesday - Saturday)
$70K - $106K *
Deliver comprehensive healthcare services by collaborating with medical professionals to assess and coordinate care, ensuring effective utilization and member wellness while navigating available resou...
Reposted 1 week ago
$103K - $181K *
Lead the charge in implementing comprehensive security measures for a large-scale defense project, ensuring the protection of personnel, facilities, and sensitive information while collaborating with...
4 days ago
$102K - $118K *
Lead a dynamic team to manage day-to-day maintenance operations for a transit fleet, ensuring compliance with safety standards and contractual obligations while optimizing budget and performance outco...
5 days ago
$108K - $124K *
Lead the maintenance operations for a transit bus fleet, ensuring compliance with contractual obligations and effective budget management while overseeing a team of technicians and maintaining high se...
1 week ago
$115K - $125K *
Transform client relationships by leading account management initiatives, ensuring satisfaction and operational excellence. Collaborate with cross-functional teams to drive success and support busines...
6 days ago
$115K - $125K *
Lead the charge in developing strategic client relationships, ensuring satisfaction and operational excellence. Oversee account management, collaborate with cross-functional teams, and drive business...
6 days ago
$115K - $125K *
Drive strategic client relationships and oversee account management operations, ensuring satisfaction and success. Collaborate with cross-functional teams to implement policies and monitor performance...
6 days ago
$115K - $125K *
Lead the charge in fostering strategic client relationships, ensuring satisfaction and operational excellence while managing cross-functional teams and driving account success through innovative solut...
6 days ago
$115K - $125K *
Engage with key clients and stakeholders to drive account success, ensuring satisfaction and operational excellence. Lead cross-functional teams, manage client relationships, and deliver strategic ins...
6 days ago
$115K - $125K *
Drive client success by managing strategic relationships and ensuring satisfaction. Oversee account operations, lead cross-functional teams, and deliver financial insights to enhance service delivery...
6 days ago
$115K - $125K *
Grow your career with a dynamic role focused on client relationships, strategic account management, and operational excellence. Collaborate with cross-functional teams to ensure client satisfaction an...
6 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.