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.
Manager, Vendor & Workforce Management (Utility Contact Center)
$90K - $120K *
Empower performance excellence in contact center operations by optimizing vendor relationships, enhancing service delivery, and leveraging analytics for a seamless customer experience across channels...
4 days ago
Utilization Management Supervisor
$67K - $105K *
Lead the charge in optimizing utilization management processes to ensure operational efficiency and high-quality patient care. Supervise a dedicated team, ensuring compliance and satisfaction across h...
1 week ago
$90K - $120K *
Unlock efficiency at the forefront of validation management, overseeing comprehensive validation programs while leveraging AI tools to meet regulatory standards and ensure quality in a dynamic, multi...
Reposted 2 days ago
$90K - $120K *
Drive improvements in mission-critical cyber defense systems by leading Problem Management processes. Analyze trends, identify root causes, and implement long-term solutions to enhance operational rel...
4 days ago
Configuration/Data Manager IV (D&NS)
$125K - $165K *
Elevate your career by leading configuration management processes across product lifecycles. Ensure hardware and software integrity while coordinating diverse teams and enhancing compliance in a fast...
2 weeks ago
$50K - $114K *
Unlock potential by leading client analytics setups to create impactful reporting for health systems, enhancing revenue cycle efficiency through data processes, and driving implementation improvements...
Reposted 4 days ago
$85K - $135K *
Lead privacy compliance initiatives to enhance UPP's framework, ensuring adherence to regulatory standards. Collaborate across departments to drive a culture of privacy and manage risk effectively, co...
Today
$72K - $93K *
Drive quality outcomes by reviewing medical records for compliance and reimbursement. Collaborate with clinical teams and external agencies to evaluate care levels and ensure adherence to established...
Yesterday
$72K - $93K *
Join a team that's dedicated to optimizing patient care through comprehensive medical record reviews and quality assurance, ensuring compliance with external regulations while enhancing clinical outco...
1 week ago
$90K - $120K *
Transform project delivery by leading complex initiatives, ensuring collaboration across teams, monitoring timelines and budgets, and maintaining clear communication with stakeholders for successful o...
3 weeks ago
$80K - $110K *
Lead the successful definition, delivery, and management of complex projects, ensuring alignment with stakeholders and adherence to budget and timelines through effective communication and coordinatio...
3 weeks ago
AI Solution Manager - Revenue Cycle
$100K - $130K *
Champion AI-driven solutions for healthcare Revenue Cycle, translating complex challenges into actionable strategies. Collaborate across teams to enhance operational efficiency and drive value through...
3 weeks ago
Utility Account Manager- Transmission/Distribution
$128K - $213K *
Drive sales operations by engaging key accounts and managing strategic initiatives. Utilize your commercial expertise to navigate complex challenges and achieve business objectives while influencing t...
Reposted 4 weeks ago
$120K - $150K *
Champion sustainable energy solutions for a growing data center portfolio, managing commercial relationships and regulatory processes across diverse U.S. markets to ensure reliable, cost-effective ene...
3 weeks ago
$130K - $180K *
Manage and innovate energy strategies for data centers, optimizing partnerships and policies to ensure sustainable and cost-effective energy supply in diverse markets while influencing regulatory proc...
3 weeks ago
$120K - $150K *
Drive the development and execution of innovative energy strategies, managing complex commercial and regulatory relationships across diverse markets. Ensure sustainable and cost-effective energy suppl...
3 weeks ago
$75K - $95K *
Elevate the quality of resident care by coordinating effectively across departments, communicating with families, and ensuring staff development through training and policy implementation for improved...
2 weeks ago
$115K - $140K *
Shape the future of sustainability by leading enterprise-wide energy initiatives, driving collaboration, managing risks, and optimizing processes to achieve strategic environmental goals while engagin...
1 week ago
Manager, Behavioral Health Utilization Management
$90K - $120K *
Join a team that's dedicated to enhancing behavioral health services through effective utilization management. Oversee operations, manage licensed clinicians, and ensure adherence to guidelines while...
Yesterday
Manager, Behavioral Health Utilization Management
$100K - $130K *
Lead the charge in Behavioral Health Utilization Management by overseeing a dynamic team to ensure optimal clinical guideline application, efficient operations, and compliance across diverse health pr...
Yesterday
Manager, Behavioral Health Utilization Management
$90K - $120K *
Deliver impactful leadership in Behavioral Health Utilization Management. Oversee daily operations, manage a skilled team, and ensure regulatory compliance. Drive performance excellence and enhance se...
Yesterday
Manager, Behavioral Health Utilization Management
$90K - $120K *
Shape the future of Behavioral Health Utilization Management by managing a skilled team, ensuring efficient operations, and upholding clinical guidelines to support member care across various lines of...
Yesterday
Manager, Behavioral Health Utilization Management
$90K - $120K *
Manage and lead a team of licensed clinicians in Behavioral Health Utilization Management. Oversee daily operations, ensure compliance with clinical guidelines, and drive departmental goals while serv...
Yesterday
Manager, Behavioral Health Utilization Management
$90K - $120K *
Lead the Behavioral Health Utilization Management team, overseeing clinical operations and ensuring adherence to guidelines while driving departmental goals and team performance to enhance member care...
Yesterday
Manager, Behavioral Health Utilization Management
$90K - $120K *
Manage and optimize operations in Behavioral Health Utilization Management, leading a team to ensure effective prior authorization processes and adherence to clinical guidelines while meeting departme...
Yesterday
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.