PRIMARY FUNCTION The Supervisor, Healthcare Analytics will oversee delivery of analytics related to membership trends, panel management, quality metrics, cost, and utilization. This role requires a ...
PRIMARY FUNCTION The Supervisor, Healthcare Analytics will oversee delivery of analytics related to membership trends, panel management, quality metrics, cost, and utilization. This role requires a ...
PRIMARY FUNCTION The Supervisor, Healthcare Analytics will oversee delivery of analytics related to membership trends, panel management, quality metrics, cost, and utilization. This role requires a ...
PRIMARY FUNCTION The Supervisor, Healthcare Analytics will oversee delivery of analytics related to membership trends, panel management, quality metrics, cost, and utilization. This role requires a ...
Manager Ambulatory CDI
Gainesville, FL ยท On-site
$31.50 - $42.50/hr
... utilization management, finance, compliance, and health information management teams to optimize documentation and coding practices. The position supervises CDI professionals, monitors key ...
Manager Ambulatory CDI
Gainesville, FL ยท On-site
$31.50 - $42.50/hr
... utilization management, finance, compliance, and health information management teams to optimize documentation and coding practices. The position supervises CDI professionals, monitors key ...
Manager, Inpatient CDI
Gainesville, FL ยท On-site
$31.50 - $42.25/hr
... utilization management, finance, compliance, and health information management teams to optimize documentation and coding practices. The position supervises CDI professionals, monitors key ...
Manager, Inpatient CDI
Gainesville, FL ยท On-site
$31.50 - $42.25/hr
... utilization management, finance, compliance, and health information management teams to optimize documentation and coding practices. The position supervises CDI professionals, monitors key ...
Manager, Inpatient CDI
Gainesville, FL ยท On-site
$31.50 - $42.50/hr
... utilization management, finance, compliance, and health information management teams to optimize documentation and coding practices. The position supervises CDI professionals, monitors key ...
Manager, Inpatient CDI
Gainesville, FL ยท On-site
$31.50 - $42.50/hr
... utilization management, finance, compliance, and health information management teams to optimize documentation and coding practices. The position supervises CDI professionals, monitors key ...
Manager Ambulatory CDI
Gainesville, FL ยท On-site
$31.50 - $42.25/hr
... utilization management, finance, compliance, and health information management teams to optimize documentation and coding practices. The position supervises CDI professionals, monitors key ...
Manager Ambulatory CDI
Gainesville, FL ยท On-site
$31.50 - $42.25/hr
... utilization management, finance, compliance, and health information management teams to optimize documentation and coding practices. The position supervises CDI professionals, monitors key ...
Manager Ambulatory CDI
Gainesville, FL ยท On-site
$31.50 - $42.50/hr
... utilization management, finance, compliance, and health information management teams to optimize documentation and coding practices. The position supervises CDI professionals, monitors key ...
Manager Ambulatory CDI
Gainesville, FL ยท On-site
$31.50 - $42.50/hr
... utilization management, finance, compliance, and health information management teams to optimize documentation and coding practices. The position supervises CDI professionals, monitors key ...
Performs utilization review and management, including quality review, case review for third party ... department supervisor about admissions under review and study. ยท Reports data collected ...
Quick apply
Performs utilization review and management, including quality review, case review for third party ... department supervisor about admissions under review and study. ยท Reports data collected ...
Manager, Inpatient CDI
Gainesville, FL ยท On-site
$31.50 - $42.50/hr
... utilization management, finance, compliance, and health information management teams to optimize documentation and coding practices. The position supervises CDI professionals, monitors key ...
Manager, Inpatient CDI
Gainesville, FL ยท On-site
$31.50 - $42.50/hr
... utilization management, finance, compliance, and health information management teams to optimize documentation and coding practices. The position supervises CDI professionals, monitors key ...
Case Manager Extender
North Miami Beach, FL ยท On-site
... utilization management and care coordination team. 5. Monitor commercial payers accounts, to ... Office Supervisor and or Manager, to include but not limited to: faxing dictation to referring ...
Case Manager Extender
North Miami Beach, FL ยท On-site
... utilization management and care coordination team. 5. Monitor commercial payers accounts, to ... Office Supervisor and or Manager, to include but not limited to: faxing dictation to referring ...
Candidates should have 5+ years of senior level position(s) with supervisory responsibilities, and ... Basic job responsibilities include: medical leadership for utilization management, cost containment ...
Candidates should have 5+ years of senior level position(s) with supervisory responsibilities, and ... Basic job responsibilities include: medical leadership for utilization management, cost containment ...
... HIM, Coding, Utilization Management, Compliance, Revenue Cycle Support, Managed Care, and ... Minimum three (3) years of leadership or supervisory experience. * Epic experience a must.
... HIM, Coding, Utilization Management, Compliance, Revenue Cycle Support, Managed Care, and ... Minimum three (3) years of leadership or supervisory experience. * Epic experience a must.
... HIM, Coding, Utilization Management, Compliance, Revenue Cycle Support, Managed Care, and ... Minimum three (3) years of leadership or supervisory experience. * Epic experience a must.
... HIM, Coding, Utilization Management, Compliance, Revenue Cycle Support, Managed Care, and ... Minimum three (3) years of leadership or supervisory experience. * Epic experience a must.
... HIM, Coding, Utilization Management, Compliance, Revenue Cycle Support, Managed Care, and ... Minimum three (3) years of leadership or supervisory experience. * Epic experience a must.
... HIM, Coding, Utilization Management, Compliance, Revenue Cycle Support, Managed Care, and ... Minimum three (3) years of leadership or supervisory experience. * Epic experience a must.
Telephonic Case Manager
Boca Raton, FL ยท On-site
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... Report to Branch Manager/Supervisor potential problems identified during reviews or data collection ...
Telephonic Case Manager
Boca Raton, FL ยท On-site
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... Report to Branch Manager/Supervisor potential problems identified during reviews or data collection ...
Telephonic Case Manager
Boca Raton, FL ยท On-site
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... Report to Branch Manager/Supervisor potential problems identified during reviews or data collection ...
Telephonic Case Manager
Boca Raton, FL ยท On-site
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... Report to Branch Manager/Supervisor potential problems identified during reviews or data collection ...
Telephonic Case Manager
Boca Raton, FL ยท On-site
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... Performance is monitored daily by Supervisors and/or Branch Manager. โข Initial review and ...
Telephonic Case Manager
Boca Raton, FL ยท On-site
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... Performance is monitored daily by Supervisors and/or Branch Manager. โข Initial review and ...
Medical Review Specialist / RN
Lake Mary, FL ยท On-site +1
$61K - $68K/yr
MedWatch issues a determination within 15 days of a request for a utilization management ... Forward all verbal or written complaints concerning utilization review to the Supervisor for ...
Medical Review Specialist / RN
Lake Mary, FL ยท On-site +1
$61K - $68K/yr
MedWatch issues a determination within 15 days of a request for a utilization management ... Forward all verbal or written complaints concerning utilization review to the Supervisor for ...
Case Management - RN
Orlando, FL ยท On-site
... Supervisor Case Management RN, the Case Management (CM) RN is responsible for coordinating all ... Communicate and collaborate with Utilization Management regarding patient status, changes in plan ...
Case Management - RN
Orlando, FL ยท On-site
... Supervisor Case Management RN, the Case Management (CM) RN is responsible for coordinating all ... Communicate and collaborate with Utilization Management regarding patient status, changes in plan ...
Clinical Documentation Specialist
Boca Raton, FL ยท On-site
$33 - $44.25/hr
... utilization management, case management, nursing, coding, or related field (e.g., physician) of which a minimum of three years' experience is in a management or supervisory role. * Education:
Clinical Documentation Specialist
Boca Raton, FL ยท On-site
$33 - $44.25/hr
... utilization management, case management, nursing, coding, or related field (e.g., physician) of which a minimum of three years' experience is in a management or supervisory role. * Education:
Supervisor Utilization Management information
See Florida salary details
$29.1K - $37.9K
9% of jobs
$44.3K is the 25th percentile. Wages below this are outliers.
$37.9K - $46.6K
22% of jobs
$46.6K - $55.3K
11% of jobs
The median wage is $60.7K / yr.
$55.3K - $64.1K
14% of jobs
$64.1K - $72.8K
12% of jobs
$78.2K is the 75th percentile. Wages above this are outliers.
$72.8K - $81.5K
13% of jobs
$81.5K - $90.3K
13% of jobs
$90.3K - $99K
5% of jobs
$99K - $107.7K
2% of jobs
$107.7K - $116.4K
0% of jobs
$116.4K - $125.2K
0% of jobs
$29.1K
$68K
$125.2K
How much do supervisor utilization management jobs pay per year?
What is a supervisor utilization management?
A Supervisor Utilization Management oversees the utilization review process to ensure healthcare services are used efficiently and appropriately. They manage a team of utilization review staff, monitor case reviews, and ensure compliance with policies and regulations. Their role includes coordinating with healthcare providers, optimizing resource use, and improving patient care outcomes.
What does a supervisor utilization management do?
A Supervisor Utilization Management typically oversees a team of utilization review nurses or specialists, monitors case workloads, and ensures that medical necessity and regulatory standards are met during patient care reviews. On a daily basis, you might review complex cases, coordinate with physicians and insurance companies regarding care determinations, and implement departmental process improvements. Supervisors also provide staff training, audit case files for quality assurance, and manage departmental reporting and metrics. Collaborating with interdisciplinary teams and adapting to changing regulations are essential aspects of the role, offering variety and opportunities to influence patient care delivery.
What are the key skills and qualifications needed to thrive in the supervisor utilization management position?
To thrive as a Supervisor Utilization Management, you need in-depth knowledge of healthcare utilization review, case management, and compliance regulations, typically supported by a clinical background and relevant licensure or certification. Familiarity with utilization management software, claims processing systems, and data analysis tools such as Microsoft Excel or SQL is often required. Strong leadership, effective communication, and problem-solving abilities are critical soft skills for leading teams and collaborating with physicians and payers. These capabilities ensure efficient workflow management, regulatory adherence, and improved patient outcomes within healthcare organizations.
What are the most commonly searched types of Supervisor Utilization Management jobs in Florida?
The most popular types of Supervisor Utilization Management jobs in Florida are:
What are popular job titles related to Supervisor Utilization Management jobs in Florida?
For Supervisor Utilization Management jobs in Florida, the most frequently searched job titles are:
- Freelance Utilization Review Nurse
- Full Time Physician Advisor Utilization Review
- Remote Utilization Management Nurse
- Evening Utilization Review Nurse
- Therapist Utilization Review Remote
- Commission Cvs Health Utilization Management
- Overnight Utilization Review Nurse
- Remote Utilization Management
- Remote Nurse Scientist
- Pre Service Review Nurse
What job categories do people searching Supervisor Utilization Management jobs in Florida look for?
The top searched job categories for Supervisor Utilization Management jobs in Florida are:

Healthcare Analytics Supervisor
Plantation, FL โข On-site
Full-time
Re-posted 3 days ago
Key responsibilities
Supervise the Healthcare Analytics team, providing guidance and oversight on data analysis projects, reporting, and business insights development.
Gather, process, and validate data from multiple sources to identify trends, patterns, and opportunities for improvement in VBC attribution, quality, cost, and utilization management.
Prepare and deliver reports, dashboards, and visual presentations to communicate key findings to leadership and stakeholders.
Job description
The Supervisor, Healthcare Analytics will oversee delivery of analytics related to membership trends, panel management, quality metrics, cost, and utilization. This role requires a strong balance of analytical expertise and managerial skills, collaborating across key functions-including Clinical, FP&A, Managed Care, and Operations-to translate data into actionable insights.
ESSENTIAL DUTIES AND RESPONSIBILITIES
This list may not include all of the duties that may be assigned.
- Supervise the Healthcare Analytics team, providing guidance and oversight on data analysis projects, reporting, and business insights development.
- Gather, process, and validate attributed member, patient, quality metric, cost, and utilization data from multiple sources, including payers and internal Pediatric Associates datasets.
- Develop and implement analytical methodologies to identify trends, patterns, and opportunities for improvement in VBC attribution, quality, cost and utilization management.
- Interpret and apply contract language to analytical insights which ensures accurate financial reporting and compliance with payer agreements.
- Prepare and deliver reports, dashboards, and visual presentations to communicate key findings to leadership and stakeholders.
- In collaboration with the Director, work with leadership and cross-functional teams to identify business needs, optimize performance metrics, and align analytic strategies with enterprise goals.
- Oversee analytics projects, ensuring timely completion, accuracy, and alignment with organizational objectives.
- Partner with the data management team to ensure data accessibility, integrity, and alignment with business reporting requirements.
- Provide mentorship and training to analysts, fostering professional growth and enhancing analytical capabilities within the team. Planning, assigning reviewing and directing work, evaluating, and appraising performance.
- Rewarding and disciplining employees, addressing complaints, and resolving problems.
- Make hiring decisions and designs individual development plans with succession planning in mind for all key roles.
SUPERVISORY RESPONSIBILITIES
Supervises a team of Analysts.
QUALIFICATIONS
EDUCATION: Bachelor's Degree in Statistics, Healthcare Economics, Business, Healthcare Administration, or equivalent combination of education and work experience required.
EXPERIENCE:
- A minimum of 3 years of professional healthcare analytic experience required.
- 5 years of experience in healthcare analytics preferred.
KNOWLEDGE, SKILLS AND ABILITIES
- Strong analytical and problem-solving skills with expertise in data mining, statistical analysis, and data visualization tools required.
- Understanding of healthcare terminology and processes required.
- Experience integrating clinical data (EMR) with payor data required.
- Experience using healthcare eligibility, quality, and claims data sets and how those data sets join required.
- Experience reviewing and interpreting contract language and connecting contract language to healthcare data sets required.
- Proficiency in data analysis tools (e.g., SQL, SAS, R) and database management systems required.
- Ability to manage projects, prioritize tasks, and meet deadlines required.
- Understanding business processes and how data can be used to drive decision-making and improve performance required.
- Excellent written and verbal communication skills to effectively convey findings and recommendations to both technical and non-technical audiences required.
- Experience in understanding capitation and payer attribution rules preferred.
- Experience with quality-based contracts and tracking metric performance preferred.
- Experience in Managed Medicaid preferred.
TYPICAL WORKING CONDITIONS
- Non-patient facing
- Full time remote
- Job must be U.S. based
OTHER PHYSICAL REQUIREMENTS
- Vision
- Hearing
- Sense of Touch
- Manual Dexterity to operate a computer
PERFORMANCE REQUIREMENTS
Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI (Protected Health Information) in accordance with organizational policy, Federal, State, and local regulations.
The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to be an accurate reflection of the general nature of level of the job.
About PEDIATRIC ASSOCIATES OF WELLESLEY
Sourced by ZipRecruiter
Industry
Offices of physicians
Company size
11 - 50 Employees
Headquarters location
Weston, MA, US