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Um Manager Jobs in Florida (NOW HIRING)

mycenters

UM Coordinator

Pompano Beach, FL · On-site

The Utilization Management Care Coordinator works within a multidisciplinary care team to assist with the care of members enrolled in our Managed Long Term Care program and facilitate authorization ...

Integrated Resources INC

UM Tech

Doral, FL · On-site

It is also the duty of this position to monitor compensation plans for physicians, licensed nurse reviewers, staff and consultants who manage and conduct the medical management determinations. To ...

ChenMed

Pain Management Physician

Miami, FL · On-site

The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our organization. Other duties include advising other physician reviewers and attending daily calls ...

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All JobsUm JobsUm Manager JobsUm Manager Jobs in Florida

Um Manager information

See Florida salary details

$18.3K

$44.5K

$86.7K

How much do um manager jobs pay per year?

As of Sep 7, 2026, the average yearly pay for um manager in Florida is $44,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $31,400.00 and $51,200.00 per year, depending on experience, location, and employer.

What is a UM manager?

An Um Manager is typically responsible for overseeing and managing business operations, projects, or teams within an organization. The specific duties can vary depending on the industry, but generally include planning, coordinating, and ensuring that goals and objectives are met efficiently. Um Managers often serve as a bridge between upper management and staff, facilitating communication and problem-solving. They may also be involved in budgeting, reporting, and performance evaluation to help drive organizational success.

What are the key skills and qualifications needed to thrive as a UM manager?

To thrive as a UM Manager, you need a strong background in healthcare management, clinical guidelines, and insurance processes, typically supported by a degree in nursing or healthcare administration and relevant licensure. Familiarity with utilization review software, case management systems, and knowledge of regulatory compliance such as Medicare and Medicaid are essential. Strong leadership, analytical thinking, and communication skills help UM Managers lead teams and coordinate effectively across departments. These skills are vital for ensuring cost-effective, high-quality patient care while maintaining compliance and operational efficiency.

How does a UM manager typically collaborate with other departments to ensure effective utilization management?

A UM (Utilization Management) Manager plays a key role in coordinating with departments such as case management, quality assurance, and medical staff to ensure that healthcare services are delivered efficiently and meet regulatory standards. They often facilitate interdisciplinary meetings, communicate policy updates, and address utilization trends or issues with both clinical and administrative teams. Building strong relationships across departments is crucial for timely decision-making and maintaining compliance with payer requirements. This collaborative environment helps ensure that patient care remains both cost-effective and high-quality.

What are the most commonly searched types of Um jobs in Florida?

The most popular types of Um jobs in Florida are:

What cities in Florida are hiring for Um Manager jobs?

Cities in Florida with the most Um Manager job openings:

Um Manager jobs near you

Manager, UM Denials & Payer Relations

UF Health

Gainesville, FL • On-site

Full-time

Posted 2 days ago

New

Job description

Overview

The UM Manager, Denials and Payer Relations provides operational leadership and oversight for enterprise-wide utilization management activities related to authorization management, medical necessity compliance, denial prevention, denial trends, payer escalation, and payer relationship management. This position serves as the primary liaison between Utilization Management, Revenue Cycle, Clinical Operations, Physician Advisors, Managed Care Contracting, Patient Financial Services, and external payers to ensure accurate clinical review processes, timely authorization management, reduction of preventable denials, and optimization of reimbursement. The manager is responsible for developing and implementing strategies to improve medical necessity compliance, decrease avoidable denials, support successful appeals, monitor payer performance, and establish collaborative relationships with commercial, governmental, and managed care organizations across the enterprise. This role utilizes data analytics, regulatory expertise, and interdisciplinary collaboration to drive performance improvement initiatives that support organizational quality, compliance, operational, and financial goals.


Qualifications

Education

  • Bachelor’s degree in nursing.
  • Master’s degree in nursing, Healthcare Administration, Business Administration, or related field preferred.

Experience

  • Minimum five (5) years of Utilization Management, Case Management, Revenue Cycle, or Denials Management experience.
  • Minimum three (3) years of leadership experience managing hospital UM operations.
  • Experience leading multi-site or enterprise-wide coding operations preferred.
  • Experience working with Medicare, Medicaid, and commercial payers.
  • Experience analyzing denial and authorization data.
  • Experience with complex health system or academic medical centers is strongly preferred.
  • Epic experience a must.
  • Knowledge of claims processing, denials management, and reimbursement analysis.
  • Ability to interpret regulatory requirements and translate them into operational processes.
  • Ability to manage multiple priorities and lead through organizational change.

License/Certification/Registration

  • Registered Nurse (RN) required.
  • Prior Authorization Certified Specialist (PACS) preferred.
  • Accredited Case Manager – Registered Nurse (ACM-RN) preferred.
  • Certified Case Manager (CCM) preferred.
  • Certified Professional in Healthcare Quality (CPHQ) preferred.
  • Certification in Healthcare Quality and Management (HCQM) preferred.
  • Certified Professional in Utilization Review (CPUR) preferred.
  • Clinical Medical Assistant Certification (CMAC) preferred.
  • Certified Revenue Cycle Representative (CRCR) preferred.

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