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Utilization Analyst Jobs in California (NOW HIRING)

Molina Healthcare

Analyst, Data & Analytics

Long Beach, CA · On-site +1

$49K - $107K/yr

Knowledge of healthcare utilization metrics, medical cost analysis, and performance indicators. * Familiarity with predictive modeling concepts and trend forecasting. * Microsoft certification or ...

allianthcm

Benefits Analyst II

Irvine, CA

Performs a variety of analysis including provider network analysis and carrier utilization analysis ... Evaluates carrier utilization reporting to identify key cost drivers and make recommendations for ...

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Utilization Analyst information

What jobs make $3,000 a day?

High-paying roles such as senior investment bankers, specialized surgeons, and certain executive consultants can earn $3,000 or more per day. These positions typically require advanced skills, extensive experience, and often involve high-stakes environments or specialized certifications.

What jobs will boom in 2026?

Utilization Analysts are expected to see increased demand as companies focus on optimizing resource use and operational efficiency, especially in industries like healthcare, manufacturing, and logistics. Skills in data analysis, proficiency with tools like Excel or specialized software, and certifications in process improvement can enhance job prospects in this growing field.

What is the difference between Utilization Analyst vs Data Analyst?

AspectUtilization AnalystData Analyst
Required CredentialsBachelor's in healthcare, business, or related field; certifications like CPC or HCISPPBachelor's in statistics, computer science, or related field; certifications like CAP or Microsoft Certified Data Analyst
Work EnvironmentHealthcare facilities, insurance companies, or healthcare consulting firmsVarious industries including finance, marketing, healthcare, and technology
Employer & Industry UsageUsed primarily in healthcare and insurance sectors to optimize resource utilizationUsed across multiple industries to analyze data trends and support decision-making

While both roles involve analyzing data, a Utilization Analyst focuses on healthcare resource management and efficiency, whereas a Data Analyst has a broader scope across industries, analyzing diverse data sets to inform strategic decisions.

What jobs pay 4000 a week without a degree?

Utilization Analysts typically require a bachelor's degree, but high-paying roles that can reach $4,000 weekly without a degree include sales managers, real estate brokers, and certain skilled trades like electricians or commercial drivers. These jobs often rely on experience, certifications, or licensing rather than formal education and may involve commission, bonuses, or overtime to reach that income level.

What does a utilization analyst do?

A utilization analyst monitors and analyzes the use of resources, such as staff or equipment, to ensure efficiency and cost-effectiveness. They often use data analysis tools and reports to identify underutilized assets and optimize resource allocation within organizations.
What are popular job titles related to Utilization Analyst jobs in California? For Utilization Analyst jobs in California, the most frequently searched job titles are:
What job categories do people searching Utilization Analyst jobs in California look for? The top searched job categories for Utilization Analyst jobs in California are:
What cities in California are hiring for Utilization Analyst jobs? Cities in California with the most Utilization Analyst job openings:
Utilization Analyst jobs near you
Infographic showing various Utilization Analyst job openings in California as of July 2026, with employment types broken down into 87% Full Time, 4% Part Time, 2% Temporary, and 7% Contract. Highlights an 96% In-person, and 4% Remote job distribution.
Director, Utilization Management

Director, Utilization Management

Alameda Health System

Oakland, CA • On-site

Full-time

Medical, Retirement, PTO

Posted 10 days ago

Alameda Health System rating

8.6

Company rating: 8.6 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

Summary

  • 100% employer health plan for employees and their eligible dependents
  • Unique benefit offerings that are partially or 100% employer-paid
  • Rich and varied retirement plans and the ability to participate in multiple plans.
  • Generous paid time off plans

Role Overview:

Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic planning, compliance, and collaboration. Their responsibilities span from managing admissions to ensuring clean claims, identifying trends, and optimizing resource utilization. This role supports patient care coordination, fosters physician collaboration, and aligns with organizational objectives while adapting to ad hoc duties as needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care.

DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: Following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. 

  • Lead and manage a team of utilization review professionals providing guidance, training, and performance evaluations. 
  • Monitor and evaluate the utilization of healthcare services, including appropriateness, efficiency, and medical necessity of treatments and procedures. 
  • Analyze data and generate reports on utilization trends, outcomes and quality indicators to support decision-making and process improvement initiatives. Reports to appropriate committees. 
  • Manage quality of performance criteria, policies and procedures, and service standards for the utilization management operations. Evaluate utilization reviews and determine program improvements.  
  • Develop and implement utilization review policies and procedures in accordance with industry standards and regulatory requirements.  
  • Direct and coordinate data gathering and record keeping legally required by federal and state agencies, the Joint Commission, and hospital policies; participates in the risk mitigation, process of implementing new or revised processes, and projects 
  • Foster effective communication and collaboration with internal departments, external agencies, and insurance providers to facilitate the utilization review process. 
  • Participate in interdisciplinary committees and meetings to contribute to the development and implementation of quality improvement initiatives.  
  • Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals. Maintains minimal denial rates by Medicare, MediCal, private and contracted payers through appropriate direction of utilization practices; assists physicians and hospital personnel in understanding UM matters. 
  • Perform all other duties as assigned. 
  • Prepares cost analysis reports and other data needed for the preparation of the departmental budget. 
  • Provides in-house educational programs as needed for both staff and physicians. 
  • Responsible for the recruitment, orientation, evaluation, counseling and disciplinary action of UM and administrative staff. 
  • Serves as a content expert to staff and internal departments and external partners; networks with other hospitals, nursing organizations, and professional organizations to keep abreast of changes within the profession.

MINIMUM QUALIFICATIONS:

Required Education: Bachelor’s degree in Nursing

Preferred Education: Master’s degree in Nursing 

Required Experience: Three years of utilization review experience. Health insurance company and/or acute care hospital, post-acute and psych; three years of InterQual and/or MCG. Strong clinical nursing background.

Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.

Preferred Licenses/Certifications: UM / CM certifications


Highland General Hospital
SYS Utilization Management
Full Time
Day
Nursing
FTE: 1

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