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Utilization Analyst Jobs in Tennessee (NOW HIRING)

Senior Data Analyst (Finance)

Nashville, TN · On-site

$81K - $102K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Perform detailed claims analysis, using data sets including but not limited to: eligibility, utilization, and paid/allowed amounts, to support financial and operational reporting * Assist in ...

New

Track budgets, hours, burn rates, and utilization to ensure projects remain financially sound. * Perform routine audits and variance analysis to identify discrepancies, risks, or trends impacting ...

New

Strategic Analyst

Memphis, TN · On-site

$91K - $113K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Position Overview: The Strategic Analyst is a quantitative role within the Analytics team ... revenue, utilization, headcount, and other leading/lagging indicators) using the company ...

Strategic Analyst

Memphis, TN

$91K - $113K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Position Overview: The Strategic Analyst is a quantitative role within the Analytics team ... revenue, utilization, headcount, and other leading/lagging indicators) using the company ...

Strategic Analyst

Memphis, TN · On-site

$91K - $113K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Position Overview: The Strategic Analyst is a quantitative role within the Analytics team ... revenue, utilization, headcount, and other leading/lagging indicators) using the company ...

Workplace Project Manager

Nashville, TN · On-site

$130K - $180K/yr

Support site selection, workplace planning, and space utilization analysis. Communication & Stakeholder Management * Develop executive-ready PowerPoint presentations, project updates, business cases ...

UAC Analyst - Senior

Nashville, TN

$85K - $112K/yr

Design, develop, and maintain dashboards, scorecards, and reports that provide visibility into call center performance, service levels, workforce utilization, and customer experience. Analyze complex ...

UAC Analyst (Sr)

Nashville, TN

$85K - $112K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... utilization, and customer satisfaction trends, translating findings into clear, strategic, and ... Serve as the primary analytical liaison between the Nashville site and the headquarters Data ...

UAC Analyst (Sr)

Nashville, TN

$85K - $112K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... utilization, and customer satisfaction trends, translating findings into clear, strategic, and ... Serve as the primary analytical liaison between the Nashville site and the headquarters Data ...

UAC Analyst - Senior

Nashville, TN · On-site

$85K - $112K/yr

Design, develop, and maintain dashboards, scorecards, and reports that provide visibility into call center performance, service levels, workforce utilization, and customer experience. Analyze complex ...

UAC Analyst (Sr)

Nashville, TN · On-site

$85K - $112K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... utilization, and customer satisfaction trends, translating findings into clear, strategic, and ... Serve as the primary analytical liaison between the Nashville site and the headquarters Data ...

Showing results 41-60

Utilization Analyst information

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 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 work with data management tools and generate reports to identify areas for improvement in resource allocation and productivity.

What cities in Tennessee are hiring for Utilization Analyst jobs?

Cities in Tennessee with the most Utilization Analyst job openings:

Senior Data Analyst (Finance)

Upperline Health

Nashville, TN • On-site

$81K - $102K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New


Upperline Health rating

3.5

Company rating: 3.5 out of 10

Based on 13 frontline employees who took The Breakroom Quiz


Job description

About the Company
Upperline is headquartered in Nashville with operations across the country.
Founded in 2017, Upperline Health is the nation's largest multispecialty physician group dedicated to transforming value-based care (VBC). We are redefining how care is delivered by integrating specialty care and primary care into a patient-centered and fully coordinated VBC model - enabling earlier intervention, improving outcomes, and enhancing quality of life for our patients.
As we continue to expand, we remain committed to making high-quality, coordinated care more accessible and effective-while creating opportunities for our team to make a meaningful impact on the lives of the patients we serve.
About the Senior Data Analyst
Our organization is in a period of high growth through acquisitions. As a result, our data infrastructure, finance function, and financial processes are also growing in complexity. We are seeking a Senior Data Analyst to support the Director of Finance - Revenue Analytics, who currently serves as the critical link between Finance, Accounting, and claims-level data across our organization.
This role will provide hands-on support for Snowflake and Athena EMR-based claims data management, querying, and analyses that underpin monthly revenue recognition. Each acquisition introduces new source systems, new claims formats, new data-quality issues, and new reconciliation work - all of which compounds the workload of monthly revenue recognition. This role is being created to absorb and manage that growing volume of data maintenance, cleanup, and analysis work, to enable the Director to focus on higher-level analyses, cross-functional coordination with Finance and Accounting, and the onboarding of newly acquired entities.
What You'll Do:
  • Build and maintain SQL queries, views, and data pipelines to support recurring and ad hoc reporting needs
  • Query, cleanse, validate, and maintain large-scale healthcare claims datasets in Snowflake, sourced from Athena EMR and integrated systems
  • Identify and resolve data quality issues, gaps, and inconsistencies, particularly those introduced by newly acquired entities and disparate source systems
  • Perform detailed claims analysis, using data sets including but not limited to: eligibility, utilization, and paid/allowed amounts, to support financial and operational reporting
  • Assist in preparing claims-based data and analysis that supports the monthly revenue recognition close process
  • Help reconcile claims data against financial records, flagging and investigating discrepancies before they reach Finance and Accounting
  • Support the Director in translating claims-level detail into a format Finance and Accounting stakeholders can use and trust
  • Support the onboarding of claims data from newly acquired healthcare entities into existing Snowflake data structures
  • Assist in mapping, standardizing, and validating new data sources against existing schemas and business rules
  • Help document data lineage, definitions, and known issues as the data environment grows in complexity
  • Work closely with the Director as a direct extension
  • Collaborate with cross-functional teams-including Finance, Accounting, Operations, and IT-to understand business needs and deliver accurate, timely analytics
  • Communicate analytical findings and recommendations effectively to both technical and non-technical stakeholders

Required Skills and Competencies:
  • Bachelor's degree in Data Analytics, Computer Science, Information Systems, Healthcare Informatics, Finance, or a related field, or equivalent combination of education and experience
  • 3-5+ years of experience in data analysis, with substantial hands-on SQL experience (Snowflake strongly preferred)
  • Working knowledge of healthcare industry data is heavily preferred, including data used by health insurance companies, multi-site healthcare providers, and/or risk-bearing entities
  • Direct experience working with healthcare claims-level data, ideally from EMR-sourced systems such as Athena
  • Demonstrated ability to clean, structure, and troubleshoot complex, imperfect datasets
  • Experience supporting financial or accounting processes with data analysis (revenue recognition experience is a big plus)
  • Strong attention to detail and comfort working with ambiguity, given the evolving nature of an acquisitive business
  • Ability to work independently while closely supporting a senior team member's day-to-day priorities
  • Experience supporting or participating in M&A data integration or system migrations (preferred)
  • Familiarity with claims adjudication concepts - eligibility, coding, paid vs. allowed amounts, utilization metrics (preferred)
  • Exposure to BI/visualization tools (e.g., Tableau, Power BI, Looker) for presenting analysis to Finance stakeholders (preferred)

Work Environment:
  • This position is primarily remote, with occasional travel to the office for team meetings, training, collaboration sessions, and other business-critical activities as needed

What Success Looks Like in the First 6 Months:
  • Independently manages recurring claims data cleanup, validation, and query maintenance in Snowflake
  • Materially reduces the Director's day-to-day data maintenance burden, allowing them to focus on higher-value analysis and stakeholder management
  • Becomes a trusted contributor to the monthly revenue recognition process, with Finance and Accounting confident in the accuracy of supporting data
  • Actively supports the smooth integration of at least one newly acquired entity's claims data into existing systems

Compensation
Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience
Benefits
Comprehensive benefit options include medical, dental and vision, 401K, and PTO.
Job Type: Full-time
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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