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Utilization Analyst Jobs in Miami, FL (NOW HIRING)

Uloop Inc.

Utilization Management Coordinator

Miami, FL · On-site

$50 - $70/hr

Utilization Management Coordinator We are seeking a Utilization Management Coordinator to join our ... The coordinator will analyze clinical data and documentation to support decision‑making processes ...

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Utilization Analyst information

See Miami, FL salary details

$29.6K

$70.1K

$124.3K

How much do utilization analyst jobs pay per year?

As of Sep 4, 2026, the average yearly pay for utilization analyst in Miami, FL is $70,070.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,200.00 and $83,200.00 per year, depending on experience, location, and employer.

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 use data analysis tools and reports to identify underutilized assets and recommend improvements to optimize resource allocation.

What are popular job titles related to Utilization Analyst jobs in Miami, FL?

For Utilization Analyst jobs in Miami, FL, the most frequently searched job titles are:

What job categories do people searching Utilization Analyst jobs in Miami, FL look for?

The top searched job categories for Utilization Analyst jobs in Miami, FL are:

What cities near Miami, FL are hiring for Utilization Analyst jobs?

Cities near Miami, FL with the most Utilization Analyst job openings:

Utilization Analyst jobs near you
Infographic showing various Utilization Analyst job openings in Miami, FL as of June 2026, with employment types broken down into 78% Full Time, and 22% Contract. Highlights an 100% In-person job distribution, with an average salary of $70,070 per year, or $33.7 per hour.

Utilization Management Coordinator

Uloop Inc.

Miami, FL • On-site

$50 - $70/hr

Other

Posted 3 days ago

New

Job description

Utilization Management Coordinator

We are seeking a Utilization Management Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

The Utilization Management Coordinator plays a critical role in ensuring that healthcare services are delivered efficiently and effectively by overseeing the review and authorization of medical treatments and procedures. This position is responsible for coordinating utilization management activities to optimize member care while controlling costs and adhering to regulatory requirements. The role involves collaborating with healthcare providers, insurance companies, and internal teams to evaluate the necessity and appropriateness of medical services. The coordinator will analyze clinical data and documentation to support decision‑making processes and ensure compliance with organizational policies and healthcare standards. Ultimately, this position contributes to improving member outcomes by facilitating timely access to necessary care and preventing unnecessary or redundant services.

Minimum Qualifications
  • High school diploma or equivalent required
  • Minimum of 2 years of experience as a medical assistant, office assistant, or other clinical experience
  • Strong knowledge of healthcare regulations and medical terminology
  • Relevant experience may substitute for the educational requirement on a year‑for‑year basis
Preferred Qualifications
  • Associate degree in Health Administration, or a related healthcare field
  • Certification in Utilization Review (e.g., Certified Professional in Utilization Review - CPUR) or Case Management (e.g., CCM)
  • Experience working within managed care organizations or health insurance companies
  • Advanced knowledge of clinical guidelines and healthcare quality improvement methodologies
  • Familiarity with regulatory requirements such as HIPAA, URAC, and NCQA standards
  • Demonstrated ability to lead or participate in cross‑functional teams focused on utilization management initiatives
Responsibilities
  • Conduct thorough reviews of medical records and treatment plans to determine the medical necessity and appropriateness of requested services
  • Coordinate communication between healthcare providers, insurance representatives, and internal departments to facilitate timely authorization and appeals processes
  • Maintain accurate documentation of utilization management activities and decisions in compliance with regulatory and organizational standards
  • Monitor and analyze utilization data to identify trends, potential issues, and opportunities for process improvement
  • Assist in developing and implementing utilization management policies and procedures to enhance operational efficiency and member care quality
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About ULoop

Sourced by ZipRecruiter

Industry

Internet and it

Company size

1 - 10 Employees

Headquarters location

Nashville, TN, US

Year founded

2007

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