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Utilization Analyst Jobs in Miami, FL (NOW HIRING)

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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 Aug 14, 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 work with data management tools and generate reports to identify areas for improvement in resource allocation and productivity.

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 Review Nurse

Health Business Solutions

Cooper City, FL • On-site

Other

Re-posted 6 days ago

Job description

Job Summary : We are seeking a highly motivated and experienced Utilization Review Nurse to join our team. The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective utilization management, and ensuring revenue cycle efficiency. This position offers a unique opportunity to combine clinical expertise with revenue cycle management knowledge.

Key Responsibilities:

· Clinical Assessment : Conduct comprehensive clinical assessments of medical records to ensure patients are receiving appropriate care at the correct level of service.

  • Care Coordination : Collaborate with interdisciplinary healthcare teams to coordinate patient care and treatment plans, ensuring the most cost-effective and clinically appropriate care is provided.

  • Revenue Cycle Management : Utilize clinical expertise to support revenue cycle processes, including accurate coding, documentation improvement, and compliance with healthcare regulations.

  • Utilization Review:

a) Apply medical necessity screening criteria and clinical knowledge to ensure appropriateness of admissions and length of stays

b) Conduct initial admission, continuing stay, and 23-hour observations reviews for all patients

c) Support Utilization Review Coordinator team members on cases escalated for level of care determinations

d) Screen cases for Physician Advisor review

e) Collaborate with insurance companies on concurrently denied and high risk for denial cases

  • Documentation Improvement : Identify opportunities for improving clinical documentation to support accurate coding and billing processes, ultimately improving reimbursement.

  • Data Analysis : Analyze clinical and financial data to identify trends, opportunities for improvement, and areas of potential cost savings for clients.

  • Compliance : Stay up-to-date with healthcare regulations, guidelines, and policies to ensure all patient care and revenue cycle processes are in compliance with industry standards and regulatory requirements to ensure appropriate reimbursement.

Qualifications:

· Registered Nurse (RN) licensure required; must hold a USRN multi-state/compact nursing license.

· Bachelor of Science in Nursing (BSN) preferred.

· Case Management Certification (e.g., CCM) is a plus.

· Minimum of 3 years of clinical nursing experience, preferably in a hospital or acute care setting.

· Minimum 2 years of work experience in Utilization Review

· Strong understanding of revenue cycle management and healthcare reimbursement.

· Proficiency in medical coding and clinical documentation improvement.

· Excellent communication, interpersonal, and teamwork skills.

· Ability to work independently and make sound clinical and financial decisions.

· Strong analytical and problem-solving skills.

· Proficient in using healthcare information systems and technology.

· Commitment to maintaining patient confidentiality and ethical standards.

Apply