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Utilization Analyst Jobs (NOW HIRING)

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL · On-site

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Review and analyze clinical records, including received documentation from payors, to ensure ...

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL · On-site

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Review and analyze clinical records, including received documentation from payors, to ensure ...

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL · On-site

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Review and analyze clinical records, including received documentation from payors, to ensure ...

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Utilization Analyst information

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$31K

$73.3K

$130K

How much do utilization analyst jobs pay per year?

As of Jun 27, 2026, the average yearly pay for utilization analyst in the United States is $73,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $87,000.00 per year, depending on experience, location, and employer.

What jobs will boom in 2026?

Utilization Analysts are expected to see growth as companies increasingly rely on data to optimize operations and resource allocation. Skills in data analysis, proficiency with analytics tools, and certifications in business intelligence will enhance job prospects in this field by 2026.

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 job makes $10,000 a month without a degree?

A Utilization Analyst typically does not earn $10,000 a month without a degree; such high salaries are more common in roles like sales managers, real estate brokers, or certain entrepreneurial positions that rely on experience, skills, and performance rather than formal education. These roles often require strong communication, negotiation skills, and industry knowledge. High earnings without a degree are rare and usually involve commission-based or performance-driven compensation structures.

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 optimal capacity. They often use data analysis tools and reporting software to identify underutilized or overused assets and recommend improvements to maximize productivity.

What jobs pay 2000 a day?

Utilization Analysts typically do not earn $2,000 a day; such high daily rates are more common in specialized consulting, executive roles, or freelance positions in fields like finance, law, or management consulting. These roles often require extensive experience, certifications, or unique expertise, and compensation may include bonuses or project-based fees that reach high daily earnings.
More about Utilization Analyst jobs
What cities are hiring for Utilization Analyst jobs? Cities with the most Utilization Analyst job openings:
What states have the most Utilization Analyst jobs? States with the most job openings for Utilization Analyst jobs include:
What job categories do people searching Utilization Analyst jobs look for? The top searched job categories for Utilization Analyst jobs are:
Utilization Analyst jobs near you
Infographic showing various Utilization Analyst job openings in the United States as of June 2026, with employment types broken down into 75% Full Time, and 25% Contract. Highlights an 100% In-person job distribution, with an average salary of $73,261 per year, or $35.2 per hour.
RN, Utilization Management | Utilization Management | PRN

RN, Utilization Management | Utilization Management | PRN

UF Health

Gainesville, FL

Per diem

Posted 13 days ago

Job description

Overview

RN, Utilization Management 

Support quality patient care by ensuring appropriate utilization, timely authorizations, and effective care coordination.

???? Work Style: Onsite
???? Location: Gainesville, FL 
???? FTE: PRN (Approximately 4 hours per week)

Evaluates patient medical records to determine the necessity and appropriateness of healthcare services in alignment with utilization management guidelines. Collaborates with healthcare providers to support compliance, optimize treatment plans, and promote effective resource utilization.

Communicates authorization decisions clearly and monitors patient progress to support timely discharge planning. Analyzes utilization data to identify trends and opportunities for improvement, partnering with interdisciplinary teams to enhance care coordination. Ensures accurate documentation and adherence to regulatory and compliance standards.


Responsibilities

Key Responsibilities

  • Reviews patient medical records to evaluate the necessity and appropriateness of healthcare services.
  • Collaborates with healthcare providers to ensure compliance with utilization management guidelines.
  • Supports optimization of treatment plans to promote effective patient care and appropriate resource utilization.
  • Communicates authorization decisions clearly and in a timely manner to providers and stakeholders.
  • Monitors patient progress to support efficient discharge planning and continuity of care.
  • Analyzes utilization data to identify trends and opportunities for improvement.
  • Collaborates with interdisciplinary teams to enhance care coordination.
  • Ensures accurate documentation and adherence to regulatory and compliance standards.

Qualifications

Education & Experience:
Registered Nurse (RN) with a current Florida license required.

  • Three (3) years of critical care nursing experience, or
  • Five (5) years of medical-surgical nursing experience, or
  • Three (3) years of utilization review, case management, or third-party payer experience.

Qualifications

  • Active Registered Nurse (RN) license with 3+ years of experience in utilization review or case management.
  • Strong knowledge of healthcare utilization management guidelines and regulatory compliance.
  • Experience evaluating medical necessity and optimizing treatment plans.
  • Excellent communication skills with the ability to clearly convey authorization decisions.
  • Ability to analyze utilization data and support effective care coordination.
  • Strong organizational skills with the ability to manage multiple priorities simultaneously.
  • Ability to work independently and collaboratively with multidisciplinary teams.
  • Strong attention to detail and innovative problem-solving skills.
  • Flexibility to adjust work hours and days based on departmental needs.

Motor Vehicle Operator Designation:
Employees in this position will not operate vehicles for an assigned business purpose.

Note: Please indicate the appropriate operator designation on the Request for Personnel (RFP) form at the time of submission.

Licensure/Certification/Registration:

  • Registered Nurse (RN) with a current Florida license required.

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