This includes working closely with the clinical team, including the utilization review nurses and the physician advisors. In addition support and follow up is performed with the Insurance ...
This includes working closely with the clinical team, including the utilization review nurses and the physician advisors. In addition support and follow up is performed with the Insurance ...
Utilization Management - Through retrospective review and use of both strong QI principles and strong data aggregation and analysis skills, the Utilization Management Coordinator will: Perform ...
Utilization Management - Through retrospective review and use of both strong QI principles and strong data aggregation and analysis skills, the Utilization Management Coordinator will: Perform ...
This includes working closely with the clinical team, including the utilization review nurses and the physician advisors. In addition support and follow up is performed with the Insurance ...
This includes working closely with the clinical team, including the utilization review nurses and the physician advisors. In addition support and follow up is performed with the Insurance ...
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 ...
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 ...
Utilization Review Supervisor (PCN 1547)
Troy, MI · On-site
$70K - $87K/yr
This position supervises UR Analysts and Acute Care Authorization Analysts and provides clinical and operational oversight for crisis authorizations, concurrent reviews, acute care utilization, high ...
Quick apply
Utilization Review Supervisor (PCN 1547)
Troy, MI · On-site
$70K - $87K/yr
This position supervises UR Analysts and Acute Care Authorization Analysts and provides clinical and operational oversight for crisis authorizations, concurrent reviews, acute care utilization, high ...
Utilization Management - Through retrospective review and use of both strong QI principles and strong data aggregation and analysis skills, the Utilization Management Coordinator will: * Perform ...
Utilization Management - Through retrospective review and use of both strong QI principles and strong data aggregation and analysis skills, the Utilization Management Coordinator will: * Perform ...
Data Analysis : Analyze clinical and financial data to identify trends, opportunities for ... in Utilization Review · Strong understanding of revenue cycle management and healthcare ...
Data Analysis : Analyze clinical and financial data to identify trends, opportunities for ... in Utilization Review · Strong understanding of revenue cycle management and healthcare ...
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
... analyze utilization data and support care coordination Licensure/Certification/Registration: * Registered Nurse (RN) with a current Florida license required.
... analyze utilization data and support care coordination Licensure/Certification/Registration: * Registered Nurse (RN) with a current Florida license required.
Ability to analyze utilization data and support effective care coordination. * Strong organizational skills with the ability to manage multiple priorities simultaneously. * Ability to work ...
Ability to analyze utilization data and support effective care coordination. * Strong organizational skills with the ability to manage multiple priorities simultaneously. * Ability to work ...
Utilization Review Assistant
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Utilization Review Assistant
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Analyze complex data sets to improve patient quality care/ financial outcomes. * Other duties as ... Two years of recent Utilization Review/Care Management experience * One year of healthcare ...
Analyze complex data sets to improve patient quality care/ financial outcomes. * Other duties as ... Two years of recent Utilization Review/Care Management experience * One year of healthcare ...
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
... Analyze data and metrics to identify areas for improvement in care coordination processes. 4. ... resource utilization. 5. Staff Development: • Provide ongoing training and education to ...
... Analyze data and metrics to identify areas for improvement in care coordination processes. 4. ... resource utilization. 5. Staff Development: • Provide ongoing training and education to ...
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 ...
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 ...
Job Summary We are seeking a highly motivated and detail-oriented Utilization Reviewer to join our ... Excellent analytical skills combined with a thorough understanding of anatomy physiology and ...
Job Summary We are seeking a highly motivated and detail-oriented Utilization Reviewer to join our ... Excellent analytical skills combined with a thorough understanding of anatomy physiology and ...
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Analyze utilization trends to ensure progress towards organizational goals * Educates healthcare providers and patients regarding appropriate levels of care and service criteria and guidelines.
Analyze utilization trends to ensure progress towards organizational goals * Educates healthcare providers and patients regarding appropriate levels of care and service criteria and guidelines.
Utilization Analyst information
See salary details
$31K - $40K
11% of jobs
$40K - $49K
9% of jobs
$52.1K is the 25th percentile. Wages below this are outliers.
$49K - $58K
15% of jobs
$58K - $67K
15% of jobs
The median wage is $67.3K / yr.
$67K - $76K
18% of jobs
$82.5K is the 75th percentile. Wages above this are outliers.
$76K - $85K
11% of jobs
$85K - $94K
7% of jobs
$94K - $103K
5% of jobs
$103K - $112K
4% of jobs
$112K - $121K
2% of jobs
$121K - $130K
3% of jobs
$31K
$73.3K
$130K
How much do utilization analyst jobs pay per year?
What jobs make $3,000 a day?
What jobs will boom in 2026?
What is the difference between Utilization Analyst vs Data Analyst?
| Aspect | Utilization Analyst | Data Analyst |
|---|---|---|
| Required Credentials | Bachelor's in healthcare, business, or related field; certifications like CPC or HCISPP | Bachelor's in statistics, computer science, or related field; certifications like CAP or Microsoft Certified Data Analyst |
| Work Environment | Healthcare facilities, insurance companies, or healthcare consulting firms | Various industries including finance, marketing, healthcare, and technology |
| Employer & Industry Usage | Used primarily in healthcare and insurance sectors to optimize resource utilization | Used 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.
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What does a utilization analyst do?
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Sinai Chicago rating
7.8
Based on 15 frontline employees who took The Breakroom Quiz
Job description
This position provides monitoring of inpatient and outpatient accounts to ensure accuracy of submissions and proper authorizations are obtained in order to secure reimbursement. The success is measured by the ability to reduce bill holds. This includes working closely with the clinical team, including the utilization review nurses and the physician advisors.
In addition support and follow up is performed with the Insurance verification team. The role includes but is not limited to, clinical submission to the payers, securing an authorization for the visit type, continuous follow up with payers for authorizations and/or additional information, and basic reporting for payer specific behaviors. This also requires monitoring of payer trends and the user of Microsoft office to track and report out data for Senior Management
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About Sinai Chicago
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Sinai Chicago is an integral part of the healthcare industry, established to provide quality and accessible healthcare for the Chicago, IL, US community. The organization operates across various healthcare sectors including teaching, research, and providing clinical care. Since its inception in 1919, Sinai Chicago has been resolute in improving the health of the people and communities it serves, with a focus on delivering value-based care to areas with pressing health needs. The core values of Sinai Chicago include respect, integrity, teamwork, accountability, and quality. The company's mission and commitment lie in nurturing healthier communities through the provision of accessible, quality healthcare.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Chicago, IL, US
Year founded
1919