Utilization Manager Jobs in Miami, FL (NOW HIRING)

Job Description

The Clinical Resource Manager leads value analysis initiatives across the health system to optimize clinical product selection, utilization, quality, and cost management. This role serves as a key liaison between supply chain, clinical leadership, physicians, finance, vendors, and executive stakeholders, ensuring that product decisions support high-quality, safe, and cost-effective patient care. The position offers significant visibility and the opportunity to drive enterprise-wide initiatives in product utilization, standardization, and clinical outcomes within a pediatric-focused healthcare environment.

Responsibilities

• Lead value analysis initiatives to optimize clinical product selection, utilization, quality, and cost management across the health system.
• Serve as the primary liaison between supply chain, clinical leadership, physicians, finance, vendors, and executive stakeholders to support coordinated decision-making.
• Plan, organize, and lead product evaluations to assess clinical effectiveness, safety, and financial impact.
• Analyze financial and clinical outcomes related to product selection and utilization, and present findings to leadership and value analysis committees.
• Facilitate value analysis committees, ensuring evidence-based discussions, consensus-building, and timely decisions on product adoption or standardization.
• Coordinate and oversee product trials, including planning, implementation, data collection, and evaluation of results.
• Drive standardization initiatives to reduce clinical practice variation and promote consistent, evidence-based use of supplies and products.
• Develop and implement cost-saving programs that maintain or enhance patient care quality and safety.
• Educate clinical and operational staff on product changes, standardization decisions, and best practices for utilization management.
• Partner with operational and clinical leaders to identify opportunities for supply expense management and product optimization.
• Promote evidence-based decision-making in product selection and utilization, incorporating clinical data, financial analysis, and stakeholder feedback.
• Collaborate with supply chain professionals to align product decisions with contracts, group purchasing organization (GPO) strategies, and vendor relationships.
• Leverage advanced analytical skills to interpret utilization data, identify trends, and recommend actionable improvements.
• Prepare and deliver clear, compelling presentations to executive leadership, physicians, nursing leaders, finance teams, and supply chain stakeholders.
• Support consensus supply utilization efforts across critical care, post-operative, and other clinical areas to improve efficiency and outcomes.

Essential Skills

• Strong understanding of healthcare supply chain processes, including procurement, inventory management, and utilization management.
• In-depth knowledge of contracts, group purchasing organizations (GPOs), and vendor relationship management within a healthcare environment.
• Proven leadership abilities, with experience guiding multidisciplinary teams and influencing stakeholders at multiple levels.
• Demonstrated facilitation skills to lead committees, drive consensus, and manage complex discussions involving clinical and financial considerations.
• Robust project management skills, including planning, execution, monitoring, and reporting on value analysis and standardization initiatives.
• Advanced analytical skills to interpret clinical and financial data, assess product performance, and support evidence-based recommendations.
• Strong presentation and communication skills, with the ability to convey complex information clearly to clinical and non-clinical audiences.
• Expert understanding of value analysis methodologies and clinical practice variation management.
• Clinical RN experience, particularly in critical care and post-operative settings, to effectively evaluate clinical products and practices.
• Ability to collaborate effectively with physicians, nursing leaders, finance teams, supply chain professionals, and executive leadership.

Additional Skills & Qualifications

• Master’s degree preferred, ideally in healthcare administration, business, nursing, or a related field.
• Professional certifications such as CVAHP (Certified Value Analysis Healthcare Professional), CNOR (Certified Nurse Operating Room), or CCRN (Critical Care Registered Nurse) strongly preferred.
• Pediatric healthcare experience preferred, with familiarity in pediatric clinical practice and product requirements.
• Experience working within a complex health system or hospital environment on supply chain, utilization management, or value analysis initiatives.
• Demonstrated ability to lead enterprise-wide projects and change management efforts related to product utilization and standardization.
• Strong interpersonal skills to build relationships and influence stakeholders across clinical, operational, and administrative functions.
• High level of professional judgment, problem-solving ability, and attention to detail in evaluating clinical and financial impacts.
• Comfort working with data analysis tools, reporting systems, and presentation software to support decision-making and communication.

Work Environment

This role is based in a professional, office-based healthcare setting within an indoor environment that has moderate noise levels. The standard schedule runs Monday through Friday, 9:00 a.m. to 5:00 p.m., with no travel required. The Clinical Resource Manager works closely with clinical staff, physicians, executive leadership, supply chain teams, and vendors, engaging in frequent meetings, committee sessions, and collaborative planning. The environment emphasizes strategic partnership, cross-functional collaboration, and a focus on improving patient care quality, operational efficiency, and healthcare cost management across a pediatric health system. Professional business attire is typically expected in this office and clinical-facing setting.

This is a Contract to Hire position based out of Miami, FL.

The pay range for this position is $39.00 - $46.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully onsite position in Miami,FL.

This position is anticipated to close on Aug 13, 2026.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.