Senior UM & Admissions Analytics Lead

UF Health; Gainesville (FL); On-site; USD 90,000 - 130,000; Full time

Job summary

UF Health is seeking a Manager & Admissions Analysis to lead operational and analytical functions that ensure admission status accuracy, regulatory compliance, and denSials prevention.

You will oversee admission review workflows and analytics across inpatient, observation, and outpatient bedded populations, collaborating with Utilization Management, physician advisors, CDI, Revenue Cycle and other leaders to improve financial performance.

Qualifications

• Bachelor’s degree in nursing.
• Master’s degree in nursing, Healthcare Administration, Public Health, Business Administration, or related field preferred.
• Minimum five (5) years of utilization management, case management, revenue cycle, or payer relations, denial management or healthcare operations experience.
• Minimum three (3) years of leadership experience.
• Experience with admission status reviews, medical necessity determination, and payer regulations.
• Experience working with Medicare, Medicaid, and commercial payers.
• Experience with complex health system or academic medical centers is strongly preferred.
• Experience with physician advisor programs.
• Epic experience a must.
• Ability to interpret regulatory requirements and translate them into operational processes.
• Ability to manage multiple priorities and lead through organizational change.

Skills

Leadership

Analytics

Regulatory interpretation

Prioritization

Communication

Education

Bachelor’s degree in nursing

Master’s degree in nursing, Healthcare Administration, Public Health, Business Administration, or related field preferred

Tools

Epic

Job description

UF Health is seeking a Manager & Admissions Analysis to lead operational and analytical functions that ensure admission status accuracy, regulatory compliance, and denSials prevention.

You will oversee admission review workflows and analytics across inpatient, observation, and outpatient bedded populations, collaborating with Utilization Management, physician advisors, CDI, Revenue Cycle and other leaders to improve financial performance.