UM & Admissions Analytics Manager

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

Job summary

UF Health in Gainesville seeks a UM Manager and Admissions Analysis to lead operational and analytical functions for admission status accuracy, medical necessity compliance, and reimbursement optimization across the UF Health enterprise. The role collaborates with Utilization Management, Physician Advisors, CDI, Revenue Cycle, and hospital leadership to reduce denials and improve financial performance.

Requires RN license, leadership experience, Epic proficiency, and familiarity with CMS and

Qualifications

• RN with leadership experience in utilization management or related operations.
• Experience with Medicare/Medicaid and payer regulations.
• Epic experience required.
• Ability to translate regulatory requirements into operational processes.

Responsibilities

• Lead admission status analytics and denial prevention strategies.
• Monitor performance across inpatient, observation, and outpatient bedded populations.
• Collaborate with Utilization Management, Physician Advisors, CDI, Revenue Cycle, and leaders to ensure regulatory compliance and revenue integrity.
• Drive process improvement and staff development.

Skills

Regulatory interpretation

Leadership

Data analytics

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 in Gainesville seeks a UM Manager and Admissions Analysis to lead operational and analytical functions for admission status accuracy, medical necessity compliance, and reimbursement optimization across the UF Health enterprise. The role collaborates with Utilization Management, Physician Advisors, CDI, Revenue Cycle, and hospital leadership to reduce denials and improve financial performance.

Requires RN license, leadership experience, Epic proficiency, and familiarity with CMS and