Description Oncology Utilization Review State Medical Licenses required: Arizona, Florida, Minnesota, North Dakota, Oregon or Tennessee Flexible Independent Contractor (1099) Opportunity ABOUT MRIoA ...
Description Oncology Utilization Review State Medical Licenses required: Arizona, Florida, Minnesota, North Dakota, Oregon or Tennessee Flexible Independent Contractor (1099) Opportunity ABOUT MRIoA ...
Hospital RN - Care Coordination & Utilization Review
San Jose, CA ยท On-site
$80 - $95/hr
... Utilization Review ... This is a 06+months contract opportunity with long-term potential and is located in San Jose, CA ...
Hospital RN - Care Coordination & Utilization Review
San Jose, CA ยท On-site
$80 - $95/hr
... Utilization Review ... This is a 06+months contract opportunity with long-term potential and is located in San Jose, CA ...
We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in Family Medicine to conduct ...
We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in Family Medicine to conduct ...
Hospital RN - Care Coordination & Utilization Review
San Jose, CA ยท On-site
$80 - $95/hr
... Utilization Review ... This is a 06+months contract opportunity with long-term potential and is located in San Jose, CA ...
Hospital RN - Care Coordination & Utilization Review
San Jose, CA ยท On-site
$80 - $95/hr
... Utilization Review ... This is a 06+months contract opportunity with long-term potential and is located in San Jose, CA ...
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week ... Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to ...
New
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week ... Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to ...
New
Hospital RN - Care Coordination & Utilization Review
Sunnyvale, CA ยท On-site
$80 - $95/hr
... Utilization Review ... This is a 06+months contract opportunity with long-term potential and is located in San Jose , CA ...
Hospital RN - Care Coordination & Utilization Review
Sunnyvale, CA ยท On-site
$80 - $95/hr
... Utilization Review ... This is a 06+months contract opportunity with long-term potential and is located in San Jose , CA ...
We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in Gastroenterology to conduct ...
We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in Gastroenterology to conduct ...
Utilization Review * Discipline: RN * Start Date: 09/05/2026 * Duration: 13 weeks * 40 hours per ... contract assignments at hospitals and health systems nationwide, along with behavioral health ...
Utilization Review * Discipline: RN * Start Date: 09/05/2026 * Duration: 13 weeks * 40 hours per ... contract assignments at hospitals and health systems nationwide, along with behavioral health ...
Utilization Review/Case Management RN
Santa Clara, CA ยท On-site
$75 - $85/hr
Utilization Review/Case Management RN Immediate need for a talented Utilization Review/Case Management RN. This is a 03+ Months Contract opportunity with long-term potential and is located in Santa ...
Utilization Review/Case Management RN
Santa Clara, CA ยท On-site
$75 - $85/hr
Utilization Review/Case Management RN Immediate need for a talented Utilization Review/Case Management RN. This is a 03+ Months Contract opportunity with long-term potential and is located in Santa ...
Contract Type: Travel Assignment * Weekend Requirement: 2 weekends every 6 weeks * On-Call ... Utilization Review * Medical Necessity Determination * InterQual Criteria * Disease Management
Contract Type: Travel Assignment * Weekend Requirement: 2 weekends every 6 weeks * On-Call ... Utilization Review * Medical Necessity Determination * InterQual Criteria * Disease Management
Utilization Review/Case Management RN
Santa Clara, CA ยท On-site
$75 - $85/hr
Immediate need for a talented Utilization Review/Case Management RN . This is a 03+ Months Contract opportunity with long-term potential and is located in Santa Clara, CA (Onsite) . Please review the ...
Utilization Review/Case Management RN
Santa Clara, CA ยท On-site
$75 - $85/hr
Immediate need for a talented Utilization Review/Case Management RN . This is a 03+ Months Contract opportunity with long-term potential and is located in Santa Clara, CA (Onsite) . Please review the ...
Travel Clinical Utilization Review RN - $2,746 per week
Fairfield, CA ยท On-site
$2.7K/wk
Utilization Review * Discipline: RN * Start Date: 09/05/2026 * Duration: 13 weeks * 40 hours per ... contract assignments at hospitals and health systems nationwide, along with behavioral health ...
New
Travel Clinical Utilization Review RN - $2,746 per week
Fairfield, CA ยท On-site
$2.7K/wk
Utilization Review * Discipline: RN * Start Date: 09/05/2026 * Duration: 13 weeks * 40 hours per ... contract assignments at hospitals and health systems nationwide, along with behavioral health ...
New
RN II-Case Management/ Utilization Review (CNA)
San Luis Obispo, CA ยท On-site
$2.4K - $2.7K/wk
RN II - Case Management / Utilization Review (CNA) (Contract) - 13 Weeks Location: California 93405 Pay: $2,743 - $2,905/week Schedule: Day Shift, 4x10s (no set days; occasional weekends) Hours: 7:30 ...
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RN II-Case Management/ Utilization Review (CNA)
San Luis Obispo, CA ยท On-site
$2.4K - $2.7K/wk
RN II - Case Management / Utilization Review (CNA) (Contract) - 13 Weeks Location: California 93405 Pay: $2,743 - $2,905/week Schedule: Day Shift, 4x10s (no set days; occasional weekends) Hours: 7:30 ...
San Luis Obispo, CA Job Type: 13 Weeks Contract Shift Details: Day Shift | 10 hours/day | 40 hours ... The RN II - Case Management / Utilization Review is responsible for assessing the appropriateness ...
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San Luis Obispo, CA Job Type: 13 Weeks Contract Shift Details: Day Shift | 10 hours/day | 40 hours ... The RN II - Case Management / Utilization Review is responsible for assessing the appropriateness ...
Director of Residential & Outpatient Programs
Tarzana, CA ยท On-site
$165K - $195K/yr
... Utilization Review). * Responsible for budget oversight, contract utilization, contract compliance, and service management for programs/departments under supervision. Required Qualifications
Quick apply
Director of Residential & Outpatient Programs
Tarzana, CA ยท On-site
$165K - $195K/yr
... Utilization Review). * Responsible for budget oversight, contract utilization, contract compliance, and service management for programs/departments under supervision. Required Qualifications
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
Director of Residential & Outpatient Programs
Tarzana, CA ยท On-site
$165K - $195K/yr
... Utilization Review). * Responsible for budget oversight, contract utilization, contract compliance, and service management for programs/departments under supervision. Required Qualifications
Quick apply
Director of Residential & Outpatient Programs
Tarzana, CA ยท On-site
$165K - $195K/yr
... Utilization Review). * Responsible for budget oversight, contract utilization, contract compliance, and service management for programs/departments under supervision. Required Qualifications
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
Contract Utilization Review information
See California salary details
$21.11 - $25.38
2% of jobs
$25.38 - $29.65
9% of jobs
$32.58 is the 25th percentile. Wages below this are outliers.
$29.65 - $33.92
21% of jobs
The median wage is $37.38 / hr.
$33.92 - $38.20
23% of jobs
$38.20 - $42.47
13% of jobs
$45.79 is the 75th percentile. Wages above this are outliers.
$42.47 - $46.74
10% of jobs
$46.74 - $51.01
8% of jobs
$51.01 - $55.28
5% of jobs
$55.28 - $59.55
5% of jobs
$59.55 - $63.82
2% of jobs
$63.82 - $68.09
2% of jobs
$21
$41
$68
How much do contract utilization review jobs pay per hour?
What are the key skills and qualifications needed to thrive in contract utilization review?
To thrive in Contract Utilization Review, you need a solid understanding of medical terminology, insurance policies, and contract compliance, often supported by a healthcare-related degree or certification in utilization management. Familiarity with utilization review software, electronic medical records (EMR), and knowledge of regulatory standards such as CMS guidelines is essential. Strong analytical thinking, attention to detail, and effective communication skills are crucial for collaborating with care teams and insurers. These abilities ensure reviews are accurate, contracts are properly administered, and patient care meets organizational and payer requirements.
What does a contract utilization review do?
A typical day in Contract Utilization Review involves reviewing patient medical records, ensuring adherence to payer contracts and regulatory standards, and communicating with healthcare providers to validate medical necessity of services. Professionals in this role often collaborate with clinical staff, case managers, and insurance representatives to resolve discrepancies or authorization issues. The work is detail-oriented and deadline-driven, making organizational skills vital. This dynamic position offers significant opportunities to learn more about healthcare regulations and may serve as a stepping stone toward more advanced roles in healthcare administration or compliance.
What is a contract utilization review?
A Contract Utilization Review job involves analyzing and evaluating the usage of contracts to ensure compliance, cost-effectiveness, and efficiency. Professionals in this role review contract terms, monitor vendor performance, and assess utilization data to optimize contract value. They may work in industries such as healthcare, government, or procurement, ensuring that agreements are being properly executed. The goal is to identify areas for improvement, reduce waste, and enhance operational efficiency.
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Contractor
Re-posted 21 days ago
Job description
Oncology Utilization Review State Medical Licenses required: Arizona, Florida, Minnesota, North Dakota, Oregon or Tennessee
Flexible Independent Contractor (1099) Opportunity
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in Oncology to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
- Work remotely from anywhere in the US (Per HIPAA Regulations, patient records cannot leave the US).
- Covered under MRIoA's Errors and Omissions policy.
- Independent Contractor (1099) opportunity.
- Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information
Requirements
- Must have a Medical Degree MD or DO
- Must have a current State Medical License in one of the above listed states.
- Current Board Certification in Medical Oncology
- Must have 5 years of clinical experience, residency can be included
- Daytime availability is required for peer-to-peer conversations
California Consumer Privacy Act (CCPA) Information (California Residents Only):
- Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
- Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.