... reviews, and supporting contract operations. This role requires strong cross-functional ... contract utilization, and maintain alignment with customer expectations. Your work will have ...
Quick apply
... reviews, and supporting contract operations. This role requires strong cross-functional ... contract utilization, and maintain alignment with customer expectations. Your work will have ...
Quick apply
... reviews, and supporting contract operations. This role requires strong cross-functional ... contract utilization, and maintain alignment with customer expectations. Your work will have ...
Savannah, GA · On-site
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Quick apply
Savannah, GA · On-site
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Quick apply
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Savannah, GA · On-site
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Savannah, GA · On-site
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Quick apply
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Savannah, GA · On-site
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Savannah, GA · On-site
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
East Point, GA · On-site
$137.76 - $275.52/hr
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
East Point, GA · On-site
$137.76 - $275.52/hr
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Savannah, GA · On-site
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Savannah, GA · On-site
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Atlanta, GA · On-site
$75 - $100/hr
The Manager of Contract Administration and Analysis will provide support to the Contract Managers ... Work with clinical specialty committees to review utilization and product standardization GPO ...
Atlanta, GA · On-site
$75 - $100/hr
The Manager of Contract Administration and Analysis will provide support to the Contract Managers ... Work with clinical specialty committees to review utilization and product standardization GPO ...
Atlanta, GA · On-site
... contracts and regulatory guidelines Develop comprehensive audit rationales supported by clinical ... utilization review determinations Excellent written communication skills with the ability to ...
Atlanta, GA · On-site
... contracts and regulatory guidelines Develop comprehensive audit rationales supported by clinical ... utilization review determinations Excellent written communication skills with the ability to ...
$114K - $136K/yr
This role supports key clinical pharmacy programs, including Drug Utilization Review (DUR), Drug ... contracts) based on medical necessity criteria, and coordinates with internal stakeholders or ...
$114K - $136K/yr
This role supports key clinical pharmacy programs, including Drug Utilization Review (DUR), Drug ... contracts) based on medical necessity criteria, and coordinates with internal stakeholders or ...
Atlanta, GA · On-site
$114K - $136K/yr
This role supports key clinical pharmacy programs, including Drug Utilization Review (DUR), Drug ... contracts) based on medical necessity criteria, and coordinates with internal stakeholders or ...
Atlanta, GA · On-site
$114K - $136K/yr
This role supports key clinical pharmacy programs, including Drug Utilization Review (DUR), Drug ... contracts) based on medical necessity criteria, and coordinates with internal stakeholders or ...
The Manager of Contract Administration and Analysis will provide support to the Contract Managers ... Work with clinical specialty committees to review utilization and product standardization GPO ...
The Manager of Contract Administration and Analysis will provide support to the Contract Managers ... Work with clinical specialty committees to review utilization and product standardization GPO ...
The Manager of Contract Administration and Analysis will provide support to the Contract Managers ... Work with clinical specialty committees to review utilization and product standardization GPO ...
The Manager of Contract Administration and Analysis will provide support to the Contract Managers ... Work with clinical specialty committees to review utilization and product standardization GPO ...
The Manager of Contract Administration and Analysis will provide support to the Contract Managers ... Work with clinical specialty committees to review utilization and product standardization GPO ...
The Manager of Contract Administration and Analysis will provide support to the Contract Managers ... Work with clinical specialty committees to review utilization and product standardization GPO ...
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.
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.
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.
The most popular types of Utilization Review jobs in Georgia are:
For Contract Utilization Review jobs in Georgia, the most frequently searched job titles are:
The top searched job categories for Contract Utilization Review jobs in Georgia are:
Cities in Georgia with the most Contract Utilization Review job openings:

Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 15 days ago
7.9
Based on 22 frontline employees who took The Breakroom Quiz
AT LIFENET HEALTH, YOU ARE THE ADVANTAGE
Every day, YOU help us to save lives, restore health, and bring hope to patients and families around the world. At LifeNet Health, we cultivate growth, innovation, and collaboration, where your contributions drive solutions that benefit humanity.
Together, we are united by a mission greater than ourselves, a purpose rooted in healing.
ABOUT THIS JOB
Location: Dallas, Texas / Chicago, IL / Atlanta, GA/ Nashville, TN/ Minneapolis, MN
Department: RWS
Clinical Status: Vendor Credential
Travel: Field Based
HOW YOU’LL MAKE AN IMPACT
The Health Systems Account Executive plays a key role in supporting the execution of strategic initiatives across assigned Integrated Delivery Networks (IDNs). This individual is responsible for managing customer relationships, executing contract rollout activities, coordinating business reviews, and supporting contract operations. This role requires strong cross-functional collaboration with field sales, contracts administration, and internal stakeholders to ensure effective implementation of account plans, drive contract utilization, and maintain alignment with customer expectations.
Your work will have purpose every single day, contributing directly to life-changing outcomes.
WHAT YOU’LL DO
WHAT YOU’LL BRING
Minimum Requirements:
Preferred/Skills/Certification:
Key Knowledge, Skills, & Abilities:
WHY JOIN LIFENET HEALTH
When you join LifeNet Health, you're not just taking a job, you’re joining a mission-driven community dedicated to making a global impact through regenerative medicine. You’ll be part of a workplace that values authenticity, collaboration, and the drive to make a difference.
We recognize that great work happens when people feel supported. That’s why our total rewards package is designed to help you thrive both professionally and personally.
Here’s how we support YOU:
Note: All benefits are subject to eligibility requirements and may be modified at any time, with or without notice, unless otherwise required by law. This job posting does not constitute an employment contract and does not alter the “at-will” nature of employment at LifeNet Health.
COMPENSATION
Salary Range: $90,000 - $116,000
Plus $50,000 variable at plan.
Final compensation will be based on factors such as geographic location, qualifications, and prior relevant experience.
EQUAL OPPORTUNITY EMPLOYER
LifeNet Health is an equal opportunity employer. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other legally protected status.
As part of our commitment to safety, we maintain a drug-free workplace and conduct pre-employment substance abuse screening.
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Medical equipment and supplies manufacturing
1,001 - 5,000 Employees
Virginia Beach, VA, US
1982