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Contract Utilization Review Jobs in Georgia (NOW HIRING)

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 ...

... contracts and regulatory guidelines Develop comprehensive audit rationales supported by clinical ... utilization review determinations Excellent written communication skills with the ability to ...

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Contract Utilization Review information

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.

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 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 are the most commonly searched types of Utilization Review jobs in Georgia?

The most popular types of Utilization Review jobs in Georgia are:

What are popular job titles related to Contract Utilization Review jobs in Georgia?

For Contract Utilization Review jobs in Georgia, the most frequently searched job titles are:

What job categories do people searching Contract Utilization Review jobs in Georgia look for?

The top searched job categories for Contract Utilization Review jobs in Georgia are:

What cities in Georgia are hiring for Contract Utilization Review jobs?

Cities in Georgia with the most Contract Utilization Review job openings:

Infographic showing various Contract Utilization Review job openings in Georgia as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution.

Health Systems Account Executive - RWS

LifeNet Health

Atlanta, GA

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago


LifeNet Health rating

7.9

Company rating: 7.9 out of 10

Based on 22 frontline employees who took The Breakroom Quiz


Job description

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

  • Relationship Management: Supports the Health Systems Director in managing the relationship with assigned IDNs including contract negotiation and renewal, as well as overall corporate communications for the franchise. Serves as a key liaison for day-to-day interactions and ensures timely follow-up on customer needs. Participate in trade shows, IDN Summits, and other industry events to support relationship development through networking, learn new supplier strategies & industry trends
  • Business Planning & Market Insights: Acts as a key resource for the field sales organization by supporting strategy execution, contract implementation, and account-specific planning for key IDN targets. Monitors market trends, IDN initiatives, and M&A activity, and shares relevant insights with Health Systems Director and other internal stakeholders to inform broader strategy
  • Contract Execution: Executes rollout plans developed by the Health Systems Director to support contract implementation across assigned accounts. Responsibilities include coordinating internal communications, distributing sales tools and training materials, scheduling field alignment meetings, and tracking contract adoption metrics. Works closely with field sales and IDN contacts to ensure smooth execution and timely follow-through.
  • Business Reviews: Conducts formal business reviews with assigned IDN accounts to manage alignment of customer expectations, identify opportunities for increased contract uptake and implementation of value-added programs. Ensures key metrics and program updates are clearly communicated and documented. Tracks follow-up actions and collaborates with senior leadership on strategic execution.
  • Contract Management: Partners with Contracts & Sales Administration to manage operational aspects of assigned accounts, including requests for price activation, price discrepancy reconciliation, and contract documents. Supports the preparation of contract extensions, amendments, and related communications.

WHAT YOU’LL BRING

Minimum Requirements:

  • Bachelor’s Degree (BA or BS)
  • 5 years Sales experience in Biotech, Pharma, Medical device sales w/focus on major accounts dealing with supply chain executives
  • 2 years corporate account development within healthcare (GPO/IDN/RPC) environment
  • Valid Driver’s License

Preferred/Skills/Certification:

  • 2 years’ sales experience in biotech, life sciences, wound product sales preferred.

 Key Knowledge, Skills, & Abilities:

  • Negotiation: Ability to develop sales strategies and negotiate pricing agreements.
  • Business Acumen: Strong understanding of customer base and business environment within the industry. Business savvy skills.
  • Relationship Management: Ability to cultivate, promote and maintain relationships with “C” suite, financially responsible parties, and key decision makers.
  • Sales & Business Development: Experience in consultative sales, with the ability to develop technical value propositions.
  • Independent: Ability to be a motivated self-starter, capable of independent action.
  • Influencing: Ability to inspire and influence without authority, confronts challenges in a positive manner by being solutions oriented.
  • Communications Skills: Ability to clearly and professionally exchange information, build relationships, and influence outcomes with healthcare stakeholders through effective listening, verbal, and written communication.

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:

  • Affordable Medical, Dental, and Vision Coverage- Comprehensive care that won’t break the bank.
  • Profit Sharing Plan- Share in the success you help create.
  • 403(b) Retirement Plan- Invest in your future with confidence.
  • Paid Parental Leave- 6 weeks to bond with your newest family member.
  • Corporate Sponsored Events- Celebrate milestones and build connections.
  • Generous Paid Time Off- Because balance matters:
    • 18 vacation days (based on position, tenure, and state laws)
    • 9 sick days (subject to local and state regulations)
    • 9 holidays (7 standard + 2 floating)
  • Flexible Work Program- For approved roles, how and where you perform best.
  • Tuition reimbursement- We invest in your growth and education.
  • Career & Leadership Development- Expand your impact and potential.
  • Wellness Program- Prioritize your health with holistic resources.
  • Employee Assistance Program (EAP)- Support for you and your household.
  • Incredible teammates- Collaborate with passionate, dedicated professionals.

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.

 #LI-AN1


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