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Contract Utilization Review Jobs in Georgia (NOW HIRING)

Dane Street

Board-Certified Psychiatrist

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 ...

CGI Inc.

Clinical Nurse Auditor

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 ...

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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:

Contract Utilization Review jobs near you
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.

Board-Certified Orthopedic Surgeon

Dane Street, LLC

East Point, GA • On-site

Full-time

Re-posted 20 days ago

Job description

Dane Street is expanding our physician panel! We are seeking a skilled and board-certified Orthopedic Surgeon in East Point, GA to join our team for Independent Medical Examinations (IMEs). This role offers flexible scheduling, allowing you to select or decline assignments based on your availability. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review services, trusted by insurance carriers and organizations across the country for objective, high-quality medical evaluations.

Key Responsibilities:

  • Thorough review of Medical Records
  • Perform in-person evaluations of patients with orthopedic issues
  • Respond to clinical queries to support claims management
  • Deliver detailed IME reports within an expected turnaround time of 5 days

Requirements

        • Board-certification required.
        • Previous experience in performing IMEs is preferred.
        • Strong analytical skills and excellent communication abilities are a plus

Benefits

  • Robust opportunity for supplemental income
  • Schedule flexibility and predictable work hours-conduct exams and reviews based on your schedule availability
  • No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions.
  • Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
  • Expanded credentials as an expert in Independent Medical Exams 
  • Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal

If you are a dedicated Orthopedic Surgeon looking for a flexible opportunity to apply your expertise in an IME capacity, we encourage you to apply.