... setting reviews to ensure compliance with applicable criteria, medical policy, and member ... contracts. Qualifications * Must have clear and active RN license in the state of IN * AS/BS in ...
... setting reviews to ensure compliance with applicable criteria, medical policy, and member ... contracts. Qualifications * Must have clear and active RN license in the state of IN * AS/BS in ...
Utilization Review RN
$30 - $34/hr
Ensures member access to medical necessary, quality healthcare in a cost effective setting according to contract. * Consult with clinical reviewers and/or medical directors to ensure medically ...
Utilization Review RN
$30 - $34/hr
Ensures member access to medical necessary, quality healthcare in a cost effective setting according to contract. * Consult with clinical reviewers and/or medical directors to ensure medically ...
... review. How you will make an impact: * Managing incoming calls or incoming post services claims ... Determines contract and benefit eligibility; provides authorization for inpatient admission ...
New
... review. How you will make an impact: * Managing incoming calls or incoming post services claims ... Determines contract and benefit eligibility; provides authorization for inpatient admission ...
New
Procurement & Contracts Specialist
$63K - $68K/yr
Manage contract workflows in Ironclad following legal review and approval, including routing ... Reconcile contract utilization reports and purchasing activity and communicate any discrepancies or ...
Procurement & Contracts Specialist
$63K - $68K/yr
Manage contract workflows in Ironclad following legal review and approval, including routing ... Reconcile contract utilization reports and purchasing activity and communicate any discrepancies or ...
Procurement & Contracts Specialist
Indianapolis, IN · On-site
$63K - $68K/yr
Manage contract workflows in Ironclad following legal review and approval, including routing ... Reconcile contract utilization reports and purchasing activity and communicate any discrepancies or ...
Procurement & Contracts Specialist
Indianapolis, IN · On-site
$63K - $68K/yr
Manage contract workflows in Ironclad following legal review and approval, including routing ... Reconcile contract utilization reports and purchasing activity and communicate any discrepancies or ...
Contract Support Analyst
Evansville, IN · On-site
$19.14 - $26.79/hr
... utilization. * Support Contracting Team Tasks: Provide administrative and analytical support throughout the contract lifecycle, including the drafting, review, and routing of contracts, tracking ...
Contract Support Analyst
Evansville, IN · On-site
$19.14 - $26.79/hr
... utilization. * Support Contracting Team Tasks: Provide administrative and analytical support throughout the contract lifecycle, including the drafting, review, and routing of contracts, tracking ...
Clinical Reviewer
Indianapolis, IN · Remote
$36 - $40/hr
Ensure accuracy and timeliness of all review cases in accordance with contract requirements ... of Utilization Review/Management (UR/UM) and/or Prior Authorization experience * 2+ years of ...
Quick apply
Clinical Reviewer
Indianapolis, IN · Remote
$36 - $40/hr
Ensure accuracy and timeliness of all review cases in accordance with contract requirements ... of Utilization Review/Management (UR/UM) and/or Prior Authorization experience * 2+ years of ...
RN - Case Manager
$1K - $1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Indianapolis, Indiana Start Date: June 14, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care ...
RN - Case Manager
$1K - $1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Indianapolis, Indiana Start Date: June 14, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care ...
RN - Case Manager
$1K - $1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Evansville, Indiana Start Date: February 15, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1686 ...
RN - Case Manager
$1K - $1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Evansville, Indiana Start Date: February 15, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1686 ...
Conduct regular account reviews to assess performance, needs, and opportunities * Develop and ... Cross-functional collaboration * Monitor contract utilization, renewals, and expansions ...
Conduct regular account reviews to assess performance, needs, and opportunities * Develop and ... Cross-functional collaboration * Monitor contract utilization, renewals, and expansions ...
Conduct regular account reviews to assess performance, needs, and opportunities * Develop and ... Cross-functional collaboration * Monitor contract utilization, renewals, and expansions ...
Conduct regular account reviews to assess performance, needs, and opportunities * Develop and ... Cross-functional collaboration * Monitor contract utilization, renewals, and expansions ...
Conduct regular account reviews to assess performance, needs, and opportunities * Develop and ... Cross-functional collaboration * Monitor contract utilization, renewals, and expansions ...
Conduct regular account reviews to assess performance, needs, and opportunities * Develop and ... Cross-functional collaboration * Monitor contract utilization, renewals, and expansions ...
Senior Associate Account Manager
Garrett, IN · On-site
Conduct regular account reviews to assess performance, needs, and opportunities * Develop and ... Cross-functional collaboration * Monitor contract utilization, renewals, and expansions ...
Senior Associate Account Manager
Garrett, IN · On-site
Conduct regular account reviews to assess performance, needs, and opportunities * Develop and ... Cross-functional collaboration * Monitor contract utilization, renewals, and expansions ...
Case Manager II PRN
Indianapolis, IN · On-site
... utilization of resources, service delivery and compliance with external review agencies. Provides ... Knowledge of Medicare benefits and insurance processes and contracts. * Knowledge of accreditation ...
Case Manager II PRN
Indianapolis, IN · On-site
... utilization of resources, service delivery and compliance with external review agencies. Provides ... Knowledge of Medicare benefits and insurance processes and contracts. * Knowledge of accreditation ...
Procurement Operations Lead
Wabash, IN · On-site
Monitor purchasing activity for alignment with preferred supplier programs, contract utilization ... For further information, please review the Know Your Rights notice from the Department of Labor.
Procurement Operations Lead
Wabash, IN · On-site
Monitor purchasing activity for alignment with preferred supplier programs, contract utilization ... For further information, please review the Know Your Rights notice from the Department of Labor.
Manager of Payer Contract Modeling
Evansville, IN · On-site
$77K - $103K/yr
Analyze payer performance, reimbursement trends, and utilization patterns to support negotiation ... For further information, please review the Know Your Rights notice from the Department of Labor.
Manager of Payer Contract Modeling
Evansville, IN · On-site
$77K - $103K/yr
Analyze payer performance, reimbursement trends, and utilization patterns to support negotiation ... For further information, please review the Know Your Rights notice from the Department of Labor.
Buyer
Granger, IN · On-site
Contract Utilization & Customer Satisfaction * Promote the use of system-wide contracted products ... Provide input and feedback on vendor performance to support scorecard reviews. * Identify cost ...
Buyer
Granger, IN · On-site
Contract Utilization & Customer Satisfaction * Promote the use of system-wide contracted products ... Provide input and feedback on vendor performance to support scorecard reviews. * Identify cost ...
Buyer
Granger, IN · On-site
Contract Utilization & Customer Satisfaction * Promote the use of system-wide contracted products ... Provide input and feedback on vendor performance to support scorecard reviews. * Identify cost ...
Buyer
Granger, IN · On-site
Contract Utilization & Customer Satisfaction * Promote the use of system-wide contracted products ... Provide input and feedback on vendor performance to support scorecard reviews. * Identify cost ...
Med Mgmt Nurse (contract)
Indianapolis, IN · On-site
... utilization review, or managed care experience; or any combination of education and experience ... This role is strictly a contract at this time. About BCForward : Founded in 1998 on the idea that ...
New
Med Mgmt Nurse (contract)
Indianapolis, IN · On-site
... utilization review, or managed care experience; or any combination of education and experience ... This role is strictly a contract at this time. About BCForward : Founded in 1998 on the idea that ...
New
Med Mgmt Nurse (contract)
Indianapolis, IN · On-site
... utilization review, or managed care experience; or any combination of education and experience ... This role is strictly a contract at this time. About BCForward : Founded in 1998 on the idea that ...
New
Med Mgmt Nurse (contract)
Indianapolis, IN · On-site
... utilization review, or managed care experience; or any combination of education and experience ... This role is strictly a contract at this time. About BCForward : Founded in 1998 on the idea that ...
New
Contract Utilization Review information
See Indiana salary details
$20.36 - $24.48
2% of jobs
$24.48 - $28.59
9% of jobs
$31.41 is the 25th percentile. Wages below this are outliers.
$28.59 - $32.71
21% of jobs
The median wage is $36.04 / hr.
$32.71 - $36.83
23% of jobs
$36.83 - $40.94
13% of jobs
$44.15 is the 75th percentile. Wages above this are outliers.
$40.94 - $45.06
10% of jobs
$45.06 - $49.18
8% of jobs
$49.18 - $53.30
5% of jobs
$53.30 - $57.41
5% of jobs
$57.41 - $61.53
2% of jobs
$61.53 - $65.65
2% of jobs
$20
$40
$65
How much do contract utilization review jobs pay per hour?
What are the key skills and qualifications needed to thrive in the Contract Utilization Review position, and why are they important?
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 typical day look like for someone working in Contract Utilization Review?
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 job?
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.
- Remote Prior Authorization Nurse
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- Remote Utilization Management
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- Optum Utilization Review Nurse
- Per Diem Optum Utilization Review
- Remote Aetna Utilization Review
- Lpn Utilization Review Work From Home
- Weekend Utilization Review
- Remote Rn Chart Review
- Flexible Cigna Utilization Review Nurse
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- Remote Navihealth Utilization Review
- Remote Aetna Utilization Review Nurse

Job description
Why You Should Work For Us:
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
- Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, programs, or community resources.
- Applies clinical knowledge to work with facilities and providers for care coordination.
- Works with medical directors in interpreting appropriateness of care and accurate claims payment.
- May also manage appeals for services denied.
- Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
- Must have clear and active RN license in the state of IN
- AS/BS in Nursing or combination of education / experience
- 2 years of experience in an acute care clinical environment
- Strong computer skills/ability to navigate multiple systems (MS Outlook/Word/Excel)
Advantages of this Opportunity:
- Competitive salary
- Fun and positive work environment
- Medical benefits offered
Interested in being considered?Â
Apply now for immediate consideration! You may contact Christine Morta at (407) 233-0769.
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003