MI · On-site
$324K - $366K/yr
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 ...
MI · On-site
$324K - $366K/yr
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 ...
Board-Certified Neurologist
Traverse City, MI · On-site
$322K - $401K/yr
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 ...
Board-Certified Neurologist
Traverse City, MI · On-site
$322K - $401K/yr
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 ...
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 ...
Board-Certified Neurologist
Traverse City, MI · On-site
$322K - $401K/yr
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 ...
Board-Certified Neurologist
Traverse City, MI · On-site
$322K - $401K/yr
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 ...
Board-Certified Rheumatologist
Portage, MI · On-site
$262K - $339K/yr
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
Board-Certified Rheumatologist
Portage, MI · On-site
$262K - $339K/yr
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 ...
Board-Certified Rheumatologist
Portage, MI · On-site
$257K - $331K/yr
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 ...
Board-Certified Rheumatologist
Portage, MI · On-site
$257K - $331K/yr
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 ...
Board-Certified Cardiologist
Sterling Heights, MI · On-site
$329K - $372K/yr
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
Board-Certified Cardiologist
Sterling Heights, MI · On-site
$329K - $372K/yr
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 ...
Board-Certified Cardiologist
Sterling Heights, MI · On-site
$75 - $110/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 ...
Board-Certified Cardiologist
Sterling Heights, MI · On-site
$75 - $110/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 ...
Board Certified- Family Medicine Specialist
Jackson, MI · On-site
$120 - $180/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 ...
Board Certified- Family Medicine Specialist
Jackson, MI · On-site
$120 - $180/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 ...
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 ...
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 ...
Clinical Manager - Behavioral Health
Detroit, MI · On-site
$75 - $110/hr
... contracts, and commercial payers. Behavioral health sits alongside workforce, youth, and family ... Run chart reviews, utilization review, and QA; lead audits and corrective action plans * Oversee ...
Clinical Manager - Behavioral Health
Detroit, MI · On-site
$75 - $110/hr
... contracts, and commercial payers. Behavioral health sits alongside workforce, youth, and family ... Run chart reviews, utilization review, and QA; lead audits and corrective action plans * Oversee ...
Clinical Manager - Behavioral Health
Detroit, MI · On-site
$59K - $81K/yr
... contracts, and commercial payers. Behavioral health sits alongside workforce, youth, and family ... Run chart reviews, utilization review, and QA; lead audits and corrective action plans * Oversee ...
Quick apply
Clinical Manager - Behavioral Health
Detroit, MI · On-site
$59K - $81K/yr
... contracts, and commercial payers. Behavioral health sits alongside workforce, youth, and family ... Run chart reviews, utilization review, and QA; lead audits and corrective action plans * Oversee ...
... reviews and continuous improvement initiatives. • Resolve supplier quality, delivery, and ... contract utilization, and procurement processes. • Support budget planning and capital ...
... reviews and continuous improvement initiatives. • Resolve supplier quality, delivery, and ... contract utilization, and procurement processes. • Support budget planning and capital ...
Our physician panel comprises independent contract reviewers (1099) compensated on a per-case basis ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Quick apply
Our physician panel comprises independent contract reviewers (1099) compensated on a per-case basis ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel comprises independent contract reviewers (1099) compensated on a per-case basis ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel comprises independent contract reviewers (1099) compensated on a per-case basis ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel comprises independent contract reviewers (1099) compensated on a per-case basis ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel comprises independent contract reviewers (1099) compensated on a per-case basis ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
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 Michigan?
The most popular types of Utilization Review jobs in Michigan are:
What are popular job titles related to Contract Utilization Review jobs in Michigan?
For Contract Utilization Review jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Contract Utilization Review jobs in Michigan look for?
The top searched job categories for Contract Utilization Review jobs in Michigan are:
What cities in Michigan are hiring for Contract Utilization Review jobs?
Cities in Michigan with the most Contract Utilization Review job openings:
$324K - $366K/yr
Contractor
Re-posted 7 days ago
Job description
Dane Street is expanding our physician panel! We are seeking a skilled and board-certified Cardiologist in Orchard Lake Village, MI 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.
- Thorough review of Medical Records
- Perform in-person evaluations of patients with cardiology 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
- If you are a dedicated Cardiologist looking for a flexible opportunity to apply your expertise in an IME capacity, we encourage you to apply.
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
About Dane Street
Sourced by ZipRecruiter
Industry
Insurance actuarial and claim adjusting services
Company size
51 - 200 Employees
Headquarters location
Boston, MA, US