ZipRecruiter

Log In

1

Contract Utilization Review Jobs in Ohio (NOW HIRING)

Sevita

Utilization Review Specialist

Akron, OH · On-site

$40K/yr

SUMMARY The Utilization Review Specialist is responsible for proactive planning measures, accurate ... Maintains knowledge of updated funding Rules and Contracts * Notifies internal stakeholders for any ...

next page

Showing results 1-20

All JobsContract Utilization Review JobsContract Utilization Review Jobs in Ohio

Contract Utilization Review information

See Ohio salary details

$20

$40

$65

How much do contract utilization review jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for contract utilization review in Ohio is $40.20, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.15 per hour, depending on experience, location, and employer.

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 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 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 are the most commonly searched types of Utilization Review jobs in Ohio? The most popular types of Utilization Review jobs in Ohio are:
What are popular job titles related to Contract Utilization Review jobs in Ohio? For Contract Utilization Review jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Contract Utilization Review jobs in Ohio look for? The top searched job categories for Contract Utilization Review jobs in Ohio are:
What cities in Ohio are hiring for Contract Utilization Review jobs? Cities in Ohio with the most Contract Utilization Review job openings:
Contract Utilization Review jobs near you
Infographic showing various Contract Utilization Review job openings in Ohio as of July 2026, with employment types broken down into 84% Full Time, and 16% Contract. Highlights an 88% In-person, 6% Hybrid, and 6% Remote job distribution, with an average salary of $83,610 per year, or $40.2 per hour.

Utilization Review Specialist

Sevita

Akron, OH • On-site

$40K/yr

Full-time

Re-posted 11 days ago

Sevita Health rating

5.7

Company rating: 5.7 out of 10

Based on 283 frontline employees who took The Breakroom Quiz

787th of 887 rated healthcare providers

Job description

REM Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived. 

Salary: $40,170.00

Location: Akron(Portage Lakes area)

Schedule: Mon/Tue/Wed/Thur/Fri 8:30 AM - 5:00 PM

Bachelor’s degree required

OUR MISSION AND PERFORMANCE EXPECTATIONS 

The MENTOR Network is a mission-based organization dedicated to providing high quality services to those we serve.  Therefore, to deliver on our mission, The Network expects every employee to perform his or her job first and foremost in accordance with the Company’s mission.

SUMMARY

The Utilization Review Specialist is responsible for proactive planning measures, accurate documentation of services delivered for audit assurances, and positive outcomes regarding effective service utilization to customers.  Provides professional oversight of service delivery authorizations and assurances, effective tracking and timely recommendations in regards to service delivery utilization parameters, and quality assurance of service delivery records on an ongoing basis.
 

ESSENTIAL JOB FUNCTIONS

To perform this job successfully, an individual must be able to satisfactorily perform each essential function listed below:

  • Develops plans to accurately measure documentation of services delivered to assure compliance with auditors
    • Oversees service delivery authorizations and provides quality assurances of service delivery records
Reviews all service delivery documentation Analyzes the delivery of services and coordination of required service documentation including corresponding billing tickets Tracks current and approved Individual Service Plan and corresponds with areas of support services and service delivery documentation records Verifies billing ticket/pre invoices submitted for processing with all required information
    • Recommends service delivery utilization parameters
  • Maintains knowledge of updated funding Rules and Contracts
    • Notifies internal stakeholders for any updated information on service delivery, authorizations, and utilization of services
  • Maintains organized and complete records and assures quality focused service delivery method strategies
    • Monitors the regional office and storage filing systems
    • Organizes records including availability for compliance audit file review
  • Provides technical assistance to clinical staff in the service areas
    • Facilitates timely and appropriate service authorization
    • Monitors strategies
    • Provides report analysis of actual service deliveries in comparison to authorized service approvals
  • May direct and supervise clerical and administrative staff
    • Provides feedback on performance evaluations
    • Conducts scheduling, orientation, and training
    • Resolves issues and serves as resource
  • Performs other related duties and activities as required 

SUPERVISORY RESPONSIBILITIES

May direct and supervise clerical and administrative staff, including performance evaluations, scheduling, orientation, and training.  Provides feedback on employee performance and resolves issues within position responsibilities.

Minimum Knowledge and Skills required by the Job

The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job: 

 

Education and Experience: 

  • Bachelor’s degree required
  • 1 year minimum work experience in human services required

Certificates, Licenses, and Registrations:

  • None

Other Skills and Abilities:

  • For Ohio – Basic Excel skills and ability to learn the Ohio state billing software

Other Requirements:

  • Travel as needed

Physical Requirements:

  • Sedentary work.  Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body.  Sedentary work involves sitting most of the time.  Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

 

AMERICANS WITH DISABILITIES STATEMENT

External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job functions either unaided or with assistance of a reasonable accommodations to be determined on a case by case basis.


Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face.
We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S.
 

As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law. 

What Sevita Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Sevita logo

About Sevita

Sourced by ZipRecruiter

Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized support that leads to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We've made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve. We're an Equal Opportunity Employer, including disability/vets. Sevita is a leading provider of home and community-based specialized health care, similar companies include Brookedale Senior Living, A New Hope, and North Star.

Industry

Nursing and residential care facilities

Company size

10,000+ Employees

Headquarters location

Boston, MA, US

Year founded

1980

Social media

FacebookTwitter

View All Sevita Jobs

Apply