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Contract Utilization Review Jobs in Brandon, MS (NOW HIRING)

Telligen

Peer Review Psychiatrist

Jackson, MS · On-site

Direct medical review activities across assigned contracts * Serve as the subject matter expert on ... Proven background in utilization management and several years of hands-on clinical practice

GQR Global Markets

RN Case Manager

Jackson, MS · On-site

$2.2K - $2.3K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Jackson, Mississippi Start Date: August 6, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2241 ...

CRH

President- Mississippi/Tennessee HMAC

Richland, MS

... utilization, and critical support functions. This leader will set the strategic direction for the ... Support bid strategy, pricing discipline, proposal development, and contract risk reviews to ensure ...

CRH

President- Mississippi/Tennessee HMAC

Richland, MS · On-site

... utilization, and critical support functions. This leader will set the strategic direction for the ... Support bid strategy, pricing discipline, proposal development, and contract risk reviews to ensure ...

Gray Construction

Site Quality Manager

Jackson, MS

Attend project pre-construction meetings to discuss the QMS Program and review Lessons Learned in ... Accumulate data from the quality control program for company utilization (for marketing, training ...

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Contract Utilization Review information

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How much do contract utilization review jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for contract utilization review in Brandon, MS is $40.83, according to ZipRecruiter salary data. Most workers in this role earn between $32.26 and $46.88 per hour, depending on experience, location, and employer.

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 Brandon, MS?

The most popular types of Utilization Review jobs in Brandon, MS are:

What job categories do people searching Contract Utilization Review jobs in Brandon, MS look for?

The top searched job categories for Contract Utilization Review jobs in Brandon, MS are:

Contract Utilization Review jobs near you
Infographic showing various Contract Utilization Review job openings in Brandon, MS as of June 2026, with employment types broken down into 2% As Needed, 29% Full Time, 40% Part Time, 2% Temporary, and 27% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $84,931 per year, or $40.8 per hour.

Peer Review Psychiatrist

Telligen

Jackson, MS • On-site

Other

Posted 7 days ago

Telligen rating

7.9

Company rating: 7.9 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

35th of 72 rated business consultants

Job description

As a Peer Review Psychiatrist, you will conduct peer reviews and appeals to ensure the level of care is appropriate and necessary for Concurrent Acute Inpatient Psychiatric requests.
Candidate must possess a California medical license with a psychiatry specialty.
What you'll do:

Evaluate Care Quality:

  • Perform peer reviews to ensure healthcare services meet necessity and appropriateness standards

Manage Contract Reviews:

  • Direct medical review activities across assigned contracts
  • Serve as the subject matter expert on peer review processes
  • Articulate Telligen's policies to diverse medical and non-medical audiences

Required Skills and Experience:
  • Active, unrestricted medical license in California (or willingness to obtain) and the contracted state
  • Board certification in Psychiatry or Neurology by a US board (active and unrestricted)
  • Proven background in utilization management and several years of hands-on clinical practice
  • Working knowledge of MCG or InterQual medical necessity criteria

Preferred Skills and Experience:
  • Mastery of DSM-5 and ICD-10 criteria to accurately evaluate complex mental health conditions
  • Deep understanding of psychiatric medications, side effects, and evidence-based treatment algorithms
  • Comfort with electronic health records (EHRs) and utilization review software
  • Familiarity with state and federal guidelines, HIPAA compliance, and insurance or Medicaid-specific medical necessity criteria
  • Skill in conducting conversations clearly, professionally, and respectfully with treating clinicians
  • Capacity to write clear, concise, and evidence-based rationales for decisions or quality evaluations


Who We Are:
Telligen is one of the most respected population health management organizations in the country. We offer clinical, analytical, and technical expertise to support local, Tribal, and national partners, state and federal government programs, and employers and health plans.
Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions.
Our business is our people and we're seeking talented individuals who share our passion and are ready to take ownership, make an impact and help shape the future of health.
Are you Ready?
We're on a mission to transform lives and economies by improving health.
Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.
Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.
Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.
Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence.
Thank you for your interest in Telligen!
Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed.
While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate.
Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants.
Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms.
Telligen is an equal opportunity employer. Qualified applicants will be considered without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, protected veteran status, disability or any other protected class.
Telligen is committed to ensuring that our employment process is open to all individuals, and provides reasonable accommodations to individuals who need assistance during any part of the employment process due to a disability, medical condition, or physical or mental impairment. Reasonable accommodations are considered on a case-by-base basis.
If you need assistance to navigate Telligen's careers website or to apply for a position, please send an email to careers@telligen.com

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