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Contract Utilization Review Jobs in Decatur, GA (NOW HIRING)

Elevance Health

Med Mgmt Nurse

Atlanta, GA · On-site

Utilization Review experience is preferred. * Knowledge of the medical management processes and the ability to interpret and apply member contracts, member benefits, and managed care products is ...

Elevance Health

Med Mgmt Nurse

Atlanta, GA · On-site

Utilization Review experience is preferred. * Knowledge of the medical management processes and the ability to interpret and apply member contracts, member benefits, and managed care products is ...

Elevance Health

Med Mgmt Nurse

Atlanta, GA · On-site

Utilization Review experience is preferred. * Knowledge of the medical management processes and the ability to interpret and apply member contracts, member benefits, and managed care products is ...

Elevance Health

Utilization Management Rep I

Atlanta, GA · On-site

$15.96 - $18/hr

... 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 ...

Georgia

ADAP Pharmacist

Atlanta, GA · On-site

$76K - $101K/yr

Oversight and monitoring of ADAP contract pharmacy network audits and visits to review contract ... Develops, implements and evaluates the surveillance of drug utilization review process for the ADAP ...

VITAS Healthcare

Team Manager Home Care

Atlanta, GA · On-site

Performs utilization review of continuous care and inpatient levels of care for all patients on ... Regularly visits LTC and Contract Bed facilities to assure care plan integration, customer ...

New

VITAS Healthcare

Team Manager Home Care

Atlanta, GA

Performs utilization review of continuous care and inpatient levels of care for all patients on ... Regularly visits LTC and Contract Bed facilities to assure care plan integration, customer ...

New

VITAS Healthcare

Team Manager Triage

Atlanta, GA · On-site

Performs utilization review of continuous care and inpatient levels of care for all patients on ... Regularly visits LTC and Contract Bed facilities to assure care plan integration, customer ...

Zelis

Associate Strategic Client Executive - TPA

Atlanta, GA · On-site

$73K - $100K/yr

... utilization review for the assigned book of business. Client Renewals & Retention : Responsible for client renewals and retention. Successfully facilitate contract negotiations with their leader and ...

Encompass Health Corporation

Controller

Mcdonough, GA · On-site

Relevant experience in financial management and financial operations, including but not limited to labor management, revenue analysis, expense management, contract negotiation, and utilization review.

Encompass Health

Controller

Mcdonough, GA

Relevant experience in financial management and financial operations, including but not limited to labor management, revenue analysis, expense management, contract negotiation, and utilization review.

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Showing results 41-60

All JobsContract Utilization Review JobsContract Utilization Review Jobs in Decatur, GA

Contract Utilization Review information

See Decatur, GA salary details

$20

$41

$67

How much do contract utilization review jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for contract utilization review in Decatur, GA is $41.28, according to ZipRecruiter salary data. Most workers in this role earn between $32.64 and $47.40 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 Decatur, GA?

The most popular types of Utilization Review jobs in Decatur, GA are:

What cities near Decatur, GA are hiring for Contract Utilization Review jobs?

Cities near Decatur, GA with the most Contract Utilization Review job openings:

Contract Utilization Review jobs near you
Infographic showing various Contract Utilization Review job openings in Decatur, GA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $85,865 per year, or $41.3 per hour.

Sr Supply Chain Contract, Mgr

Emory Healthcare

Atlanta, GA • On-site

Full-time

Re-posted 15 days ago

Emory Healthcare rating

7.7

Company rating: 7.7 out of 10

Based on 217 frontline employees who took The Breakroom Quiz

160th of 891 rated healthcare providers

Job description

Overview
Be inspired. Be rewarded. Belong. At Emory Healthcare.
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
  • Comprehensive health benefits that start day 1
  • Student Loan Repayment Assistance & Reimbursement Programs
  • Family-focused benefits
  • Wellness incentives
  • Ongoing mentorship, development, and leadership programs
  • And more

Work Location: Atlanta, GA
Description
  • The Senior Contract Manager is part of the Supply Chain Contracting and Analytics Team.
  • Senior Contract Manager will be the team lead of the contracting department and will provide guidance to Contract Managers.
  • This position is responsible for the leading the development, coordination, negotiation, and management of a broad spectrum of Clinical and Non-Clinical Supply, Physician Preference Item (PPI), and Purchased Services contracts.
  • To be an effective part of the team: must be a self-sufficient person who can interpret needs, think strategically, be able to effectively manage the contracting process from beginning to end, translate objectives, execute outcomes and present contract deliverables.
  • Team Leader:
    • Senior Contract Manager will act as a Team Leader and lead negotiations with the Contract Managers in Purchasing
    • The Senior Contract Manager works with the Director of the Contracting Team to identify, formally propose, evaluate, negotiate, and implement system contracting opportunities for Emory Healthcare
  • Contract Portfolio Management:
    • Senior Contract Manager manages portfolio of contracts for supplies, equipment and services in assigned area of responsibility such as commodities, PPI, clinical trials and purchased services
  • Contract Negotiations:
    • Senior Contract Manager evaluates and analyze responses to requests for information, requests for proposals, and competitive bids
    • The Senior Contract Manager will act as Lead on contract negotiations with Vendors
    • The Senior Contract Manager independently assess, analyze, and negotiate contracts for all hospital and professional entities within Emory Healthcare
    • The Senior Contract Manager creates and issues requests for information, requests for proposals, and competitive bids as needed
    • This will include development of specifications and scope of services as appropriate using input from customers and other sources for inclusion in the documents
    • This will also include ensuring that contract requirements, special provisions, terms and conditions to ensure compliance with appropriate laws, regulations, business unit and corporate policies and procedures are specified within the documents
  • Contract Database:
    • Manages information for loading and maintaining contracts in EHC Supply Chain and Contract Management Systems
    • Senior Contract Manager maintains the contracts database by entering new agreements and renewals, and ensure that complete, fully executed contract documents are included with each contract record
    • Contracts will be maintained electronically and be available by secured access
    • The Senior Contract Manager will upload all contract related documents including but not limited to fully executed contracts, price files, spend impact analysis, etc documents into contract management system and spend analytic systems
    • Senior Contract Manager will support the Contract Managers in the Contracting Team to audit and review the database to ensure all contracting processes are being maintained
  • Legal Review:
    • Reviews contracts for legal and business terms, facilitates through legal, and follows signature authority rules
    • Works directly with Compliance Office and Office of General Counsel (OGC) to ensure contract/agreement language and requirements are appropriate and complies with Emory University and Emory Healthcare policies and procedures, and federal and state laws, to resolve compliance issues and develops contract templates and checklists for the Contract Managers to use as part of their contract reviews
    • Ensures contract content supports adherence to healthcare regulatory agency requirements identified as applicable to a particular contract
  • Contract Expense Management:
    • The Senior Contract Manager supports Supply Chain goals to increase contract versus noncontract volume and to increase overall savings while maintaining quality
    • The Senior Contract Manager maintains a current working knowledge of GPO and Emory Healthcare negotiated contracts
    • Identifies opportunities for standardization and cost reduction via analyzing purchase history, industry benchmarks, contract compliance data and utilization information
    • Interviews users, physicians and peers to identify possible standardizations and cost reduction opportunities
    • Benchmarks practices and utilization against others to identify improvement opportunities
    • Collects Contracting Team savings and expense results in monthly dashboards to be presented to Contract Team Leadership and EHC Administration
  • Vendor Management:
    • The Senior Contract Manager investigates and follows-through on contract issues managing all portions of the contract workflow
    • The Senior Contract Manager acts as Lead in all contract pricing issues that cannot be resolved by Purchasing Staff and Contract Managers
    • Engages with vendor to resolve contract price discrepancies when in dispute
    • Manages relationships with vendors and/or outside consultants
    • Conducts periodic business reviews with major vendors
    • Identifies and implements strategic alliances when advantageous per direction of Supply Chain Management Team
    • Resolves vendor representative issues as needed

MINIMUM REQUIREMENTS:
  • A Bachelors degree in business administration, accounting, healthcare administration, supply chain, or a related field, with a strong understanding of contracts and agreements OR the equivalent combination of education, training, and experience
  • 7 years combination of healthcare, contract analysis/negotiation/drafting, and/or indirect procurement/sourcing experience
  • A combination of education and experience that demonstrates the required skills and knowledge may be considered

JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.
Additional Details
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

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