We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in RADIOLOGY to conduct ...
We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in RADIOLOGY to conduct ...
We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in RADIOLOGY to conduct ...
We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in RADIOLOGY to conduct ...
... contract provisions, proper coding and policy compliance- all in service of making our members ... Knowledge of payment coding guidelines, as applicable (Payment Review only). * Experience with AI ...
... contract provisions, proper coding and policy compliance- all in service of making our members ... Knowledge of payment coding guidelines, as applicable (Payment Review only). * Experience with AI ...
Lead and manage ongoing contract relationships and pharmacy benefit analysis and consultation ... Manages/facilitates custom Pharmacy and Therapeutics (P&T) committees and Drug Utilization Review ...
Lead and manage ongoing contract relationships and pharmacy benefit analysis and consultation ... Manages/facilitates custom Pharmacy and Therapeutics (P&T) committees and Drug Utilization Review ...
Lead and manage ongoing contract relationships and pharmacy benefit analysis and consultation ... Manages/facilitates custom Pharmacy and Therapeutics (P&T) committees and Drug Utilization Review ...
Lead and manage ongoing contract relationships and pharmacy benefit analysis and consultation ... Manages/facilitates custom Pharmacy and Therapeutics (P&T) committees and Drug Utilization Review ...
... contract or state regulation). - Current PPD or Chest X-Ray. - Current BLS card. - One-year prior ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...
... contract or state regulation). - Current PPD or Chest X-Ray. - Current BLS card. - One-year prior ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...
... contract or state regulation). - Current PPD or Chest X-Ray. - Current BLS card. - One-year prior ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...
... contract or state regulation). - Current PPD or Chest X-Ray. - Current BLS card. - One-year prior ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...
This transition shall include contract review meetings, which encompass a review of contract ... utilization, scheduling systems, productivity analysis, construction operations, cash flow ...
This transition shall include contract review meetings, which encompass a review of contract ... utilization, scheduling systems, productivity analysis, construction operations, cash flow ...
This transition shall include contract review meetings, which encompass a review of contract ... utilization, scheduling systems, productivity analysis, construction operations, cash flow ...
This transition shall include contract review meetings, which encompass a review of contract ... utilization, scheduling systems, productivity analysis, construction operations, cash flow ...
This transition shall include contract review meetings, which encompass a review of contract ... utilization, scheduling systems, productivity analysis, construction operations, cash flow ...
This transition shall include contract review meetings, which encompass a review of contract ... utilization, scheduling systems, productivity analysis, construction operations, cash flow ...
Review contracts for accuracy and completeness. * Monitor contract status and maintain organized ... Support rental utilization and revenue objectives. CRM & Sales Administration * Maintain customer ...
Review contracts for accuracy and completeness. * Monitor contract status and maintain organized ... Support rental utilization and revenue objectives. CRM & Sales Administration * Maintain customer ...
Review contracts for accuracy and completeness. * Monitor contract status and maintain organized ... Support rental utilization and revenue objectives. CRM & Sales Administration * Maintain customer ...
Review contracts for accuracy and completeness. * Monitor contract status and maintain organized ... Support rental utilization and revenue objectives. CRM & Sales Administration * Maintain customer ...
PeriOp Inventory Manager
Lehi, UT ยท On-site
The incumbent ensures optimal utilization of PeriOp programs and SCO policies and procedures to ... Oversees inventory management, contract compliance, product substitutes, standardization, and ...
PeriOp Inventory Manager
Lehi, UT ยท On-site
The incumbent ensures optimal utilization of PeriOp programs and SCO policies and procedures to ... Oversees inventory management, contract compliance, product substitutes, standardization, and ...
The incumbent ensures optimal utilization of PeriOp programs and SCO policies and procedures to ... Oversees inventory management, contract compliance, product substitutes, standardization, and ...
The incumbent ensures optimal utilization of PeriOp programs and SCO policies and procedures to ... Oversees inventory management, contract compliance, product substitutes, standardization, and ...
Construction Project Manager
Draper, UT ยท On-site
Utilization of project management platforms. * Management of building project plans from inception ... review, and initiation of construction contracts, obtain approvals for project funding, and ...
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Construction Project Manager
Draper, UT ยท On-site
Utilization of project management platforms. * Management of building project plans from inception ... review, and initiation of construction contracts, obtain approvals for project funding, and ...
Value Based Care Director - Select Health
$59.50 - $91.84/hr
... contract negotiations, performance reviews, and strategic planning. * Oversee governance structures ... Experience aligning quality, utilization management, care management, and population health ...
Value Based Care Director - Select Health
$59.50 - $91.84/hr
... contract negotiations, performance reviews, and strategic planning. * Oversee governance structures ... Experience aligning quality, utilization management, care management, and population health ...
Understand and administer Turner's contract and subcontract agreements. * Foster and enhance owner ... Review Meetings (ORMs). * Support and drive utilization of various Turner initiatives and ...
Understand and administer Turner's contract and subcontract agreements. * Foster and enhance owner ... Review Meetings (ORMs). * Support and drive utilization of various Turner initiatives and ...
Understand and administer Turner's contract and subcontract agreements. * Foster and enhance owner ... Review Meetings (ORMs). * Support and drive utilization of various Turner initiatives and ...
Understand and administer Turner's contract and subcontract agreements. * Foster and enhance owner ... Review Meetings (ORMs). * Support and drive utilization of various Turner initiatives and ...
Category Manager (IT)
Salt Lake City, UT ยท On-site
Manage supplier performance and conduct periodic reviews to assess service levels, cost ... Monitors preferred supplier utilization, builds roster to ensure capability to deliver across the ...
Category Manager (IT)
Salt Lake City, UT ยท On-site
Manage supplier performance and conduct periodic reviews to assess service levels, cost ... Monitors preferred supplier utilization, builds roster to ensure capability to deliver across the ...
Category Manager (IT)
Salt Lake City, UT ยท On-site
Manage supplier performance and conduct periodic reviews to assess service levels, cost ... Monitors preferred supplier utilization, builds roster to ensure capability to deliver across the ...
Category Manager (IT)
Salt Lake City, UT ยท On-site
Manage supplier performance and conduct periodic reviews to assess service levels, cost ... Monitors preferred supplier utilization, builds roster to ensure capability to deliver across the ...
Contract Utilization Review information
See Midvale, UT salary details
$20.18 - $24.26
2% of jobs
$24.26 - $28.34
9% of jobs
$31.13 is the 25th percentile. Wages below this are outliers.
$28.34 - $32.42
21% of jobs
The median wage is $35.72 / hr.
$32.42 - $36.50
23% of jobs
$36.50 - $40.58
13% of jobs
$43.75 is the 75th percentile. Wages above this are outliers.
$40.58 - $44.66
10% of jobs
$44.66 - $48.74
8% of jobs
$48.74 - $52.82
5% of jobs
$52.82 - $56.90
5% of jobs
$56.90 - $60.98
2% of jobs
$60.98 - $65.07
2% of jobs
$20
$39
$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 - Radiologist Utilization Review - 1099 (contract)
Salt Lake City, UT โข On-site, Remote
Contractor
Re-posted 11 days ago
Job description
Flexible Independent Contractor (1099)
Require a DC or Maryland State Medical License
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews. This is a flexible remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
- Work remotely from anywhere in the US (Per HIPAA Regulations, patient records cannot leave the US).
- Covered under MRIoA's Errors and Omissions policy.
- Independent Contractor (1099) opportunity.
- Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
Requirements
- Must have a Medical Degree MD or DO
- Must have a current state medical license in DC or Maryland
- Current Board Certification in Radiology
- Must have 5 years of clinical experience residency to be included
- Daytime availability is required for peer-to-peer conversations
California Consumer Privacy Act (CCPA) Information (California Residents Only):
- Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
- Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.