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Contract Utilization Review Jobs in Spring Valley, NY

NYC Health Hospitals

Director of Mental Health

New York, NY · On-site

$123K - $155K/yr

... and utilization review to ensure delivery of quality care and medical services for healthcare ... Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts * Loan ...

Halmar International

Procurement Manager

Nanuet, NY · On-site

Prepare and manage GFE Reports and MWDBE Utilization Plans with Diversity Staff * Receive, review ... Demonstrate competency in the legal aspects of contracts and possess good negotiating skills * Must ...

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Contract Utilization Review information

See Spring Valley, NY salary details

$21

$42

$69

How much do contract utilization review jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for contract utilization review in Spring Valley, NY is $42.85, according to ZipRecruiter salary data. Most workers in this role earn between $33.85 and $49.18 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 cities near Spring Valley, NY are hiring for Contract Utilization Review jobs?

Cities near Spring Valley, NY with the most Contract Utilization Review job openings:

Contract Utilization Review jobs near you
Infographic showing various Contract Utilization Review job openings in Spring Valley, NY 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 $89,118 per year, or $42.8 per hour.

Health System Pharmacist-Level I

NYC Health Hospitals

New York, NY • On-site

$135K/yr

Full-time

Medical, Retirement, PTO

Re-posted 10 days ago

NYC Health + Hospitals rating

7.3

Company rating: 7.3 out of 10

Based on 75 frontline employees who took The Breakroom Quiz

267th of 898 rated healthcare providers

Job description

Harlem Hospital Center has been a bedrock of the Harlem community since 1887. The hospital provides a wide range of medical, surgical, diagnostic, therapeutic and family support services to the residents of Central Harlem, West Harlem, Washington Heights and Inwood. Harlem is the largest hospital in the area, capable of treating the most seriously ill. Harlem provides over 90 specialized ambulatory care services, dentistry and oral surgery, behavioral health services, and community substance abuse treatment.
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
Work Shifts
4:00 P.M - 12:00 A.M
Duties & Responsibilities
Purpose of Position:
This class of positions encompasses professional staff, supervisory, clinical and administrative work within a pharmacy department, with varying degrees of latitude for independent initiative and judgment. Health System Pharmacists adhere to Federal, State and local laws and other regulatory requirements regarding pharmacy and institutional practice. All personnel may be required to perform related work.
Under direction, with moderate latitude for the exercise of independent initiative and judgment, provides professional pharmacy services in a hospital, clinic or other health care setting. The following are typical tasks performed at Assignment Level I:
Examples of Typical Tasks:
1. Fills prescriptions and patient orders, resolves discrepancies in patient therapy, and follows-up on problems.
2. Utilizes clinical data in evaluating physician orders to ensure appropriate therapy.
3. Provides and documents drug information and patient counseling.
4. Documents interventions, adverse drug reactions (ADRs), and medication errors.
5. Directs and utilizes personnel including technicians, aides and clerical staff.
6. Assists in the monthly inspection of the patient care units and the Pharmacy.
7. Maintains adequate medication supply in individual work area.
8. Participates in Pharmacy staff in-services and meetings relating to Systemwide and/or health care setting programs.
9. Operates and troubleshoots automated dispensing systems, as needed.
10. Advises prescribers on alternatives for non-formulary drugs.
11. Utilizes Outpatient and Inpatient computerized systems to enter and access patient care information.
12. Coordinates and analyzes statistics and/or clinical data.
13. Participates in quality management and utilization review programs.
14. May coordinate the work of a small group to accomplish a project or assignment.
15. May participate in the preparation and review of policies and procedures.
16. May assist in the development, implementation and execution of Pharmacy staff training curriculum.
17. In the absence of the supervisor, may assist in the supervision of a Pharmacy unit or function.
Minimum Qualifications
Possession of a valid NY State license to practice pharmacy.
Benefits
NYC Health and Hospitals offers a competitive benefits package that includes:
  • Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
  • Retirement Savings and Pension Plans
  • Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
  • Loan Forgiveness Programs for eligible employees
  • College tuition discounts and professional development opportunities
  • College Savings Program
  • Union Benefits for eligible titles
  • Multiple employee discounts programs
  • Commuter Benefits Programs

If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.

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