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Contract Utilization Review Jobs (NOW HIRING)

Mindlance

Utilization Review Nurse

Nashville, TN

Conduct reviews in compliance with medical policy, member eligibility, benefits, and contracts ... all Utilization Management activities to include review of inpatient and outpatient medical ...

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How much do contract utilization review jobs pay per hour?

As of Jun 1, 2026, the average hourly pay for contract utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

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.

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.
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Contract Utilization Review jobs near you
Infographic showing various Contract Utilization Review job openings in the United States as of May 2026, with employment types broken down into 78% Full Time, and 22% Part Time. Highlights an 100% In-person job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Utilization Review (UR) Coordinator

Utilization Review (UR) Coordinator

Catholic Charities, Diocese of Paterson

Parsippany, NJ

$32.80/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Job description

Are you passionate about making a difference in the lives of others?

Since 1938 we have grown to over 70 programs, providing assistance to individuals and families throughout the Diocese of Paterson and beyond - we provide help and create hope for thousands of people each day. Our ability to deliver support, education, sustenance and so much more to those in need is extensive. Through Catholic Family and Community Services, the Department for Persons with Disabilities and Straight and Narrow we offer life-changing resources in multiple facets for the families and individuals we serve. We truly have a rich history of providing essential services to our communities.

TITLE: Utilization Review (UR) Coordinator

Location: Parsippany NJ

Hours: Full Time (Monday through Friday: 8:30am – 4:30pm)

This is an hourly non-exempt position.

Salary: Up to $32.80 (with experience)

Job Summary

The Utilization Review Coordinator is responsible for securing and maintaining payer authorizations for behavioral health services, ensuring medical necessity, appropriate level of care placement, and reimbursement optimization. This role serves as the liaison between clinical teams, admissions, and insurance payers to support continuity of care and financial sustainability.

Qualifications

  • Bachelor’s degree required, master’s preferred
  • 2–5+ years in behavioral health, substance use treatment, or utilization review
  • Experience with insurance authorization processes and medical/clinical necessity criteria
  • Familiarity with ASAM criteria strongly preferred
  • Strong clinical documentation review skills
  • Knowledge of payer systems (State Contracts, FFS Initiatives, Medicaid, MCO, Third Party)
  • Excellent communication and negotiation skills
  • Detail-oriented with strong organizational abilities
  • Ability to manage multiple cases and deadlines

Benefits: For full time positions, (30+ per week) we offer:

  • We provide PAID training
  • Medical/vision and dental
  • Life insurance (agency-paid), supplemental life insurance (employee-paid)
  • Flexible spending accounts
  • Accidental/Critical Illness Insurance
  • 403B (with company-matching)
  • Generous paid time off

All offers of employment are contingent on the successful completion/passing of our criminal background/references/DMV check, fingerprinting, pre-employment physical and drug test, etc.

Apply