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Contract Utilization Review Jobs (NOW HIRING)

Intus, Inc

Contract Utilization Management Nurse

$42/hr

Role Overview The Contract Utilization Management Nurse plays a critical role in ensuring high ... Concurrent review of all hospital admissions (observation and inpatient) with the Interdisciplinary ...

INTUS INC

Contract Utilization Management Nurse

$42/hr

Role Overview The Contract Utilization Management Nurse plays a critical role in ensuring high ... Concurrent review of all hospital admissions (observation and inpatient) with the Interdisciplinary ...

Stcharles

RN Utilization Review

Bend, OR · On-site

$48.30 - $72.45/hr

Utilization Management DATE LAST REVIEWED: November 2024 OUR VISION: Creating America's healthiest ... Maintains a working knowledge of payor contracts and regulatory requirements and UM specific ...

GLC On-The-Go

Travel Utilization Review RN

Tuba City, AZ · On-site

$2.2K - $2.3K/wk

Travel Utilization Review RN - Case Management | Tuba City, AZ | Contract Quick Look * Weekly Gross Pay: $2,225 - $2,342 * Shift: Monday - Friday from 8am - 5pm. Callback on weekends/holidays * Start ...

St. Charles Health System

RN Utilization Review

Bend, OR · On-site

$48.30 - $72.45/hr

Utilization Management DATE LAST REVIEWED: November 2024 OUR VISION: Creating America's healthiest ... Maintains a working knowledge of payor contracts and regulatory requirements and UM specific ...

St. Charles Health System

RN Utilization Review

Bend, OR · On-site

$48.30 - $72.45/hr

Utilization Management DATE LAST REVIEWED: November 2024 OUR VISION: Creating America's healthiest ... Maintains a working knowledge of payor contracts and regulatory requirements and UM specific ...

GQR Healthcare

Travel Utilization Review RN

Tuba City, AZ · On-site

$2.2K - $2.3K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Tuba City, Arizona Start Date: September 7, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

Enterprise Engineering

Be Seen First

Concurrent Utilization Review (UR) Nurse

OR · Remote

$30 - $38/hr

Concurrent Utilization Review (UR) Nurse Remote Opportunity Contract to Hire Must be licenses in California The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time ...

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Contract Utilization Review information

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$42

$68

How much do contract utilization review jobs pay per hour?

As of Aug 8, 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 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 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 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.

More about Contract Utilization Review jobs
What cities are hiring for Contract Utilization Review jobs? Cities with the most Contract Utilization Review job openings:
What are the most commonly searched types of Utilization Review jobs? The most popular types of Utilization Review jobs are:
What states have the most Contract Utilization Review jobs? States with the most job openings for Contract Utilization Review jobs include:
What job categories do people searching Contract Utilization Review jobs look for? The top searched job categories for Contract Utilization Review jobs are:
Contract Utilization Review jobs near you
Infographic showing various Contract Utilization Review job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Remote - Radiologist Utilization Review - 1099 (contract)

MRIoA

Orlando, FL • On-site, Remote

Contractor

Re-posted 20 days ago

Job description

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.

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