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T
TEKsystems
Utilization Review Specialist
Career Insights for Clinical Auditor / Utilization Reviewer
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Scorecard
Based on Texas data
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What they do
A Clinical Auditor or Utilization Reviewer reviews the efficiency of healthcare delivery. Individuals tend to have had experience as a registered nurse or other healthcare delivery roles before transferring into this quality review role.
$94,930 / year median in Texas
-3% projected decline
Job Description
Utilization Review Specialist TEKsystems $70,000.00 - $100,000.00 / yr United States, Texas, Addison Aug 12, 2026
- Description
- Methodist Surgery Center, part of the Surgery Partners network, is seeking an experienced Utilization Review Specialist to join its team in Addison, Texas.
- Top Required Skills
- Utilization review experience
- Additional Skills & Qualifications
- Perform utilization review activities for surgical patients and procedures.
- Review clinical documentation for medical necessity, level of care appropriateness, and payer requirements.
- Collaborate with physicians, case management teams, and payers to support authorization and reimbursement processes.
- Ensure compliance with Medicare, commercial payer, and regulatory guidelines.
- Identify opportunities to improve utilization management processes and patient outcomes.
- Maintain accurate and timely documentation within appropriate systems.
- Support a positive patient experience through effective coordination and communication.
- Experience Level
- Expert Level
- Job Type & Location
- This is a Contract to Hire position based out of Addison, TX.
- Pay and Benefits
- The pay range for this position is $70000.00 - $100000.00/yr. Working on acquiring. Have Benefits from a few years ago. Need updated copy.
- Workplace Type
- This is a hybrid position in Addison,TX.
- Application Deadline
- This position is anticipated to close on Aug 14, 2026.
San Francisco Fair Chance Ordinance:
- Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
Massachusetts Lie Detector:
- It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
- Use of Artificial Intelligence (AI):
- We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates.