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Welcome to Utilization Manager Job Opportunities at Ladders

Choose from a comprehensive collection of Utilization Manager jobs that pay more than $100,000 a year. Our list …

1,000+ Utilization Manager Jobs in Denver, CO

$ Average salary: 117,129

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  • Utilization Management Nurse

    $80K — $95K *US-AnywhereRemote in United States
    Transform healthcare delivery by ensuring quality, compliant care for PACE participants. Collaborate with interdisciplinary teams to optimize service utilization and enhance outcomes, leveraging clinical expertise and analytical skills in a dynamic environment.
    Requirements: 3-5 years UM experience, current RN license, strong communication skills.
  • Security Manager

    $100K — $130K *US-AnywhereRemote in United States
    Transform daily security operations by managing workflows, incidents, and vulnerability remediation. Collaborate with teams to enhance processes, drive efficient handoffs, and ensure compliance for predictable security outcomes.
    Requirements: 5+ years in security ops; Bachelor's degree; preferred certs: Security+, CISSP.
  • Claims Manager

    $134K — $175K *US-AnywhereRemote in United States
    Transform the future of risk management by analyzing claims trends, optimizing processes, and collaborating with diverse teams to enhance insurance functions as the organization scales in a dynamic environment.
    Requirements: Bachelor's degree, 10 years in risk management, strong data analysis skills.
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    REMOTE Project Manager (Revenue Cycle Management)

    $80K — $110K *US-AnywhereRemote in United States
    Drive the success of cross-functional projects focused on operational excellence and growth, enhancing client outcomes while managing complex, strategic initiatives in a rapidly evolving environment.
    Requirements: Bachelor's in business; PMP; 5+ years project management; healthcare exp.
  • Product Manager - Utilization Management

    $86K — $138K *US-AnywhereRemote
    Manage the product lifecycle for behavioral health and wellness products, ensuring alignment with business strategies. Lead stakeholder engagement and drive product strategy through effective communication and prioritization to maximize value.
    Requirements: Bachelor's degree or relevant experience; 3 years product experience.
  • AVP, Utilization Management

    $134K — $167K *US-AnywhereRemote in United States
    Lead the charge in enhancing healthcare services by overseeing utilization management programs, ensuring compliance, and driving performance improvements through data-driven initiatives and cross-functional collaboration.
    Requirements: Bachelor's degree, RN license, 10+ years experience, 5+ years leadership.
  • Clinical Utilization Management Pharmacist

    $100K — $130K *US-AnywhereRemote in United States
    Join a dynamic pharmacy team to manage drug utilization reviews and appeals, collaborating with healthcare professionals. Ensure compliance with regulations while driving improvements in medication management and optimizing clinical outcomes.
    Requirements: PharmD or equivalent, 3 years clinical experience, 2 years managed care experience.
  • Oracle EPCM Manager

    $94K — $266K *Denver, CO (Denver County)In-Person
    Transform client challenges into solutions by leading Oracle EPCM initiatives. Innovate with finance, build delivery teams, and refine processes to deliver unparalleled profitability insights and operational excellence for diverse industries.
    Requirements: 7+ years EPM experience; Oracle EPCM expertise; Bachelor's degree or equivalent.
  • Configuration Manager - Medicaid Systems

    $111K — $150K *US-AnywhereRemote in United States
    Drive impactful outcomes in Medicaid's complex ecosystem by managing configuration processes, ensuring system integrity, and leading project teams. Collaborate to enhance system documentation and compliance within health IT initiatives.
    Requirements: Bachelor's degree, 5 years exp in configuration management, ITIL 4 Cert.
  • Process Manager

    $75K — $90K *US-AnywhereRemote in United States
    Lead cross-functional projects to redesign workflows and ensure operational clarity. Drive governance, manage incident responses, and implement change management strategies to enhance organizational performance.
    Requirements: Bachelor's degree, 5 years project management, PMP or Six Sigma preferred.
  • Energy Manager, Power Delivery

    $120K — $150K *US-AnywhereRemote in United States
    Champion innovative energy solutions for data centers, driving strategy and partnerships. Play a pivotal role in site selection, project management, and optimizations to ensure cost-effective energy infrastructure development.
    Requirements: Bachelor's in related field; 9+ years experience; strong project management skills.
  • Energy Manager, Power Delivery

    $120K — $150K *Denver, CO (Denver County)In-Person
    Transform the energy landscape of data centers by driving innovative infrastructure strategies and negotiations. Collaborate with diverse teams to enhance efficiency and optimize energy solutions for sustainable growth in a fast-paced environment.
    Requirements: Bachelor's degree; 9+ years experience in energy/utility; project management skills.
  • Capacity Manager

    $90K — $120K *US-AnywhereRemote in United States
    Shape the future of IT capacity management by ensuring resources meet business demand in a regulated environment. Collaborate with teams to optimize performance, manage risks, and align strategies for mission-critical systems and services.
    Requirements: Bachelor's degree; 3-5 years experience; secret security clearance required.
  • Configuration Management (CM) Manager

    $100K — $130K *Denver, CO (Denver County)In-Person
    Optimize configuration management processes to ensure product integrity and traceability while leading a dedicated team. Collaborate across departments to maintain robust baselines and effectively support engineering changes throughout the product lifecycle.
    Requirements: AA/AS or BA/BS plus 8+ years CM experience in aerospace or defense.
  • Utilization Management (UM) - Pre-Service (Remote | California RN / LVN | Pacific Time Schedule)

    $77K — $116K *US-AnywhereRemote
    Transform care delivery by reviewing prior authorization requests for medical necessity and ensuring quality outcomes in a dynamic, remote Utilization Management team focused on patient-centric solutions and timely decision-making.
    Requirements: Active California LVN/RN license; 3+ years clinical nursing; 1+ year UM experience.
  • Provider Data Integrity Administrator

    $77K — $96K *Denver, CO (Denver County)In-Person
    Oversee the integrity of provider data management systems, ensuring accurate and reliable information across all operational platforms. Collaborate with stakeholders to optimize data workflows, enhancing compliance, decision-making, and network management.
    Requirements: Bachelor's degree and 5 years experience; database management skills required.
  • Manager, Support Operations

    $145K — $195K *US-AnywhereRemote in United States
    Take ownership of the support operations strategy to enhance complex workflows, implement AI-driven tools, and drive cross-functional collaboration, ensuring an effective support experience aligned with product and engineering goals.
    Requirements: 8-10 years in Support Operations, experience with Salesforce Service Cloud.
  • Registered Nurse - Utilization Management Program Manager Supervisor

    $75K — $95K *Aurora, CO (Arapahoe County)In-Person
    Take ownership of patient care coordination by assessing, planning, and evaluating services in a dual-role as an advisor and supervisor, ensuring high standards of quality and satisfaction across the continuum of care.
    Requirements: Graduate of an accredited nursing program; active RN license; 5 years management exp.
  • Clinical Pharmacist - Utilization Management Archimedes

    $100K — $130K *US-AnywhereRemote in United States
    Champion clinical excellence by managing specialty medication strategies, conducting peer consultations, and developing impactful clinical policies that enhance cost management across pharmacy and medical benefits.
    Requirements: PharmD, RPh license, 3 yrs clinical experience, specialty knowledge, MS Office.
  • Center Manager

    $61K — $98K *Westminster, CO (Adams County)In-Person
    Transform clinic operations as you lead a dedicated team, ensuring excellent patient care and service. Drive performance goals and enhance patient flow while upholding compliance and cash management standards for optimal clinic results.
    Requirements: H.S. Diploma, 3+ years in medical office, BLS Cert, flexible scheduling.
  • Utility Integration Program Manager

    $115K — $135K *US-AnywhereRemote in United States
    Accelerate progress at our implementation services by managing complex utility integrations, ensuring on-time delivery, and fostering strong client partnerships to enhance EnergyHub’s platform capabilities.
    Requirements: Bachelor’s degree, 5-7 years in technical program management, API integrations.
  • RMA Manager

    $110K — $120K *US-AnywhereRemote in United States
    Elevate global hardware reliability by managing the RMA operations, leading teams, and collaborating with vendors to improve processes, minimize customer impact, and drive efficiency across data centers and procurement functions.
    Requirements: 5+ years in hardware ops/RMA management; strong vendor relations; analytical skills.
  • Manager Implementation Services - Data Solutions

    $90K — $130K *US-AnywhereRemote in United States
    Lead the charge in enhancing archival services by managing project teams, developing methodologies, and fostering client relationships, ensuring exceptional delivery and professional growth in a dynamic healthcare IT environment.
    Requirements: Bachelor's degree; project management experience; healthcare IT expertise.
  • Director, Virtual Utilization Review

    $120K — $150K *US-AnywhereRemote in United States
    Transform client partnerships and operational efficiency by leading innovative multi-client utilization review initiatives. Drive strategic oversight, change management, and analytics to enhance performance and impact across diverse geographies and teams.
    Requirements: Active RN license; experience in multi-client utilization management; RCM knowledge.
  • Operations Analytics Manager

    $108K — $125K *Denver, CO (Denver County)In-Person
    Grow your career with us as you solve complex analytical challenges, partnering with operations leaders to drive data-driven decisions, strategic planning, and reporting in our dynamic team environment.
    Requirements: Bachelor's degree, 5 years Analytics experience, strong in Excel, SQL, PowerBI.
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Utilization Management Nurse

Company Name
$80K — $95K *
US-Anywhere
Remote in United States
Healthcare
Less than 5 years of experience
Job Description

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FAQ About Utilization Manager Jobs in Denver, CO

What is a Utilization Manager?

A Utilization Manager is a healthcare professional who is responsible for ensuring that all health and medical services, procedures and facilities are being used in a cost-effective way in the healthcare setting.

What are the typical duties of a Utilization Manager?

Utilization Managers typically review patient services to determine efficiency and necessity, work to enhance the cost-effectiveness of health management strategies, and determine if a case or treatment plan is clinically appropriate based on a patient’s needs and overall health.

What qualifications do I need for a Utilization Manager job?

Most Utilization Manager positions require a degree in nursing and relevant experience in a clinical setting. You should also have a good understanding of medical terminologies and procedures.