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Cigna Utilization Review Remote Jobs in Highlands Ranch, CO

Standish Management

Engagement Manager

Denver, CO · On-site +1

$95K - $120K/yr

Review all communications to the client and its investors on an ongoing basis * Assist with ... Employees can choose to be classified as "flex remote" or "flex office" *Compensation range: $95 ...

TEKsystems

Medical Denials Specialist

Denver, CO · Remote

$22 - $25/hr

Reviewing denied claims via Athena worklists and payer portals * Identifying root causes of denials ... Contributing to evolving processes as the client optimizes Athena utilization Qualifications * Min ...

Radicle Health

Customer Success Manager

Denver, CO · Remote

$75K - $85K/yr

... adoption utilization metrics.  * Experience partnering with California behavioral health ... Remote work stipend * Compensation: $75,000 - $85,000 OTE * Location: Remote  Please note that ...

Lifehealth LLC

Provider Network Recruiter

Littleton, CO · On-site +1

$80K/yr

This position is 100% Remote Key Responsibilities * Develop and implement innovative sourcing ... care and utilization management review needs. * Conduct warm and cold outreach to clinicians ...

LifeHealth

Provider Network Recruiter

Littleton, CO · Remote

This position is 100% Remote Key Responsibilities * Develop and implement innovative sourcing ... care and utilization management review needs. * Conduct warm and cold outreach to clinicians ...

Releady

Data Engineer, Senior

Denver, CO · On-site +1

$140K - $170K/yr

Hybrid or Remote, however must reside in the following states: WA, OH, CA, AZ, CO, CT, FL, GA, MD ... Mentor and support Data Engineers through code reviews, knowledge sharing, and engineering guidance.

InnovAge

VP, Compliance

Denver, CO · On-site +1

$129K - $173K/yr

Assists and leads compliance initiatives for State Ready Reviews (SRR) for new Centers. Travel ... and remote monitoring Knowledge, Skills & Abilities: Familiar with navigating the electronic ...

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All JobsCigna Utilization Review JobsCigna Utilization Review Remote JobsCigna Utilization Review Remote Jobs in Highlands Ranch, CO

Cigna Utilization Review Remote information

See Highlands Ranch, CO salary details

$16

$33

$56

How much do cigna utilization review remote jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for cigna utilization review remote in Highlands Ranch, CO is $33.52, according to ZipRecruiter salary data. Most workers in this role earn between $23.46 and $42.64 per hour, depending on experience, location, and employer.

What is a Cigna Utilization Review Remote?

A Cigna Utilization Review Remote position involves evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to Cigna members—all while working from a remote location. Utilization Review professionals, often nurses or clinicians, review clinical information, make coverage determinations, and coordinate with providers to ensure members receive the right care. This role combines clinical expertise with knowledge of insurance guidelines and regulatory requirements, allowing for flexible work arrangements from home. It plays a critical role in managing healthcare costs and improving patient outcomes.

What are the key skills and qualifications needed to thrive as a Cigna Utilization Review Remote nurse?

To thrive as a Cigna Utilization Review Remote Nurse, you need a valid RN license, clinical experience (often in case management or utilization review), and a strong understanding of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic medical records (EMRs), and knowledge of Medicare/Medicaid policies or URAC/NCQA standards is typically required. Excellent critical thinking, attention to detail, and effective communication are crucial soft skills for evaluating medical necessity and coordinating with providers. These skills ensure accurate, compliant decisions that support patient care while managing healthcare costs efficiently in a remote environment.

What are some common challenges faced by Cigna Utilization Review professionals working remotely, and how can these be effectively managed?

Cigna Utilization Review professionals working remotely often encounter challenges such as maintaining clear communication with healthcare providers and team members, managing high caseload volumes, and staying updated on evolving clinical guidelines. To address these challenges, it’s important to leverage Cigna’s robust digital collaboration tools, participate actively in virtual team meetings, and utilize ongoing training resources. Setting a structured daily routine and prioritizing tasks can also help ensure timely and accurate reviews, while maintaining work-life balance in a remote setting.

What is the difference between Cigna Utilization Review Remote vs Cigna Medical Reviewer?

AspectCigna Utilization Review RemoteCigna Medical Reviewer
CredentialsRN or licensed healthcare professionalRN or licensed physician
Work EnvironmentRemote, telehealth settingRemote or onsite, clinical setting
Employer & IndustryCigna, health insurance industryCigna, healthcare and insurance industry
Primary FocusReview of insurance utilization for appropriatenessClinical assessment and direct patient care

While both roles involve healthcare review, Cigna Utilization Review Remote focuses on evaluating insurance claims remotely, whereas Cigna Medical Reviewer provides direct clinical assessments, often with more patient interaction. Both require healthcare credentials and are integral to Cigna's healthcare services, but their daily tasks and focus differ.

What are popular job titles related to Cigna Utilization Review Remote jobs in Highlands Ranch, CO?

For Cigna Utilization Review Remote jobs in Highlands Ranch, CO, the most frequently searched job titles are:

What cities near Highlands Ranch, CO are hiring for Cigna Utilization Review Remote jobs?

Cities near Highlands Ranch, CO with the most Cigna Utilization Review Remote job openings:

Cigna Utilization Review Remote jobs near you
Infographic showing various Cigna Utilization Review Remote job openings in Highlands Ranch, CO as of August 2026, with employment types broken down into 86% Full Time, 7% Part Time, and 7% Contract. Highlights an 100% Remote job distribution, with an average salary of $69,732 per year, or $33.5 per hour.

Engagement Manager

Standish Management

Denver, CO • On-site, Remote

$95K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 22 days ago

Job description

Job Description:
The Engagement Manager at Standish is responsible for managing and leading all client engagements.  In conjunction with the Engagement Director, the Engagement Manager is responsible for supervising the Fund Controller and Associate in matters of fund accounting, capital account maintenance and financial statement preparation.  
Essential Functions:
  • Maintain frequent client contact to keep abreast of ongoing fund activities
  • Manage client expectations
  • Manage engagement keeping in mind client needs, staff utilization and overall engagement efficiency
  • Supervise the audit and tax preparation process
  • Review all communications to the client and its investors on an ongoing basis
  • Assist with sourcing new clients, issuing proposals and overall business development
  • Mentor and train junior staff members
 
Minimum Requirements:
  • Bachelor's Degree required (Finance/Accounting/Economics concentration preferred)
  • 2+ years of public accounting experience or equivalent
  • 2+ years of VC/PE fund experience or fund administrator - OR - minimum 1 year as
    manager at a public accounting firm
  • Previous Private Equity/VC experience and knowledge of Partnership Accounting,
    preferred
  • CPA preferred
  • Proficiency in Microsoft Office applications, particularly Excel, Word & Outlook
  • Familiarity with QuickBooks preferred

Benefits Include: 

  • Comprehensive medical, dental, vision coverage, along with life insurance, Health Savings Account and Flexible Spending Account options
  • Comprehensive disability/maternity and paternity plans
  • 401K eligibility after 3 months
  • Flexible Vacation Plan
  • Sick Time Accrual Plan
  • 8-10 standard holidays along with year-end office closure
  • We provide a flexible work environment for all employees. Employees can choose to be classified as "flex remote" or "flex office"  

*Compensation range: $95,000 - $120,000 annually. Actual compensation within that range will be dependent upon the individual's skills, experience and qualifications.

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