2

Cigna Utilization Review Remote Jobs in Highlands Ranch, CO

VP, Compliance

Denver, CO · Remote

$200K - $340K/yr

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

New

VP, Compliance

Denver, CO · Remote

$200K - $340K/yr

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

New

... utilization) including engineering drawings, engineering reports, presentations, and required ... Coordinate the design with review/input from the various municipal/utility/approval agencies ...

The RSM will review, modify if necessary, and approve strategically targeted, account-specific ... Resource Utilization - Identifies available resources and solves problems by utilizing best ...

Facilitate regular business reviews to demonstrate ROI and align on future goals. * Contribute to ... Demonstrated success driving product adoption, utilization and training end users. * Proven ...

Utility Sales Support

Denver, CO · Remote

$17.75 - $23.25/hr

While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

Showing results 41-56

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:

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.

Director - Utility Studies (62418)

NEI Electric Power Engineering, Inc

Lakewood, CO • On-site, Remote

$130K - $180K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 25 days ago


Job description

About the Position

As the Director - System Studies, you will be responsible for overseeing and leading the System Studies group within NEI's Strategic Services department. In this role, you will primarily focus on management, leadership, and business development tasks. Your responsibilities will include managing project staffing needs, scheduling, mentoring Team Leads and Engineers, and fostering an inclusive environment. You will also be accountable for establishing and enforcing departmental standards, best practices, and quality measures.

This opportunity is available to both local / in-office (Lakewood, CO) and full-time remote candidates.

Salary Range: $130,000 - $180,000 / year

The salary range above is based upon the Denver, Colorado labor market.

Essential Responsibilities
  • Oversees and manage multiple technical teams
  • Manages team utilization and forecast workloads based on project sizes and scope
  • Reviews and manages financial documentation, including revenue, write-offs, COGS, overhead expenses, and net income
  • Develops and implements one- and three-year plans for the department, with quarterly milestones
  • Leads the interviewing and onboarding process for new team members and leaders within the group
  • Mentors Team Leads and Engineers across teams
  • Collaborates with the Business Development team to provide technical guidance, pricing details, and scope alignment
  • Facilitates a seller-doer model to maintain existing client relationships and cultivate new ones
  • Identifies the need for and develop processes to enhance efficiency, consistency, and quality of client deliverables
  • Oversees the production of deliverables across multiple teams, ensuring client satisfaction and timely completion
  • Develops and enforces Standard Best Practices (SBPs) to ensure high-level execution across team members
  • Reviews the work of engineers, designers, drafters, and field service personnel for quality and accuracy
  • Maintains a professional understanding of all applicable Codes, Standards, and construction practices
  • Assists with client communication and contacts
  • Perform other duties as assigned
Must Have
  • Education: B.S. in Electrical Engineering from an accredited institution, M.S. preferred.
  • Experience: 5+ years of engineering or relevant field experience, 2+ years of engineering management experience.
  • Licensure: PE is preferred
  • In-depth knowledge and familiarity with a wide variety of electrical system studies such as:
    • Short circuit, load flow/reactive power, harmonics, arc flash, protection/coordination, cable ampacity, grounding/earthing, transient stability, transient overvoltage and switching.
  • Familiarity with a wide variety of electrical system studies software such as:
    • DIgSILENT Power Factory, ETAP, CYMCAP, CDEGS, WinIGS, PSCAD, PSLF, and PSS/e.
  • Preferred: experience performing system studies to support the design and construction of renewable energy projects such as wind, solar or battery storage.
  • Extensive experience producing study or calculation reports.
  • Strong understanding of power system theory including load flow concepts, symmetrical components and one or more advanced topics such as grounding/earthing, power quality transient analysis, system protection coordination, or transmission system planning.
  • Proficient in Microsoft Office, including Excel, Word, and Project.
  • Professional, articulate, and able to exercise independent judgement and discretion.
  • Highly organized and self-motivated.
  • Excellent written and verbal command of the English language.
  • Authorization to work in the United States on a full-time basis.
  • Proven record of delivering high-quality work with attention to detail.
  • Demonstrates effective written and oral communication skills.
Working Conditions

Work Environment:

Work is performed in an office setting and some field work may be required

Travel:

10 - 30%

Physical Activities:

Must be able to lift 25lbs.

About NEI Electric Power Engineering

Serving Others. Enriching Environment. Improving Continually. Quality Results. Voted as a top workplace by the Denver Post for three straight years (2020, 2021, 2022, 2023), our values have been woven into the fabric of who we are since 1982, guiding our decision making throughout the years. As an engineering services firm, NEI's mission is to create a great organization that serves people and solves problems.

Since NEI's founding, we have developed a culture of collaboration and accountability, both across our teams and departments, and externally with our clients across the United States. We believe in two core ideas: hiring great people and celebrating our team members diverse background and unique experiences; bringing in new, unique, and exciting perspectives that can only strengthen NEI as we chart out path into the future.

We are a proud equal opportunity employer and we do not discriminate on the basis of race, color, ethnicity, ancestry, religion, sex, national origin, sexual orientation, age, citizenship status, marital status, disability, gender identity, gender expression, veteran status, or genetic information.

Team Member Benefits

We believe that taking care of our team members is of the utmost importance. We strive to foster a community of belonging, professional development, and industry involvement; providing our team with the benefits, tools, and support systems to excel in their roles. Out comprehensive benefits package includes:

  • 100% Employer paid team member premiums for Medical, Dental, Vision, Basic Life Insurance, and Long-Term Disability
  • Voluntary Life Insurance
  • 401(k) with employer matching; 100% immediate vesting
  • Annual & discretionary bonus programs
  • Paid vacation and sick time
  • Employer paid licensure (FE/PE), certifications, seminars, & conferences
  • Paid parental leave
  • Tuition reimbursement
  • Eight (8) paid holidays including a floating holiday to use at your discretion
  • Annual team building
  • Hybrid work environment with remote flexibility
  • Career development, training, and coaching opportunities
  • Pet insurance

NEI Electric Power Engineering participates in E-Verify and will provide the federal government with your completed Form I-9 to confirm your work authorization in the United States.