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Director Utilization Management Jobs in Colorado

Elevance Health

Medical Director Associate

Arvada, CO · On-site

$120 - $225/hr

May be responsible for supporting one or more Medical Directors in ensuring clinical integrity of ... Prior experience in Utilization Management (UM), health plan medical management, acute care or ...

Bloom Hospice

Director of Payor Relations

Lakewood, CO · On-site

$105 - $135/hr

Director of Payor Relations Reports to: Chief Financial Officer Location: Lakewood, CO (Hybrid ... utilization management reviews, and appeals processes. * Monitor and respond to changes in payor ...

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Director Utilization Management information

See Colorado salary details

$18.9K

$55K

$88.3K

How much do director utilization management jobs pay per year?

As of Sep 5, 2026, the average yearly pay for director utilization management in Colorado is $55,017.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,100.00 and $63,100.00 per year, depending on experience, location, and employer.

What is a director utilization management?

A Director of Utilization Management oversees the review and approval of medical services to ensure they are necessary, efficient, and cost-effective. They develop strategies to improve care quality while managing healthcare costs, working closely with providers, payers, and regulatory bodies. Their responsibilities include policy development, compliance with healthcare regulations, and leading a team of utilization review professionals. This role is common in hospitals, insurance companies, and managed care organizations.

What are the typical daily responsibilities of a director utilization management?

A Director Utilization Management generally oversees a team responsible for reviewing patient care to ensure appropriate resource use and compliance with payer requirements. Daily tasks may include analyzing utilization data, developing policy and process improvements, collaborating with clinical and administrative staff, and addressing escalated cases or issues. Directors frequently attend strategy meetings, conduct staff training, and engage with external partners like insurance providers. This role requires balancing administrative oversight with hands-on problem solving to support both cost efficiency and quality patient care.

What are the key skills and qualifications needed to thrive in the director utilization management position, and why are they important?

To thrive as a Director Utilization Management, you need a strong background in healthcare administration, case management, and data-driven decision-making, often supported by a clinical degree and several years of management experience. Familiarity with utilization management software, electronic health records (EHRs), and certifications such as CCM or ACM are typically valued. Exceptional leadership, communication, and problem-solving skills distinguish top performers in this role. These competencies are vital for optimizing resource use, ensuring regulatory compliance, and leading teams to meet quality care standards.

What does a director of utilization management do?

A director of utilization management oversees the review and approval of healthcare services to ensure they are medically necessary and cost-effective. They develop policies, manage teams of reviewers, and collaborate with healthcare providers and insurance companies to optimize patient care and resource utilization.

What are the most commonly searched types of Utilization Management jobs in Colorado?

The most popular types of Utilization Management jobs in Colorado are:

What are popular job titles related to Director Utilization Management jobs in Colorado?

For Director Utilization Management jobs in Colorado, the most frequently searched job titles are:

What job categories do people searching Director Utilization Management jobs in Colorado look for?

The top searched job categories for Director Utilization Management jobs in Colorado are:

What cities in Colorado are hiring for Director Utilization Management jobs?

Cities in Colorado with the most Director Utilization Management job openings:

Director Utilization Management jobs near you
Infographic showing various Director Utilization Management job openings in Colorado as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 18% Part Time, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $55,017 per year, or $26.5 per hour.

Director of Health Information Management

Acadia Healthcare

Westminster, CO • On-site

Full-time

Re-posted 8 days ago

Acadia Healthcare rating

6.2

Company rating: 6.2 out of 10

Based on 191 frontline employees who took The Breakroom Quiz

698th of 898 rated healthcare providers

Job description

West Pines Behavioral Hospital is a new 144-bed inpatient behavioral health facility serving Denver area residents located at 11455 Huron Street, Westminster, CO.  A joint venture between Intermountain Health and Acadia Healthcare.  The hospital will provide comprehensive inpatient and intensive outpatient services to address the growing need for accessible, high-quality behavioral health care in the Denver metro area.

We are seeking passionate people with a caring attitude.  Apply today!


PURPOSE STATEMENT: 

Responsible for the overall leadership and management of the Health Information Management Department (HIM) in the capacity of planning, organizing and managing electronic and paper clinical content, electronic data integrity, accessibility, use, and protection of health information. 

ESSENTIAL FUNCTIONS: 

  • Maintain department productivity, quality and efficiency for all processes within the department. 
  • Responsible for information governance to ensure facility-wide health data integrity, privacy, and security. 
  • Implement processes and systems to support accurate and complete medical record documentation. 
  • Oversee and assist with data collection, storage, retrieval, assembly, analysis, filing and retention of medical records/data. 
  • Prepare and analyze clinical data for research purposes, process improvement, utilization management, mandatory reporting, and more. 
  • Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation. 
  • Work with physicians to improve the quality of documentation. 
  • Work with coding staff to ensure accurate coding for reimbursement and clinical care. 
  • Oversee data collection, storage, retrieval, filing and retention of medical records/data. 
  • Audit records and data for accuracy, compliance and timeliness.  Review results with administration, medical, nursing and clinical staff. 
  • Ensure documentation is filed in the medical records in an accurate and timely manner and ensure that the medical record is complete (including signatures) and closed within facility guidelines.  
  • Interface with inside/outside legal counsel regarding content of medical records. 
  • Work as liaison between facility and transcription vendor to ensure high quality, accurate, complete and timeliness of transcribed documents. 
  • Ensure HIM Key Indicators are tracked and reported monthly to the Performance Improvement Committee.  
  • Ensure State Reporting is accurate, complete and reported timely. 
  • May oversee and/or complete coding according to current ICD and/or CPT coding classifications. 
  • May serve as the facility Privacy Officer. 

OTHER FUNCTIONS:  

  • Perform other functions and tasks as assigned. 

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

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    About Acadia Healthcare

    Sourced by ZipRecruiter

    Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.

    Industry

    Hospitals

    Company size

    10,000+ Employees

    Headquarters location

    Franklin, TN, US

    Year founded

    2005

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