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Part Time Insurance Utilization Review Jobs in Colorado

Medical Director - MD 1 Day Weekly

Castle Rock, CO · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... life insurance Tax free Health Spending Accounts (HSA) Wellness program featuring fitness ... Oversee chronic care clinics, utilization review, and quality improvement initiatives * Collaborate ...

Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in-services training program for other staff in the facility. Record ...

Medical Director - MD 1 Day Weekly

Castle Rock, CO · On-site

$74K - $82K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Company paid life insurance * Tax free Health Spending Accounts (HSA) * Wellness program featuring ... Oversee chronic care clinics, utilization review, and quality improvement initiatives * Collaborate ...

Case Manager

Colorado Springs, CO

$19.75 - $25.50/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.

Case Manager

Colorado Springs, CO · On-site

$20 - $25.75/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.

Psychiatric Nurse Practitioner

Pueblo, CO · On-site

$115K - $150K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Contribute to case review, consultation, and utilization review * Research and utilize evolving ... Our extensive benefits package includes medical/dental/vision insurance, short and long-term ...

Medical Director

Castle Rock, CO · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... insurance • Tax free Health Spending Accounts (HSA) • Wellness program featuring fitness ... Oversee chronic care clinics, utilization review, and quality improvement initiatives * Collaborate ...

Pharmacy Intern

Montrose, CO

$16 - $19.75/hr

Ensure proper documentation for transmitting information to insurance companies, reviewing profiles for appropriate billing choices. * Alert pharmacists appropriately for drug utilization reviews ...

Medical Director - MD 1 Day Weekly

Castle Rock, CO

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... insurance • Tax free Health Spending Accounts (HSA) • Wellness program featuring fitness ... Oversee chronic care clinics, utilization review, and quality improvement initiatives * Collaborate ...

Caregiver (part-time)

Denver, CO · On-site

$18.50 - $23/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Insurance (including medical, dental AND vision) * We offer BOTH Paid Time Off (PTO) and Paid Sick ... Applications will be reviewed on a rolling basis until the position is filled or through 9/4/26 Job ...

Showing results 21-40

Part Time Insurance Utilization Review information

What is the difference between Part Time Insurance Utilization Review vs Part Time Claims Reviewer?

AspectPart Time Insurance Utilization ReviewPart Time Claims Reviewer
CredentialsTypically requires insurance or healthcare-related certificationsOften requires insurance or claims processing certifications
Work EnvironmentHealthcare settings, insurance companies, or third-party administratorsInsurance companies, claims processing centers, or third-party administrators
Job FocusEvaluating medical necessity and appropriateness of servicesReviewing and processing insurance claims for accuracy and coverage

Part Time Insurance Utilization Review and Part Time Claims Reviewer roles both involve insurance industry work, but focus on different aspects. Utilization review centers on assessing medical necessity, while claims reviewers handle processing and verifying claims. Understanding these differences helps job seekers find the right fit based on their skills and interests.

What cities in Colorado are hiring for Part Time Insurance Utilization Review jobs?

Cities in Colorado with the most Part Time Insurance Utilization Review job openings:

Medical Director - MD 1 Day Weekly

Wellpath

Castle Rock, CO • On-site

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago


Wellpath rating

7.2

Company rating: 7.2 out of 10

Based on 94 frontline employees who took The Breakroom Quiz

349th of 888 rated healthcare providers


Job description

You Matter

Make a difference every day in the lives of the underserved Join a mission driven organization with a people first culture Excellent career growth opportunities

Join us and find a career that supports: Caring for overlooked, underserved, and vulnerable patients Diversity, equity, inclusion, and belonging Autonomy in a warm team environment Growth and training

Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: DailyPay, receive your money as you earn it! Tuition Assistance and dependent Scholarships Employee Assistance Program (EAP) including free counseling and health coaching Company paid life insurance Tax free Health Spending Accounts (HSA) Wellness program featuring fitness memberships and product discounts Preferred banking partnership and discounted rates for home and auto loans

*Eligibility for perks and benefits varies based on employee type and length of service. 

Why Us

Now is your moment to make a difference in the lives of the underserved.

If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to "Always Do The Right Thing!", and to collectively do our part to heal the world, one patient at a time.

Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. 

We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.

How you make a difference

The Site Medical Director provides clinical leadership at the assigned facility and ensures compliance with medical standards and regulations. They deliver direct care, supervise healthcare staff, and coordinate with internal and external healthcare providers. Responsibilities include documentation, emergency response, treatment planning, and formulary compliance. The Medical Director supports continuous quality improvement efforts and participates in policy and protocol development. They also play a key role in chronic care clinic oversight, pharmacy monitoring, and medical program review.

Key Responsibilities
  • Provide direct medical care and document all clinical encounters in compliance with standards

  • Supervise and support healthcare staff and ensure adherence to clinical protocols

  • Oversee chronic care clinics, utilization review, and quality improvement initiatives

  • Collaborate with the Health Services Administrator to enhance patient care and outcomes

  • Maintain clinical oversight and consult on complex medical cases or referrals

Additional DetailsOne Day Weekly On-Call Every Other WeekQualifications & Requirements

EDUCATION

  • Medical school graduate

EXPERIENCE

  • Experience in Family Practice, Emergency Medicine, Internal Medicine or Public Health preferred

LICENSES/CERTIFICATIONS

  • Must have and maintain current licensure within the State of employment

  • Maintains a current DEA number

  • Must be able to obtain and maintain CPR certification

  • Must maintain privileges and CME requirements for continued medical practice in the State

We are an Equal Employment Opportunity Employer

We are committed to fostering, cultivating, and preserving a culture of uniqueness.

We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees.

We encourage you to apply! If you are excited about a role but your experience doesn't seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.

Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description.

We are an Affirmative Action Employer in accordance with applicable state and local laws.

Employment Type: PART_TIME

What Wellpath employees say

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