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Remote Bcba Utilization Review Jobs in Colorado (NOW HIRING)

Instructor/ Trainer

Greeley, CO ยท On-site +1

$48 - $53/hr

Position is Remote or Hybrid. Authorization to work lawfully in the US without sponsorship from ... Demonstrated mastery and utilization of learning theory, adult learning principles, active learning ...

Instructor/ Trainer

Greeley, CO ยท On-site +1

$48 - $53/hr

Position is Remote or Hybrid. Authorization to work lawfully in the US without sponsorship from ... Demonstrated mastery and utilization of learning theory, adult learning principles, active learning ...

Medical Denials Specialist

Denver, CO ยท Remote

$22 - $25/hr

Reviewing denied claims via Athena worklists and payer portals * Identifying root causes of denials ... Contributing to evolving processes as Virta optimizes Athena utilization Qualifications * Min 6 ...

Showing results 21-40

Remote Bcba Utilization Review information

What are some common challenges faced by a Remote BCBA Utilization Review professional, and how can they be managed?

Remote BCBA Utilization Review professionals often encounter challenges such as balancing thorough case evaluations with productivity targets and adapting to varying documentation standards from different providers. Effective time management and strong communication skills are key to addressing these challenges. Additionally, staying current with payer guidelines and collaborating closely with clinical teams can help ensure accurate and efficient reviews, ultimately supporting high-quality care for clients.

What is the difference between Remote Bcba Utilization Review vs Remote Bcba Case Manager?

AspectRemote Bcba Utilization ReviewRemote Bcba Case Manager
CertificationsBCBA, possibly additional utilization review credentialsBCBA, case management certifications often preferred
Work EnvironmentReviewing medical and treatment plans remotely, focusing on insurance and authorizationCoordinating care, managing cases, and supporting clients remotely
Employer & IndustryHealthcare, insurance companies, behavioral health providersBehavioral health agencies, healthcare organizations

Both roles require BCBA certification and involve remote work, but the Utilization Review focuses on evaluating treatment plans for insurance approval, while the Case Manager manages ongoing client care and services. Understanding these differences helps professionals choose the right career path in behavioral health.

What is a Remote BCBA Utilization Review?

Remote BCBA Utilization Review jobs involve Board Certified Behavior Analysts (BCBAs) who review and assess the medical necessity and effectiveness of Applied Behavior Analysis (ABA) therapy services, usually for insurance companies or healthcare organizations. These professionals work remotely to evaluate clinical documentation, ensure compliance with treatment guidelines, and approve or deny service requests based on established criteria. The role helps ensure that clients receive appropriate care while also managing costs for payers. Strong analytical and communication skills are essential, as is up-to-date BCBA certification.

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

To excel as a Remote BCBA Utilization Review specialist, you need Board Certified Behavior Analyst (BCBA) certification, in-depth knowledge of applied behavior analysis (ABA), and experience with clinical documentation standards. Familiarity with electronic health record (EHR) systems, utilization review platforms, and insurance authorization processes is typically required. Strong analytical thinking, attention to detail, and effective written communication distinguish top performers in this role. These competencies ensure accurate service reviews, compliance with payer requirements, and support for quality client care in a remote environment.
What are the most commonly searched types of Bcba Utilization Review jobs in Colorado? The most popular types of Bcba Utilization Review jobs in Colorado are:
What are popular job titles related to Remote Bcba Utilization Review jobs in Colorado? For Remote Bcba Utilization Review jobs in Colorado, the most frequently searched job titles are:
What cities in Colorado are hiring for Remote Bcba Utilization Review jobs? Cities in Colorado with the most Remote Bcba Utilization Review job openings:
Infographic showing various Remote Bcba Utilization Review job openings in Colorado as of August 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 25% Hybrid, and 75% Remote job distribution.

Strategic Account Manager, Denver, CO

Bioliance Life Science Partners

Denver, CO โ€ข Remote

$165K - $175K/yr

Other

This job post hasย expired 1 day ago.ย Applications are no longer accepted.


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Job Openings >> Strategic Account Manager, Denver, CO
Strategic Account Manager, Denver, CO
Summary
Title: Strategic Account Manager, Denver, CO ID: 1138 Location: Denver, CO Department: Sales Salary Range: $165K - $175K
More about this job >
Description

Strategicย Account Manager, Denver, CO

Department: Commercial

Reports To:ย Hisham Ismail, West Region Director

FLSA Status: Exempt

Job Type: Full-time

Location: Remote

ABOUT ACCORD BIOPHARMA

Accord BioPharma, a division of Accord Healthcare and a wholly owned subsidiary of Intas Pharmaceuticals Ltd., develops and commercializes innovative therapies across oncology, immunology, urology, and women's health. With one of the industry's most robust biosimilar pipelines, Accord BioPharma is positioned for significant growth over the next several years.

CULTURE & VALUES

Accord BioPharma fosters a collaborative, entrepreneurial, and patient-first culture grounded in humility, empathy, trust, respect, and accountability. We value diverse perspectives and empower our team members to contribute meaningfully toward improving patient outcomes and experiences.

POSITION OVERVIEW

The Strategicย Account Manager (SAM) is a field-based commercial role responsible for driving adoption and appropriate utilization of Accord BioPharma's biosimilar portfolio across urology, immunology, and other specialty therapeutic areas within an assigned territory. Reporting to the Regional Sales Director (RSD), the SAM builds trusted, compliant partnerships with healthcare professionals by articulating the clinical, economic, and patient-access value of biosimilars in support of high-quality, sustainable care.

The SAM executes territory business plans established in partnership with the RSD, using local insights and selling in a total office call approach, engaging relevant clinical and administrative stakeholders to deliver accurate product education, clinical data, and differentiated biosimilar value messages tailored to customer needs. Success in this role requires strong executional discipline, a sense of urgency, and close collaboration with regional leadership to support formulary adoption, address access and reimbursement barriers, and achieve commercial objectives aligned with Accord BioPharma's patient-first mission.

ESSENTIAL DUTIES AND RESPONSIBILITIES

The following duties are considered essential to the role. Reasonable accommodation may be made to enable individuals with disabilities to perform these functions.

  • Territory & Sales Execution: Own and execute a territory business plan to drive adoption, utilization, and growth of Accord BioPharma's biosimilar portfolio in alignment with sales objectives.
  • Customer Engagement & Total Office Call: Build and maintain strong, compliant relationships across a total office call approach, engaging physicians, clinical staff, practice administration, pharmacies, and formulary stakeholders.
  • Biosimilar Value & Education: Deliver accurate, impactful product education, clinical data, and biosimilar value messaging to support informed decisionmaking and appropriate product use.
  • Market Access & BuyandBill Expertise: Apply buyandbill, reimbursement, and practice economics knowledge to support account onboarding, formulary access, and product pullthrough within across specialty practices. Escalates complex access, contracting, or system-level challenges to the Regional Sales Director and appropriate internal partners.
  • Formulary & Access Support: Assist customers through formulary review and approval processes by providing clinical, economic, and value-based insights.
  • CrossFunctional Collaboration: Partner with sales leadership, marketing, medical affairs, patient services, and field reimbursement teams to ensure aligned and effective execution.
  • Market Intelligence: Monitor customer insights, competitive dynamics, and local market trends; communicate actionable insights to internal stakeholders.
  • Compliance & Reporting: Conduct all activities in accordance with company policies and regulatory requirements; maintain accurate documentation of customer interactions and business activity.
  • Additional Responsibilities: Perform other duties as assigned.

EXPECTATIONS OF THE JOB

This role requires a dynamic healthcare business professional with strong time management skills and emotional intelligence to align with our cultural values and drive business success in the pharmaceutical, oncology, and urology sectors.

  • Consistently demonstrates accountability for results and a strong track record of sales execution in complex specialty or biosimilar markets.
  • Operates effectively in buy-and-bill and reimbursement driven environments, applying working knowledge of access, coverage, and practice economics.
  • Builds credibility and trust with diverse healthcare stakeholders through clinical acumen, professional presence, and ethical judgment.
  • Manages time and priorities effectively across a large territory while maintaining disciplined execution.
  • Leverages analytical thinking to identify opportunities, anticipate challenges, and adjust strategies accordingly.
  • Works independently while contributing to a collaborative, team-oriented culture.
  • Utilizes CRM and sales productivity tools to support planning, execution, and performance tracking.

The above list reflects the general details necessary to describe the expectations of the position and shall not be construed as the only expectations that may be assigned for the position. An individual in this position must be able to successfully meet the expectations listed above.

EDUCATION AND EXPERIENCE

Education

  • Bachelor's degree from an accredited institution required.
  • MBA, PharmD, MPH, MPA, or other advanced degree preferred.

Experience

  • Minimum of 3 years of commercial experience in pharmaceutical, biotech, or market access roles preferred.
  • Biosimilar, specialty pharmacy, and/or generic experience strongly preferred.

Functional Expertise

  • Biosimilar and/or specialty products reimbursement, billing and coding experience preferred.
  • Advanced knowledge of Medicare Part B, Medicare Advantage, Medicare Supplement, Commercial Medical and Pharmacy benefits required.
  • Buy-and-bill experience required; demonstrated field application in prior roles strongly preferred.
  • Experience working in therapeutic areas serviced by Specialty Pharmacy and/or GPOs preferred.

Therapeutic Area(s)

  • Urology, Immunology, and/or Endocrinology experience required.
  • Oncology experience preferred.

Technology & Other Requirements

  • Proficiency in CRM systems and Microsoft Office tools (Power BI, Word, PowerPoint, Excel, Outlook).
  • Strong virtual communication and presentation capabilities.
  • Clean driving record.

PHYSICAL / WORK ENVIRONMENT

This position operates in a professional, remote work environment. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Accord provides equal employment opportunities (EEO) to all employees and applicants for employment consistent with applicable local, state or federal law. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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