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Remote Optum Prior Authorization Jobs in Colorado

Network Operations Manager

Denver, CO · On-site +1

$905K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

OPERATIONS MANAGER, NETWORK OPERATIONS POSITION SUMMARY This position a remote role and is ... Must be authorized to work in the United States. * This is a staff position. * This is an Exempt ...

Records Management Specialist

Denver, CO · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Prior federal records management or federal contracting experience is preferred. Education Bachelor ... remote performance with onsite support when appropriately authorized. Normal work hours are ...

Collections Supervisor

Englewood, CO · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Monday - Friday / Remote We Offer Medical, Dental & Vision Benefits plus, HSA & FSA Savings ... Collaborates with the authorization and intake teams to ensure accurate and timely submission of ...

Records Management Specialist

Denver, CO · On-site +1

$65K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Prior federal records management or federal contracting experience is preferred. Education Bachelor ... remote performance with onsite support when appropriately authorized. Normal work hours are ...

Collections Supervisor

Englewood, CO · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Monday - Friday / Remote We Offer * Medical, Dental & Vision Benefits plus, HSA & FSA Savings ... Collaborates with the authorization and intake teams to ensure accurate and timely submission of ...

Records Management Specialist

Denver, CO · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Prior federal records management or federal contracting experience is preferred. Education Bachelor ... remote performance with onsite support when appropriately authorized. Normal work hours are ...

IT Strategic Planner

Boulder, CO · On-site +1

$152K - $160K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This position is not eligible for full-time remote work or for candidates located outside of the ... prior to being authorized to work remotely. Compensation The compensation range for this position ...

Senior Software Engineer, Reliability Remote, US About Nametag Nametag is building the future of ... Ideal Qualifications Work Authorization (Required): Applicants must be legally authorized to work ...

Housekeeping Aid

Denver, CO · On-site +1

$20.90 - $24.38/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Not authorized Critical Skills Incentive (CSI): Not approved Pay: Competitive salary and regular ... Remote: This is not a remote position Telework : Not available Virtual: This is not a virtual ...

Food Service Worker

Aurora, CO · On-site +1

$22.87 - $26.69/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Not authorized Pay: Competitive salary and regular salary increases When setting pay, a higher step ... Remote: This is not a remote position Telework: Not available Virtual: This is not a virtual ...

Showing results 41-60

Remote Optum Prior Authorization information

What is the difference between Remote Optum Prior Authorization vs Remote Optum Claims Reviewer?

AspectRemote Optum Prior AuthorizationRemote Optum Claims Reviewer
CredentialsTypically requires healthcare-related certifications, such as RN, LPN, or medical coding credentialsOften requires similar healthcare certifications, with focus on claims processing
Work EnvironmentRemote, healthcare insurance setting, interacting with providers and patientsRemote, insurance claims processing environment, reviewing submitted claims
Employer & Industry UsageCommonly employed by health insurance companies like Optum, focusing on authorization processesEmployed by insurance companies, focusing on claims review and reimbursement

Remote Optum Prior Authorization specialists focus on obtaining approvals for healthcare services, while Remote Optum Claims Reviewers evaluate submitted claims for accuracy and reimbursement. Both roles require healthcare knowledge and certifications, but differ in their primary functions within the insurance process.

What is a Remote Optum Prior Authorization?

A Remote Optum Prior Authorization job involves reviewing and processing requests from healthcare providers to determine whether certain medical procedures, medications, or services will be covered under a patient's insurance plan. Employees in this role work from home and use clinical guidelines to assess the necessity and appropriateness of requested treatments. They collaborate with providers, patients, and insurance teams to ensure timely authorization decisions. This position typically requires strong communication skills, attention to detail, and familiarity with healthcare regulations and insurance policies.

What are the key skills and qualifications needed to thrive as a Remote Optum Prior Authorization specialist, and why are they important?

To thrive as a Remote Optum Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and prior authorization protocols, typically supported by a healthcare-related degree or relevant experience. Familiarity with electronic health record (EHR) systems, insurance verification tools, and prior authorization software is essential. Excellent attention to detail, organizational skills, and effective communication are vital soft skills for efficiently managing high volumes of authorization requests and collaborating with providers. These skills ensure accurate, timely approvals and help optimize patient care while reducing administrative delays.

How does a Remote Optum Prior Authorization specialist typically interact with healthcare providers and insurance teams?

As a Remote Optum Prior Authorization specialist, you will regularly communicate with healthcare providers, pharmacies, and insurance representatives to obtain and verify necessary information for authorizing medical procedures or medications. Most interactions occur via phone, secure messaging, or electronic health record systems, requiring clear communication and attention to detail. Collaboration is essential, as you'll often need to clarify clinical documentation with providers and ensure compliance with insurance guidelines. This role is well-suited for those who are organized, proactive, and comfortable working independently within a supportive virtual team environment.

What are popular job titles related to Remote Optum Prior Authorization jobs in Colorado?

For Remote Optum Prior Authorization jobs in Colorado, the most frequently searched job titles are:

What cities in Colorado are hiring for Remote Optum Prior Authorization jobs?

Cities in Colorado with the most Remote Optum Prior Authorization job openings:

Infographic showing various Remote Optum Prior Authorization job openings in Colorado as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Account Manager - Business Development (62578)

NEI Electric Power Engineering, Inc

Lakewood, CO • On-site, Remote

$70K - $110K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Job description

Account Manager - Business Development
About the Position
As an Account Manager in the Business Development group, we are looking for a dynamic and relationship-driven individual to join our vibrant sales team. This role is all about growing existing accounts and qualifying inbound leads, with a strong emphasis on creating an exceptional experience for our clients. While prior sales experience is not a must, a robust technical background is highly valued. The ideal candidate is driven, adept at building meaningful relationships, coachable, and self-aware. They should also resonate deeply with our core values and be passionate about delivering unparalleled service to our clients. This is an exciting opportunity to be at the forefront of our efforts to enhance client satisfaction and drive business growth.
This opportunity is available to both local / in-office (Lakewood, CO) and full-time remote candidates.
Essential Responsibilities
• Account Growth: Develop and maintain strong relationships with existing clients to identify opportunities for account growth and expansion.
• Lead Qualification: Qualify inbound leads and convert them into potential sales opportunities.
• Client Engagement and Success: Act as the primary point of contact for clients, ensuring their needs are met and providing exceptional customer service.
• Sales Strategy: Work with the sales team to develop and implement effective sales strategies to achieve company goals.
• Reporting: Maintain accurate records of client interactions and sales activities using HubSpot CRM software.
• Market Research: Stay updated on industry trends and market conditions to identify new business opportunities.
Must Have
• Education: Bachelor's in Electrical Engineering, Civil Engineering, or similar field from an accredited institution preferred.
• Experience: 6+ years of experience in a similar engineering or proposal role
• Previous experience in cost estimating, proposal writing, and/or technical sales is highly preferred.
• Good interpersonal and people skills
• Applicants must be currently authorized to work in the United States on a full-time basis
Working Conditions
Work Environment: Work is performed in an office setting and some field work may be required
Travel: Typical: 10 - 15%
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 four 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 backgrounds and unique experiences; bringing in new, unique, and exciting perspectives that can only strengthen NEI as we chart our 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, martial 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.