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Remote Utilization Review Manager Jobs in Colorado

Contract Review Attorney

Denver, CO ยท On-site +1

$105K - $120K/yr

The Contract Review Attorney is responsible for review and analysis of primary transaction ... Ability to work independently to manage workload and in a remote location. * Efficiently and ...

Remote Tax Manager

Denver, CO ยท On-site +1

$135K - $195K/yr

Prepare and review: * Individual (1040), business (1120S, 1065), and basic corporate returns ... managing client relationships * Ability to work independently in a remote environment * Strong ...

Engagement Manager

Denver, CO ยท On-site +1

$95K - $120K/yr

Manage engagement keeping in mind client needs, staff utilization and overall engagement efficiency ... Review all communications to the client and its investors on an ongoing basis * Assist with ...

Continued Stay Coordinator

Denver, CO ยท On-site +1

$22.84 - $27.40/hr

Experience supporting continued stay, utilization management, or regulatory eligibility reviews in a healthcare setting Benefits InnovAge is dedicated to empowering seniors to live independently ...

Contracts Manager

Denver, CO ยท On-site +1

$99K - $135K/yr

... utilization to national defense, human exploration, and commercial space transport. We are seeking ... All stock grants are subject to executive review and approval in accordance with the Company ...

Credit Review Team Leader - Consumer

Denver, CO ยท On-site +1

$93K - $189K/yr

The ideal candidate is a proven credit risk manager with an exceptional delivery track record ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

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Remote Utilization Review Manager information

What are some common challenges faced by a Remote Utilization Review Manager, and how can they be addressed?

A Remote Utilization Review Manager often encounters challenges such as maintaining effective communication with clinical teams, ensuring timely and accurate reviews, and staying updated with changing regulations and payer requirements. To address these, it's important to leverage secure collaborative platforms, establish clear workflows, and participate in ongoing training. Building strong relationships with team members and regularly reviewing protocols also help in overcoming remote work hurdles and ensuring compliance and efficiency.

What is the difference between Remote Utilization Review Manager vs Remote Utilization Review Nurse?

AspectRemote Utilization Review ManagerRemote Utilization Review Nurse
CredentialsTypically requires a nursing license, certifications like URAC or AAPC, and management experienceLicensed Registered Nurse (RN) with utilization review certification often preferred
Work EnvironmentOversees review teams, manages processes, and ensures compliance remotelyPerforms case reviews, assesses medical necessity, and documents findings remotely
Employer & Industry UsageHealth insurance companies, third-party administrators, healthcare organizations

The Remote Utilization Review Manager focuses on overseeing review teams and managing processes, while the Remote Utilization Review Nurse conducts case assessments and medical necessity reviews. Both roles require nursing credentials and are integral to healthcare utilization management, but differ in responsibilities and leadership levels.

What is a Remote Utilization Review Manager?

A Remote Utilization Review Manager is a healthcare professional responsible for overseeing the review of medical services and determining the necessity, appropriateness, and efficiency of those services from a remote location. They ensure that healthcare providers comply with guidelines and that patients receive appropriate care without unnecessary procedures. These managers work with clinical teams, insurance companies, and regulatory agencies to optimize patient outcomes and manage healthcare costs. Working remotely allows them to perform these duties using digital health records and telecommunication tools.

What are the key skills and qualifications needed to thrive as a Remote Utilization Review Manager, and why are they important?

To thrive as a Remote Utilization Review Manager, you need expertise in healthcare management, case review, and regulatory compliance, typically supported by a nursing degree (RN or BSN) and relevant certifications such as CCM or URAC. Familiarity with utilization management software, electronic health records (EHRs), and payer systems is essential. Strong analytical thinking, attention to detail, and excellent communication skills help navigate complex cases and collaborate with clinical teams and insurers. These skills ensure effective resource utilization, regulatory adherence, and optimal patient outcomes in a remote healthcare environment.
What are the most commonly searched types of Remote Utilization Review jobs in Colorado? The most popular types of Remote Utilization Review jobs in Colorado are:
What job categories do people searching Remote Utilization Review Manager jobs in Colorado look for? The top searched job categories for Remote Utilization Review Manager jobs in Colorado are:
Contract Review Attorney

Contract Review Attorney

SRS Acquiom

Denver, CO โ€ข On-site, Remote

$105K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 28 days ago


Job description

About SRS Acquiom

SRS Acquiom delivers the smartest way to run a dealโ„ข through a platform and services designed to help deal parties manage complex M&A and loan agency transactions more efficiently.

Based in Denver, Colorado, with offices across the United States and in London and Amsterdam, SRS Acquiom supports transactions across North America and Europe. Our M&A services include professional shareholder representation, paying and escrow agent services, and online document solicitation and reporting. For loan and credit transactions, we provide independent Administrative Agent, Collateral Agent, Sub-Agent, and Successor Agent services.

Since 2007, SRS Acquiom has supported more than 11,500 transactions globally. By bringing efficiency, expertise, and purpose-built technology to complex financial transactions, we help sophisticated deal parties focus on building great businesses and maximizing value.

We're equally committed to building careers as we are to building solutions. If you're looking for a company with entrepreneurial energy, a proven record of growth and innovation, and a culture that supports your next career move, we'd love to talk.

A few benefits our employees enjoy

  • Dayโ€‘one coverage: medical, dental, and vision plans so you're protected from the start
  • A 401(k) with a 4% company match to keep your future on track
  • Discretionary time off - take the time you need, when you need it
  • Employerโ€‘paid life insurance, with the option to add extra coverage for peace of mind
  • Employee Assistance Programs for confidential support when life gets complicated
  • Discounted pet insurance (because furry family members count, too)
  • A fitness credit to back your health and wellness goals
  • Preโ€‘tax plans for dependent care, transportation, and flexible spending

Position Summary

SRS Acquiom is currently searching for a Contract Review Attorney. The Contract Review Attorney is responsible for review and analysis of primary transaction documents in each of our M&A transactions to ensure complete and concise entry of post-closing obligations and deal terms into our proprietary database. The ideal candidate can quickly comprehend key provisions of complex agreements and work independently. This position will report to the Senior Director, Contract Administration.

Location: This is a Remote position with some travel to the Denver, CO office required (Up to 25%).

Compensation: The salary range for this position is between $105k and $120k, depending on experience level.

Primary Responsibilities

  • Review transaction documents (usually a merger, asset, or stock purchase agreement, escrow and paying agent agreement, allocation spreadsheet, and supporting or ancillary agreements) for an understanding of post-closing rights and obligations of the parties (for example, rights to deferred compensation, earnouts, and releases of escrow and indemnification obligations).
  • Complete second-level review of data entered by first-level reviewers to ensure a complete and accurate reflection of such rights and obligations in our proprietary database.
  • Confirm accurate recording of various standard deal points from each transaction, such as deal size, types of parties, type of transaction, purchase price adjustment process, types of indemnification obligations and related caps, and inclusion of certain covenants, representations, and warranties.
  • Answer deal-term and contract interpretation questions from internal parties and deal stakeholders.
  • Follow up as needed to obtain additional transaction documents to complete an accurate recording of deal points.
  • Assist the Compliance Team with various tasks as designated overflow.
  • Execution of special projects as needed or assigned.

Required Qualifications & Skills

  • Graduated from an accredited law school.
  • Licensed attorney with a strong academic record.
  • 2-5 years of M&A experience with a major law firm or in-house corporate law department.
  • Working to advanced knowledge of Microsoft Office (Excel, Word) required.
  • Manage multiple tasks simultaneously under tight deadlines.
  • Takes ownership of issues and follows through to resolution.
  • Highly motivated self-starter with the ability to work collaboratively.
  • Extremely detail-oriented and meticulous.
  • Strong analytical and organizational skills.
  • Maintain a high level of confidentiality and integrity.

Desired Characteristics

  • M&A, Securities, Corporate, or Transactional Experience.
  • Understanding of database management and/or statistics.
  • Excellent communication (verbal and written), facilitation, and interpersonal skills.
  • Ability to work independently to manage workload and in a remote location.
  • Efficiently and creatively solve problems when unexpected issues arise.

Physical Requirements/Special Demands

  • Remote office setting
  • Ability to work irregular hours, such as nights/weekends or after hours, may be required
  • Work in fast paced environment
  • Ability to travel to the corporate office in Denver, Colorado (at least twice per year)
  • Must be able to operate standard office productivity machinery and equipment, including a phone, computer/laptop, mouse and keyboard, photocopy machine, scanner, and e-fax
  • Work on the computer for the majority of regular workdays
** We are unable to sponsor or take over sponsorship of employment visas. Candidates must be legally authorized to work in the United States without the need for current or future visa sponsorship to move forward in the hiring process. **

Fraud & spam screening. We use tools in our applicant tracking system to help detect potentially fraudulent or spam applications. These tools analyze limited technical and contact information (such as IP address, device/browser signals, and email/phone characteristics) to flag patterns that may indicate automated, inauthentic, or suspicious activity. Flags are used to prioritize human review and do not, by themselves, determine hiring outcomes. Learn more in our Privacy Policy.

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without advanced notice.

With respect to its programs, services, activities, and employment practices, SRS Acquiom Inc. assesses qualified individuals without regard to their race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), age, national origin, disability, veteran status, genetic information, or other protected status. Requests for reasonable accommodation or the provision of auxiliary aids should be directed to Human Resources.