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Utilization Management Clinical Analyst Jobs in Colorado

Clinical Programs Analyst (IKC)

Denver, CO · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Analyst will partner closely with clinical, operations, product/reporting, field leadership, and nephrology engagement stakeholders to support programs such as panel management, medication ...

We are currently seeking anEpic Clinical Subject Manager & Project Manager to join our Healthcare ... Analyze current-state clinical workflows andidentifyopportunities to improve provider efficiency ...

IKC Clinical Programs Sr Analyst

Denver, CO · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... America The Senior Analyst, IKC Clinical Programs , will support transition and run-state ... Own defined workstreams and problem-solving lanes under the direction of the Sr. Manager * Build ...

IKC Clinical Programs Analyst

Model, CO · On-site

$57K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... Analyst, IKC Clinical Programs plays a critical role in supporting and optimizing DaVita ... This role focuses on driving clinical quality, managing care gaps, and fostering strong ...

Formulary Operations Pharmacist

Denver, CO · On-site

$60 - $72/hr

... with Analytics to streamline processes and workflows * Analyzes pharmacy cost of care and clinical updates for the development of formulary management programs and utilization management edits

Formulary Operations Pharmacist

Denver, CO · On-site

$60 - $72/hr

... with Analytics to streamline processes and workflows * Analyzes pharmacy cost of care and clinical updates for the development of formulary management programs and utilization management edits

Value Analysis Manager

Englewood, CO · Hybrid

$88K - $155K/yr

Knowledge of value analysis methodologies, product standardization practices, and utilization management principles. * Ability to analyze clinical, operational, financial, and quality data to support ...

Utilization Review RN

Aurora, CO · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Utilization Management Job Status: part time, 24 hours per week, eligible for benefits Shift ... Three years of recent clinical or case management experience that includes recent UR experience in ...

Utilization Review RN

Aurora, CO · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Utilization Review RN participates as a member of a multidisciplinary team to support medical ... Three years of recent clinical or case management experience that includes recent UR experience in ...

Clinical Reviewer

Denver, CO

$35 - $40/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Perform utilization management across DME, acute care, inpatient services, imaging, genetic testing ... Analyze daily caseloads and adjust workflow as needed to meet department demands. * Support quality ...

Showing results 21-40

Utilization Management Clinical Analyst information

How does a utilization management clinical analyst typically collaborate with clinical and administrative teams to ensure optimal patient care?

A Utilization Management Clinical Analyst works closely with both clinical staff, such as nurses and physicians, and administrative teams to review patient cases and ensure that treatments and services are medically necessary and align with payer guidelines. This role often involves participating in interdisciplinary meetings, communicating findings and recommendations, and helping to develop or refine care protocols. Effective collaboration is essential to balance quality patient care with cost efficiency, and analysts regularly provide feedback and support to improve clinical workflows and documentation.

What are the key skills and qualifications needed to thrive as a utilization management clinical analyst?

To thrive as a Utilization Management Clinical Analyst, you need a solid background in healthcare, strong analytical abilities, and credentials such as RN or LPN licensure or relevant clinical certifications. Familiarity with utilization management software, electronic health records (EHRs), and claims processing systems is typically required. Excellent communication, critical thinking, and attention to detail are soft skills that help you collaborate effectively and make sound clinical determinations. These competencies are crucial for ensuring the appropriate use of medical resources, maximizing patient outcomes, and maintaining regulatory compliance.

What does a utilization management clinical analyst do?

A Utilization Management Clinical Analyst reviews and analyzes medical records, claims, and treatment plans to ensure that healthcare services provided to patients are medically necessary and cost-effective. They work with healthcare providers, insurance companies, and patients to evaluate the appropriateness of medical care based on established guidelines and policies. Their goal is to optimize patient outcomes while controlling healthcare costs and ensuring compliance with regulatory standards.

What is the difference between Utilization Management Clinical Analyst vs Utilization Review Nurse?

AspectUtilization Management Clinical AnalystUtilization Review Nurse
CredentialsHealthcare degree, certifications like CCM or CUCRegistered Nurse (RN), state licensure, certifications like CCM
Work EnvironmentInsurance companies, healthcare organizations, utilization review departmentsHospitals, insurance companies, outpatient facilities
Employer & IndustryHealth insurance providers, managed care organizationsHospitals, insurance companies, healthcare facilities
Common Search & ComparisonUtilization Management Clinical Analyst vs Utilization Review Nurse

The main difference between a Utilization Management Clinical Analyst and a Utilization Review Nurse lies in their focus and credentials. Clinical Analysts often have healthcare degrees and certifications like CCM, working primarily in insurance or managed care settings. Utilization Review Nurses are registered nurses with licensure, working in hospitals or outpatient facilities. Both roles involve reviewing medical necessity, but their work environments and professional backgrounds differ.

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

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

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

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

Infographic showing various Utilization Management Clinical Analyst job openings in Colorado as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution.

Clinical Programs Analyst (IKC)

DaVita, Inc.

Denver, CO • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 4 days ago


DaVita rating

7.0

Company rating: 7.0 out of 10

Based on 1,175 frontline employees who took The Breakroom Quiz

416th of 887 rated healthcare providers


Job description

Posting Date
07/14/2026
2000 16th Street, Denver, Colorado, 80202, United States of America
GENERAL PURPOSE OF THE JOB
The Analyst, CKD Model of Care / Clinical Programs, supports high-impact initiatives that advance DaVita Integrated Kidney Care's CKD strategy, with emphasis on translating clinical priorities into practical tools, workflows, reporting, and training that improve execution at scale.
This role is best suited for a structured, detail-oriented analyst who can operate in ambiguity, synthesize complex clinical and operational information, and help move cross-functional work from concept to pilot to scaled run-state. The Analyst will partner closely with clinical, operations, product/reporting, field leadership, and nephrology engagement stakeholders to support programs such as panel management, medication management, delayed progression, and related CKD Model of Care priorities.
PRIMARY RESPONSIBILITIES
• Support design, launch, and continuous improvement of CKD Model of Care workflows, tools, training materials, communications, and management processes.
• Own defined analytical and execution workstreams, including scoping the question, organizing inputs, building workplans, tracking risks and decisions, and driving timely follow-through.
• Analyze clinical, operational, and financial data to identify trends, performance gaps, and opportunities for action; translate findings into clear recommendations for leaders and cross-functional partners.
• Build and maintain reporting, trackers, readiness summaries, action logs, risk logs, and executive-ready materials that create visibility into progress, barriers, ownership, and next steps.
• Support panel management and nephrology engagement work, including workflow documentation, practice communication materials, training support, pilot learnings, metrics tracking, and operational reinforcement.
• Support medication management including workflow tools, training assets, performance tracking, data quality review, and stakeholder-ready updates.
• Partner with care team role leads and operational stakeholders to ensure workflow designs are feasible, within role scope, and clear for frontline execution.
• Prepare concise, polished materials for workgroups, leadership updates, meetings, trainings, and readouts; capture decisions and action items and ensure follow-up is completed.
• Identify when data, workflows, or materials require additional review for accuracy, privacy, compliance, legal, or clinical alignment, and route questions appropriately.
WHAT WILL MAKE SOMEONE SUCCESSFUL IN THIS ROLE
• High ownership and follow-through; consistently brings order to ambiguous work and closes loops without extensive prompting.
• Strong analytical judgment; able to reconcile data discrepancies, pressure-test assumptions, and clearly flag limitations or risks.
• Excellent written and verbal communication; able to translate complex clinical and operational topics into concise, audience-ready materials.
• Strong project-management discipline, including prioritization, meeting preparation, stakeholder follow-up, and clear documentation of decisions and dependencies.
• Comfort working across functions without formal authority; builds trust with clinical, operations, analytics, product, and field partners through responsiveness and credibility.
• Practical operator mindset; designs tools and workflows that are usable by care teams and leaders, not just theoretically sound.
• Strong attention to detail in data, slides, communications, and training materials, with the ability to deliver polished work products under changing timelines.
• Curiosity, humility, and learning agility; seeks clinical and operational context, asks good questions, incorporates feedback, and improves the work iteratively.
• Sound judgment on role scope, patient information, and compliance/privacy considerations.
MINIMUM QUALIFICATIONS
• Undergraduate degree required; healthcare, business, public health, analytics, operations, or related field preferred.
• 0-3+ years of experience in healthcare operations, consulting, analytics, care model design, process improvement, project management, or related work.
• Demonstrated ability to analyze data, synthesize insights, and create leadership-ready recommendations.
• Advanced proficiency in Microsoft PowerPoint and Excel required; experience with Tableau or similar reporting tools preferred.
• Experience supporting cross-functional teams, clinical operations, value-based care, nephrology, chronic disease management, or integrated care models preferred.
• Exceptional written and verbal communication skills, including the ability to tailor messages for frontline, operational, clinical, and senior leadership audiences.
• Ability to handle confidential information and patient-related topics with discretion, sound judgment, and adherence to applicable policies.
TRAVEL AND OTHER REQUIREMENTS
• Preference for Denver-based candidates
• Must be able to manage multiple priorities in a fast-paced, evolving environment.
What We'll Provide:
More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.
  • Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
  • Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more
  • Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.

#LI-CM5
At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.
This position will be open for a minimum of three days.
The Salary Range for the role is $57,784.00 - $85,000.00 per year.
For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates
Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits
Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

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About DaVita

Sourced by ZipRecruiter

DaVita is a healthcare company that provides compassionate, quality healthcare. The company’s mission is to be the Provider, Partner, and Employer of Choice. DaVita serves more than 200,000 dialysis patients in 10 countries outside the U.S. and has over 55,000 teammates in the U.S. Since 2011, DaVita teammates have donated $11 million to local nonprofits and have volunteered over 180,000 hours since 2006. DaVita has been on Fortune’s list of the world’s most admired companies for 15 years in a row.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Denver, CO, US

Year founded

1994