296 utilization management jobs at 125 companies in Longmont, CO
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Utilization Management RN
Aurora, Colorado, United States
$39-$60/hrOnsiteFull Time
UCHealth: Operates acute-care hospitals and clinics providing comprehensive medical services.
3+ YOEBachelor's degree in nursing, Colorado RN licensure, 3 years of relevant experience, and BLS through AHA or CPR for the Professional Rescuer. Utilization or case management experience preferred.
5+ YOE2+ MgmtActive unrestricted RN license,5+ years in utilization/care/case management,2+ years leadership,knowledge of medical necessity reviews,care coordination,URAC/NCQA familiarity;CCM/CMGT-BC/HCQM preferred.
AllHealth Network: Provides behavioral health and substance use treatment services.
2+ YOERequires RN/BSN or master's in human services, clinical license, and 2+ years in behavioral health utilization management, care coordination, or case management.
Spring View Hospital: Community hospital providing acute care and specialty medical services.
Bachelor's required (masters preferred). Knowledge of clinical criteria and managed care, ability to complete pre/re-certifications, communicate with payers and clinical teams, and manage appeals.
Senior Director, Health Plan Utilization Management - Denver Health Medical Plan (Must Live in Colorado. Weekly On Site Requirement)
Denver, Colorado, United States
$144k-$237k/yrHybridFull Time
Denver Health: Provides comprehensive hospital and emergency medical services in Denver.
7+ YOE5+ MgmtMaster's degree, nursing or physician assistant education, 7 years of managed care or healthcare administration, 5 years of supervisory experience, and health plan and vendor management experience required.
Senior Director, Health Plan Utilization Management - Denver Health Medical Plan (Must Live in Colorado. Weekly On Site Requirement)
Denver, Colorado, United States
$144k-$237k/yrHybridFull Time
Denver Health: Academic health system providing comprehensive medical and trauma care.
7+ YOE5+ MgmtMaster's degree and nursing or physician assistant education required. Requires 7 years of managed care or healthcare administration, 5 years of supervisory experience, health plan line-of-business experience, and vendor management experience.
Business Finance Revenue Cycle Utilization Manager
Chicago or Austin or Atlanta or United States or Denver or Detroit or Philadelphia or Houston or Tampa or Dallas or Charlotte or Raleigh or Louisville
RemoteFull Time
Sevita: Specialized home and community-based healthcare and rehabilitation provider.
5+ YOE3+ MgmtBachelor's degree or 5+ years relevant experience, prior management experience, 3–5 years managing hourly staff, strong communication and analytical skills, and revenue cycle or healthcare systems experience.
Children's Hospital Colorado: Provides comprehensive pediatric medical and surgical healthcare services.
3+ YOEBSN required, 3+ years clinical or case management experience including utilization review, active RN license, BLS/CPR required; strong communication and critical thinking.
PepsiCoNASDAQ: PEP: Produces and distributes global snack and beverage products.
7+ YOEBachelor's in engineering, 7+ years project engineering experience (CAPEX $1-3M), experience with plant operations, packaging, utilities, TPM/LSS, strong leadership, and ability to travel 30-50%.
Microsoft Excel, Microsoft PowerPoint, Microsoft Project, CAD
Western Area Power Administration: Markets and delivers wholesale hydroelectric power and transmission services.
1+ YOE1+ MgmtRequires one year of specialized experience equivalent to AD-05 managing interconnected power systems, emergency switching, NERC compliance, and subordinate supervision. U.S. citizenship, drug testing, medical exam, and high-risk background investigation required.
North American Electric Reliability Corporation (NERC), Bulk Electric System (BES), Western Electricity Coordinating Council (WECC), Midwest Reliability Organization (MRO), Federal Energy Regulatory Commission (FERC), USAJOBS, login.gov
10+ YOE5+ MgmtBachelor's in engineering or construction management,10+ years project management in power delivery,7+ years utility industry experience,5+ years leading engineering/construction teams for HV/EHV transmission,knowledge of PM processes,PM certifications preferred.
Primavera P6, Microsoft Word, Microsoft Excel, Microsoft Visio, Microsoft Project, Microsoft SharePoint
AVP, Energy Supply Engineering and Asset Management
Denver or Minneapolis or Amarillo
$199k-$252k/yrOnsiteFull Time
Xcel EnergyNASDAQ: XEL: Provides electricity and natural gas services to multi-state customers.
15+ YOE5+ MgmtBachelor's degree or equivalent experience,15+ years utility experience with generation engineering and capital project delivery,5+ years middle-management,union experience,and knowledge of NERC,FERC,EPA and regulatory requirements.
City of Westminster: Provides municipal services and governance to the Westminster community.
5+ YOERequires five years of water treatment experience, Class A Colorado Water Plant Operator certification, high school diploma or GED, Colorado driver's license, Microsoft Office and SCADA proficiency, and supervisory capability.
SCADA, Microsoft Windows, Microsoft Office, Microsoft Word, Microsoft Outlook, Microsoft Excel, HVAC
6+ YOEBachelor's degree in real estate/civil engineering or equivalent,6 years negotiating utility agreements and managing land development,project management experience,ability to travel up to 25%.
Oracle Utilities Meter Data Management (MDM) Functional Lead
Albany or Arlington or Atlanta or Austin or Beaverton or Bentonville or Boston or Carmel or Charlotte or Chicago or Cincinnati or Cleveland or Columbus or Culver City or Denver or Des Moines or Detroit or Hartford or Houston or Irving or Kirkland or Miami or Milwaukee or Minneapolis or Morristown or Mountain View or Nashville or New York City or Oklahoma City or Overland Park or Philadelphia or Pittsburgh or Raleigh or Redmond or Sacramento or San Diego or San Francisco or Scottsdale or Seattle or St. Louis or St. Petersburg or Walnut Creek or United States
$59k-$196k/yrOnsiteFull Time
AccentureNYSE: ACN: Global professional services firm providing consulting and technology solutions.
3+ YOERequires 3+ years with Oracle Utilities CCS/MDM in U.S. utilities, VEE configuration experience, utility project experience, and a bachelor's degree or equivalent work experience.
Oracle Customer Cloud Service (CCS), Oracle Utilities Meter Data Management (MDM), Oracle Utilities Customer Care and Billing (CC&B), Oracle Integration Cloud (OIC), Oracle Analytics Cloud (OAC), Oracle, AMI, VEE, HES, GIS, OMS, SCADA, ISO, FERC, ANSI C12, Green Button, NAESB, AMI 2.0, Itron, Landis+Gyr, Sensus, Honeywell, Time-of-Use (TOU), Critical Peak Pricing (CPP), Net Energy Metering (NEM), Distributed Energy Resources (DER), BI
City of Aurora: Provides essential municipal services and governance for Aurora residents.
8+ YOE1+ MgmtBachelor's degree,8 years project management experience including 1 year leadership,PE registration (or obtain in CO within 6 months),PMP preferred,valid driver’s license,knowledge of water utility operations.
Ridgeland or Troy or New York City or Houston or Chicago or Grand Rapids or Owings Mills or Baltimore or Columbia or Memphis or Boston or San Jose or Austin or Kalamazoo or Spokane or Denver or Fort Worth or Atlanta or Milwaukee or Madison or McLean or Huntsville or Melville or Philadelphia or Charlotte or Greenville or Costa Mesa or Fort Lauderdale or Cincinnati or Cleveland or Columbus or Akron or Cherry Hill or Tampa or Minneapolis or Anchorage or Salt Lake City or Norfolk or Jacksonville or Boulder or Nashville or Oak Brook or Las Vegas or Indianapolis or Walnut Creek or Daphne or Mobile or Baton Rouge or Biloxi or Gulfport or Hattiesburg or Brentwood or Jackson or Arcadia or Tavares or Rolling Fork or Alturas or Silver City or Fort Myers or Forest or Clearwater or Greenville or Asheville or Greenwood or Boone or Aiken or Perry or Columbia or Belzoni or Naples or Amory or Chiefland or Palatka or Moss Point or Vero Beach or Edwards or Bidhan Nagar
$125k-$150k/yrHybridFull Time
BDO USA: Provides accounting, tax, and business advisory services to organizations.
5+ YOEBachelor’s degree and 5+ years in energy efficiency, utilities, or consulting, including utility or state-agency demand-side management, demand response, or greenhouse-gas reduction programs.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Demand-Side Management (DSM), Demand Response, Measurement and Verification (M&V), Project Management Professional (PMP), Certified Energy Manager (CEM), Business Energy Professional (BEP), Building Performance Institute (BPI), Leadership in Energy and Environmental Design (LEED)
Utilities Transmission & Distribution Field Service/EAM Manager or Senior Manager
New York City or Milwaukee or Herndon or Dallas or Columbus or Kirkland or Irvine or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or Arlington or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or Morristown or San Francisco or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$113k-$338k/yrHybridFull Time
AccentureNYSE: ACN: Global provider of management consulting and technology services.
5+ YOERequires 5+ years in gas or electric utilities, 5+ years in utility EAM and field scheduling or mobility systems and processes, team or workstream leadership, client management, and a bachelor's degree or equivalent experience.
IBM Maximo, SAP PM, IFS MWM, CGI PCAD, Salesforce, Artificial intelligence (AI)
Cologix: Provides network-neutral interconnection and hyperscale edge data center services.
8+ YOEBachelor's degree in engineering or related field, 8+ years construction project management (minimum 5 years in utility/mission-critical/data center), experience with utility interconnections/substations, strong communication and stakeholder management skills, authorized to work in the U.S.