Top Tech Jobs & Startup Jobs in Denver & Boulder, CO

Provide part-time collaborating physician supervision for Colorado-based physician assistants, ensure evidence-based clinical care, attend annual in-person meetings, review monthly charts, and maintain an active Colorado medical license.

Own operational design and execution of multi-channel member engagement journeys. Build forecasting, dashboards, suppression/eligibility logic, and automation frameworks; monitor campaign health, partner cross-functionally, and scale AI-supported workflows to optimize member experience and capacity.

Analyze provider demographics, financial and quality reports; audit provider setup and claims; perform root cause analysis; support contracting and network adequacy; prepare monthly reporting and meeting materials; conduct provider outreach and resolve field network cases.

Lead analytics for claim decisioning by framing ambiguous problems, building scalable data models and pipelines, designing metrics, and deploying analytical and ML solutions. Partner cross-functionally to measure decision quality, operational performance, and payment accuracy, iterating quickly to deliver measurable impact.

Provide clinical review and utilization management for inpatient and outpatient services, conduct initial/concurrent/discharge reviews using guidelines, coordinate care and discharge planning, communicate with providers, develop care plans with members, identify quality/risk issues, and support members in managing chronic conditions and navigating healthcare resources.

Manage a multi-step medical document evaluation process, coordinate offshore production teams, build efficient chart-evaluation workflows with coding experts, drive process improvements, support audit responses, and apply AI/LLMs to improve quality and scalability.

The Bilingual Clinical Pharmacist will manage medication therapy for patients, collaborate with healthcare providers, and improve medication adherence outcomes. Responsibilities include patient consultation, medication reviews, and quality assurance in pharmacy services.

Design and build product features across the stack, partner with subject-matter experts to solve member-facing problems, and improve the companys technology platform while operating as an independent, collaborative engineering owner.

Lead the transformation of Claims operations into an AI-native ecosystem, optimizing workflows and integrating AI agents while ensuring effective human-AI collaboration and driving operational excellence.

The Community Case Manager advocates for members, developing personalized care plans, connecting them with resources, and ensuring they receive necessary support.