Top 161 Director of compliance Jobs in Denver Co

Senior Director, Health Plan Utilization Management - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement))
Denver Health —Denver, CO
- $143,800 - $237,300 a year
- Full-time
- Hybrid work
- Nursing
- Pass drug screening
- Office
- Paid parental leave
- Paid holidays
Director of Healthcare Risk Management
Denver Health —Denver, CO
- $141,700 - $233,900 a year
- Full-time
- Nursing
- Microsoft Excel
- 5 years
- Paid parental leave
- Paid holidays
Director, Quality & Compliance
Colorado PACE —Aurora, CO
- $107,972 - $126,880 a year
- Urgently hiring
- Nursing
- 5 years
- Office
- 403(b) matching
- Health savings account
Quick Apply
7d
Senior Associate Director, Distribution Compliance
Janus Henderson —Denver, CO
- $130,000 - $150,000 a year
- Office
- Bachelor's degree
- Quality control
- Health insurance
- Parental leave
Director of Programs
State of Colorado —Denver, CO
- $105,000 - $110,000 a year
- Online Application
- Background check
- Customer service
- Office
- Paid holidays
- Disability insurance
9d
Director of Regulatory Compliance
EDCare —Denver, CO
- $95,000 - $125,000 a year
- Full-time
- Computer literacy
- Driver's License
- Bachelor's degree
Quick Apply
Director of Technical Program Management
AimLock —Littleton, CO
- Full-time
- Senior level
Director of Quality
CoorsTek Inc —Golden, CO
- $146,552 - $201,509 a year
- Full-time
- Analysis skills
- Travel
- Senior level
Quick Apply
Director of Audit and Compliance
Denver Housing Authority —Denver, CO
- $117,740.45 - $147,175.92 a year
- Weekends as needed
- Basic math
- Research
- Office
Director of Quality
Kratos Industries LLC —Arvada, CO
- $150,000 - $175,000 a year
- Full-time
- Management
- Engineering
- Recruiting
Quick Apply
Director of Quality and Regulatory
HCA HealthONE Presbyterian St. Luke's —Denver, CO
- $102,960.00 - $160,617.60 a year
- Full-time
- 3 years
- Children
- Pediatrics
- Employee stock purchase plan
- Disability insurance
Quick Apply
Associate Director of Research Administration – Accounting and Post Award Compliance
Colorado School of Mines —Golden, CO
- $110,000 - $140,000 a year
- Online Application
- Hybrid work
- CPA
- 5 years
- University
- Paid holidays
- Dental insurance
IT Director - Clinical Applications Programs
CommonSpirit Health —Englewood, CO
- $71.31 - $117.66 an hour
- Full-time
- Customer service
- 5 years
- Master's degree
Director of Facility Management
HCA HealthONE Presbyterian St. Luke's —Denver, CO
- $102,960.00 - $160,617.60 a year
- Full-time
- Bachelor of Science
- Public speaking
- Children
- Employee stock purchase plan
- Disability insurance
Quick Apply
Sr. Director, Internal Audit & Compliance
Pursuit Collection —Denver, CO
- $175,000 - $210,000 a year
- Online Application
- Hybrid work
- Office
- US work authorization
- Organizational skills
Associate Director of Quality
Leiters Inc —Englewood, CO
- $130,000 - $160,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health savings account
- Paid holidays
Quick Apply
Director, Strategic Programs
Vertafore —Denver, CO
- $225,000 - $250,000 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Analysis skills
- Commuter assistance
- Health savings account
Quick Apply
8d
Program Management Director
Stanley Consultants —Denver, CO
- $207,100 - $284,800 a year
- Full-time
- Hybrid work
- 18 years or older
- Engineering
- Office
- Profit sharing
- Health savings account
Quick Apply
8d
Director of Quality Engineering
Pro Edge Dental Products Inc —Centennial, CO
- $140,000 - $170,000 a year
- Monday to Friday
- Hybrid work
- Office
- Senior level
- Paid holidays
- Health insurance
Quick Apply
Senior Director, Corporate Workplace and Facilities Management
Spectrum —Greenwood Village, CO
- $112,800 - $220,000 a year
- Full-time
- 7 years
- Writing skills
- English
- Opportunities for advancement
2d

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Senior Director, Health Plan Utilization Management - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement))

Denver Health -
Denver, CO

Apply Now

Job Details

Full-time
$143,800 - $237,300 a year

Benefits

Paid parental leave
Paid holidays
Disability insurance
Health insurance
On-site gym
Dental insurance
Tuition reimbursement
Paid time off
Parental leave
Vision insurance
Employee discount
Loan forgiveness
Life insurance
Childcare
Retirement plan

Qualifications

Program design
Vendor management
Team leadership
Master's degree
Health insurance knowledge
Medicare regulations
Educational program evaluation
Senior leadership

Full Job Description

We are recruiting for a mission-driven Senior Director, Health Plan Utilization Management - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)) to join our team!

We're with you for life’s journey. At Denver Health, purpose isn’t just something we believe in—it’s something we live every day, for life’s journey.

Our Values

Respect | Belonging | Accountability | Transparency

Department

Managed Care Administration

* Must Live in Colorado

* This is a hybrid role located in Denver, Colorado with a requirement of being in the office 3 days per week.

Job Summary

The Senior Director of Health Plan Utilization Management is a senior leader for the Denver Health Medical Plan (DHMP) with responsibility for providing strategic and operational leadership for all utilization management functions across the organization. This area has unique regulatory and contractual compliance requirements for each line of business. This role is responsible for ensuring clinically appropriate, cost-effective, and regulatory-compliant medical necessity determinations while supporting high-quality member outcomes and provider collaboration. The Senior Director partners closely with Operations, Network Management, Quality, Compliance, and Finance to align utilization management strategy with organizational goals. In this capacity, the Senior Director oversees multiple teams performing this work. The Director reports to the DHMP Chief Medical Officer and collaborates closely with them to develop, update and implement the DHMP Utilization Management vision and strategy.

Essential Functions :

Assures that all staff are appropriately trained on all relevant software programs and applications necessary to perform their job functions. (10%)
Participates in presentation of reports to the Operations Team, DHMP Board of Directors, and other bodies, as required. (10%)
Attends and participates in Quality Management Committee, DHMP Operations Team meetings, Utilization Management Committee, enterprise Care Coordination meetings and other related meetings and activities as required. (10%)
Serves as an issue-related or escalation liaison between Utilization Management and other departments and/or agencies both within DH, contractors and/or plan members. (10%)
Oversees the maintenance, development, implementation, and continuous improvement of UM policies and procedures and management of information systems to accomplish UM goals for all contracted populations. (10%)
Develops, analyzes, and presents reports on productivity, quality and outcomes. (10%)
Ensures DHMP can provide documentation of compliance with contractual and regulatory requirements prior to audit by the State, CMS, DOI, etc. (10%)
Develops, implements, and evaluates formal educational activities and follows up on issues identified through educational activities. Brings new knowledge to staff meetings. (10%)
Works closely with DHMP Compliance Officer to ensure all DHMP lines of business operational performance meets or exceeds regulatory requirements including, but not limited to, policies and procedures reporting. Acts as a voting member of the DHMP Compliance Committee. (10%)

Education :

Master's degree required
Graduation from an accredited educational program for Nursing or Physician’s Assistants required

Work Experience :

Seven years of experience in administration in managed care, health plan administration or healthcare provider organizations required AND
Minimum of five years of supervisory and management experience required AND
1-3 years Health Plan or healthcare experience with various lines of business including Medicare, Medicaid, CHP, Exchange and/or Commercial Plans required AND

Licenses :
Knowledge, Skills and Abilities :

Knowledge of regulatory and accreditation standards for health plan or healthcare operations required.
Strong program development, analysis, and evaluation skills required.
Demonstrated excellence in managing people and processes.
Strong leadership skills with ability to engage multidisciplinary clinical and non-clinical teams to solve complex problems.
Strong knowledge and experience in utilization principles, concepts, and strategies preferred.
Ability to develop and maintain effective relationships with internal and external stakeholders.

* Must Live in Colorado

* This is a hybrid role located in Denver, Colorado with a requirement of being in the office 3 days per week.

Shift

Days (United States of America)

Work Type

Regular

Salary

$143,800.00 - $237,300.00 / yr

Benefits

At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future — with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development — while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you’re joining a mission-driven organization that invests in you.

Here is a small list of our benefit programs:

Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

About Denver Health

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation.

As Colorado’s primary, and essential, safety-net health care system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled.

Apply Now

Refine Your Search

director of compliance jobs in denver co

Senior Director, Health Plan Utilization Management - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement))

Director of Healthcare Risk Management

Director, Quality & Compliance

Senior Associate Director, Distribution Compliance

Director of Programs

Director of Regulatory Compliance

Director of Technical Program Management

Director of Quality

Director of Audit and Compliance

Director of Quality

Director of Quality and Regulatory

Associate Director of Research Administration – Accounting and Post Award Compliance

IT Director - Clinical Applications Programs

Director of Facility Management

Sr. Director, Internal Audit & Compliance

Associate Director of Quality

Director, Strategic Programs

Program Management Director

Director of Quality Engineering

Senior Director, Corporate Workplace and Facilities Management

I want to receive the latest job alert for director of compliance in denver co

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