ZipRecruiter

Log In

1

Director Provider Jobs in Colorado (NOW HIRING)

My Goodwill

Direct Care Provider

Colorado Springs, CO · On-site

$17.50/hr

The Provider, Direct Care, will implement and maintain a Community Integration program for all assigned consumers to achieve their individual goals to provide intensive support services to develop ...

Colorado Access

Director of Provider Contracting

Denver, CO · On-site

$150K - $185K/yr

We are looking for a DIRECTOR OF PROVIDER CONTRACTING who can help shape our vision and support our mission. Here is what the position will look like. Department Director Responsibilities: * Develop ...

Ascendigo

Direct Service Provider

Carbondale, CO

Registered Behavior Technicians will be provided with internal training to further support their growth and expertise in the field. TASKS: * Work with other members of the Life Enrichment and ...

Ascendigo

Direct Service Provider

Carbondale, CO · On-site

Registered Behavior Technicians will be provided with internal training to further support their growth and expertise in the field. TASKS: * Work with other members of the Life Enrichment and ...

Ascendigo

Direct Service Provider

Carbondale, CO · On-site

$20 - $23/hr

Registered Behavior Technicians will be provided with internal training to further support their growth and expertise in the field. TASKS: * Work with other members of the Life Enrichment and ...

Ascendigo

Direct Service Provider

Carbondale, CO

Registered Behavior Technicians will be provided with internal training to further support their growth and expertise in the field. TASKS: * Work with other members of the Life Enrichment and ...

Wellpath

Medical Director

Castle Rock, CO · On-site

Overview The Site Medical Director provides clinical leadership at the assigned facility and ensures compliance with medical standards and regulations. They deliver direct care, supervise healthcare ...

Puebloymca

Aquatics Director

Pueblo, CO · On-site

$40K - $52K/yr

Job ID 2026-7319 Sports Director The Sports Director provides leadership, management, and oversight for all youth and adult sports programming at the YMCA of Pueblo. Responsibilities include ...

next page

Showing results 1-20

All JobsProvider JobsDirector Provider JobsDirector Provider Jobs in Colorado

Director Provider information

What is a director provider?

A Director Provider is a senior healthcare professional responsible for overseeing the delivery of clinical services within a medical organization or health system. They manage teams of healthcare providers, ensure compliance with healthcare regulations, and work to improve the quality and efficiency of patient care. Director Providers often collaborate with administrative leaders to develop policies, implement best practices, and achieve organizational goals. Their role may also involve budgeting, training, and evaluating staff performance to ensure high standards of care.

What are the key skills and qualifications needed to thrive as a director provider?

To excel as a Director Provider, you typically need a background in healthcare administration or clinical leadership, often supported by an advanced degree such as an MHA, MBA, or relevant clinical credentials. Familiarity with healthcare management software, electronic health records (EHRs), and regulatory compliance systems is crucial. Exceptional leadership, strategic thinking, and communication skills help in managing teams and fostering collaboration across departments. These competencies ensure efficient operations, high-quality patient care, and alignment with organizational goals in a complex healthcare environment.

How does a director provider typically collaborate with clinical and administrative teams to achieve organizational goals?

A Director Provider plays a pivotal role in bridging clinical and administrative functions by facilitating communication between healthcare providers, support staff, and executive leadership. They often lead interdisciplinary meetings, develop protocols for care delivery, and ensure alignment with regulatory standards and organizational objectives. By fostering a collaborative environment, they help streamline workflows, address operational challenges, and promote high-quality patient care. This teamwork is essential for implementing new initiatives and driving organizational success.

What is the difference between Director Provider vs Medical Director?

AspectDirector ProviderMedical Director
CredentialsMedical license, relevant certificationsMedical license, board certification
Work EnvironmentHealthcare facilities, clinics, hospitalsHospitals, clinics, healthcare organizations
ResponsibilitiesOversees provider operations, staffing, complianceClinical oversight, medical policies, quality assurance

Both roles are integral in healthcare management. The Director Provider typically manages provider staff and operations, while the Medical Director focuses on clinical oversight and medical quality. The roles often overlap but differ mainly in scope: operational versus clinical leadership.

What does a director provider do in healthcare?

A director provider in healthcare typically oversees the operations and management of healthcare services within a facility or organization. They coordinate staff, ensure compliance with regulations, and implement policies to improve patient care and operational efficiency. Strong leadership, healthcare knowledge, and management skills are essential for this role.

What are the most commonly searched types of Provider jobs in Colorado?

The most popular types of Provider jobs in Colorado are:

What cities in Colorado are hiring for Director Provider jobs?

Cities in Colorado with the most Director Provider job openings:

Director Provider jobs near you

Senior Director, Provider Contracting - Denver Health Medical Plan (Must Live in Colorado. Weekly On

Denver Health

Denver, CO • On-site

$143K - $237K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

Key responsibilities

  • Develops and implements new and established provider contracts, including facility and professional agreements.

  • Negotiates contract terms with providers, including payment models such as fee-for-service, value-based payments, and gain/risk sharing arrangements.

  • Oversees contract development, management activities, and ensures compliance with applicable laws and organizational policies.

Denver Health rating

7.8

Company rating: 7.8 out of 10

Based on 69 frontline employees who took The Breakroom Quiz

200th of 1,065 rated hospitals

Job description

We are recruiting for a mission-driven Senior Director, Provider Contracting - 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
Under the general supervision of the CFO, the Senior Director of Provider Contracting is responsible for developing and implementing new and established contracts for facility and professional agreements with providers on behalf of Denver Health Medical Plan, including new programs and services. This role will lead negotiations with providers to include payment terms based on multiple reimbursement models, including fee-for-service payment terms, valued based payments, and gain/risk sharing arrangements. The Senior Director will be accountable for negotiating contract language that aligns with all State and Federal laws/regulations and organizational policies. This position will be responsible for development of practices consistent with the mission and vision of Denver Health Medical Plan.
Essential Functions:
  • Oversee organizational contract development and management activities and enforce organizational principles of integrity and compliance (15%)
  • Develop standards for contracts, including payment terms, general language and provisions based on strategy discussions, senior management input and organizational needs (15%)
  • Evaluate rate proposals, changes to reimbursement methodologies and conduct related analyses to ensure continued financial viability of the contract (10%)
  • Ensure contracts and proposals are properly entered into organizational databases to measure, track and monitor utilization and financial performance (10%)
  • Negotiate single case agreements as needed (5%)
  • Serve as primary organizational contact during provider contract negotiations (10%)
  • Identifies network needs and manages the recruitment and contracting process for new providers and institutions (5%)
  • Ensure prompt resolution of all escalated concerns or issues from the Plan's provider network (5%)
  • Participate in JOC meetings with providers to address contractual payment issues and trends (5%)
  • Validate the proper uploading, adjudication, and pricing of claims (5%)
  • Maintain knowledge and understanding of healthcare industry trends, standards, and current events relative to provider contracting, network administration and market (5%)
  • Carry out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems (5%)
  • Special projects/ other duties as assigned by the CFO (5%)

Education:
  • Bachelor's Degree, concentration in Finance, Accounting, Business, Management, Healthcare Administration related field required

Work Experience:
  • 10+ years Contract Management demonstrated experience required; provider contracting experience preferred required
  • 4-6 years manager experience required, preferably in healthcare required

Licenses:
Knowledge, Skills and Abilities:
  • Strong knowledge of Medicaid, Commercial ACA, Medicare, and CHP+ lines of business is required
  • Knowledge of CPT, ICD-9 and 10, DRG, HCPCS, RBRVS, bundled payments, risk-sharing, and provider capitation is essential
  • Extensive knowledge and experience with Medicare/Medicaid regulations
  • Excellent negotiating skills and proficiency in utilizing and interpreting financial models and analysis
  • Requires high attention to detail, analytical and critical thinking, management skills, organization, prioritization and problem resolution
  • Excellent verbal and written communication, leadership, delegation, collaboration and interpersonal skills
  • Ability to be resourceful, customer-service oriented and independently problem solve is required

* 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 - $237,400.00 / 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 healthcare 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 healthcare 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.

What Denver Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply