ZipRecruiter

Log In

1

Program Integrity Director Jobs in Colorado (NOW HIRING)

UCHealth

Director Pharmacy 340b

Aurora, CO · On-site

$175K - $280K/yr

The Director of Pharmacy - 340B Program is a strategic leadership role responsible for overseeing ... program integrity, and develops the infrastructure and analytics needed to maximize the program ...

BHG LXXXIX LLC

Program Director

Fort Collins, CO

The Program Director supervises daily operations of an opiate treatment center, ensuring excellence ... Join us and become part of a community that values excellence, integrity, and making a real ...

Behavioral Health Group

Program Director

Fort Collins, CO · On-site

$85K - $95K/yr

The Program Director supervises daily operations of an opiate treatment center, ensuring excellence ... Join us and become part of a community that values excellence, integrity, and making a real ...

Community Living Alternatives, Inc.

Be Seen First

Residential Program Director

Aurora, CO · On-site

$63K - $66K/yr

... documentation integrity. 2. Ensures required documentation is maintained in accordance with ... the Executive Director and Financial Controller to develop the Residential Program Budget. F.

next page

Showing results 1-20

All JobsProgram Integrity Director JobsProgram Integrity Director Jobs in Colorado

Program Integrity Director information

What are the key skills and qualifications needed to thrive as a Program Integrity Director, and why are they important?

To thrive as a Program Integrity Director, you need expertise in compliance, risk management, regulatory analysis, and a relevant degree such as in business administration, public policy, or law. Familiarity with data analytics tools, case management systems, and certifications like Certified Fraud Examiner (CFE) or Certified Internal Auditor (CIA) are often important. Strong leadership, ethical judgment, and effective communication skills are crucial for building trust and guiding teams through complex investigations. These skills ensure the organization maintains regulatory compliance, prevents fraud, and promotes operational transparency.

What is the difference between Program Integrity Director vs Claims Manager?

AspectProgram Integrity DirectorClaims Manager
Required CredentialsBachelor's degree, certifications in healthcare compliance or auditingBachelor's degree, experience in claims processing or insurance
Work EnvironmentHealthcare or insurance organizations, compliance departmentsInsurance companies, healthcare payers, claims processing units
Employer & Industry UsageUsed in healthcare, government programs, insurance sectorsPrimarily in insurance companies and healthcare payers

The Program Integrity Director focuses on ensuring compliance, preventing fraud, and maintaining program integrity within healthcare or insurance organizations. In contrast, Claims Managers oversee the processing and adjudication of insurance claims. While both roles require knowledge of healthcare or insurance operations, the Program Integrity Director emphasizes compliance and fraud prevention, whereas the Claims Manager concentrates on claims processing efficiency and accuracy.

What are Program Integrity Directors?

Program Integrity Directors are responsible for overseeing and ensuring the compliance, effectiveness, and accountability of organizational programs, often within government agencies or large organizations. They develop and implement policies to prevent fraud, waste, and abuse, and they monitor program operations to ensure adherence to regulations and standards. Program Integrity Directors often lead teams, conduct audits, and collaborate with other departments to promote transparency and ethical practices. Their work is crucial for maintaining public trust and ensuring resources are used appropriately.

What are some typical challenges faced by a Program Integrity Director, and how can they be addressed?

Program Integrity Directors often face challenges such as navigating complex regulatory requirements, detecting and preventing fraud, and ensuring compliance across multiple departments or partners. Addressing these requires strong analytical skills, clear communication, and effective collaboration with legal, compliance, and operational teams. Staying updated on industry best practices and fostering a culture of transparency can also help mitigate risks and support program goals.
What are popular job titles related to Program Integrity Director jobs in Colorado? For Program Integrity Director jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Program Integrity Director jobs in Colorado look for? The top searched job categories for Program Integrity Director jobs in Colorado are:
What cities in Colorado are hiring for Program Integrity Director jobs? Cities in Colorado with the most Program Integrity Director job openings:
Program Integrity Director jobs near you
Director Pharmacy 340b

Director Pharmacy 340b

UCHealth

Aurora, CO • On-site

$175K - $280K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

UCHealth (Colorado) rating

7.5

Company rating: 7.5 out of 10

Based on 440 frontline employees who took The Breakroom Quiz

226th of 873 rated healthcare providers

Job description

Description
Director of Pharmacy - 340B Program
About This Opportunity
UCHealth is one of Colorado's leading and most comprehensive health systems, dedicated to delivering life-changing care that improves lives. The Director of Pharmacy - 340B Program is a strategic leadership role responsible for overseeing all aspects of UCHealth's 340B Drug Pricing Program. This leader ensures full compliance with federal and state regulatory requirements, drives program integrity, and develops the infrastructure and analytics needed to maximize the program's impact for our patients and communities. Working at the intersection of pharmacy operations, regulatory compliance, revenue strategy, and people leadership, this role carries meaningful responsibility across a team of approximately 10 professionals and multiple regional sites. This position does not offer a hybrid or remote option.
Key Responsibilities
As Director of Pharmacy - 340B Program, you will serve as the system-wide authority on all aspects of 340B strategy, compliance, operations, and program performance.
  • Develop and execute system-wide 340B program strategy, operational plans, and compliance standards aligned with UCHealth's administrative, legal, and ethical objectives.
  • Lead comprehensive assessments of pharmacy program needs, stakeholder engagement efforts, workflow planning, and quality and risk evaluations across regional and system operations.
  • Ensure ongoing compliance with all federal and state 340B requirements, partnering with local and system leaders to strengthen controls and maintain program integrity.
  • Support Authorizing Officials with annual qualification requirements and manage the operational impact of CMS and HCPF policy changes.
  • Direct internal and external 340B audits from planning through resolution, including documentation, issue remediation, and follow-up actions.
  • Oversee UCHealth's Third Party Administrator (TPA) solution and lead the development of enterprise analytics to improve visibility, compliance, and performance.
  • Prepare, monitor, and evaluate departmental budgets, ensuring financial performance remains within allocated funding.
  • Lead revenue cycle management and charge master strategy, while defining and tracking key performance indicators to sustain and grow program value.
  • Lead, coach, and develop a high-performing team, including hiring, onboarding, performance management, and professional development for approximately 10 direct and indirect reports across three regions.

Candidate Qualifications
  • Education: PharmD and active Pharmacist license in the State of Colorado OR Juris Doctor (JD) and current admission to the Colorado Bar required.
  • MHA or MBA preferred
  • Experience: A minimum of 5 years of progressive experience in a 340B Pharmacy Manager role or above is required. Candidates should bring demonstrated expertise in 340B compliance, program strategy, and multi-site pharmacy operations.
Skills and Traits
  • Deep expertise in 340B program regulations, compliance strategy, audit readiness, and policy interpretation.
  • Strong strategic and operational leadership skills, with the ability to translate complex regulatory requirements into scalable system-wide practices.
  • Financial acumen in budget oversight, revenue cycle management, charge master strategy, and performance analytics.
  • Exceptional analytical and problem-solving capabilities, with a data-driven approach to identifying risk, opportunity, and program improvement.
  • Effective collaborator and communicator, able to influence cross-functional stakeholders across pharmacy, finance, compliance, legal, and operations.
  • Demonstrated people leadership, including team development, coaching, accountability, and change management in a multi-site environment.
  • High level of integrity, sound judgment, and attention to detail in managing sensitive regulatory and operational matters.

Pay: $175,302 - $280,467 annual base salay. Pay is dependent on applicant's relevant experience
At UCHealth, We Improve Lives
Employees are our number one asset.
UCHealth promotes a culture that invests in professional success and personal well-being through a comprehensive total rewards program. *
Recognition
  • Performance bonus: UCHealth offers an Annual Performance Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, and financial goals.
  • Performance-based pay increase: The Annual Merit Pay Increase recognizes work performance that meets or consistently exceeds performance standards documented through UCHealth's established evaluation process and accounts for increased experience, skills and cost of living.
  • Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns with market standards. Base pay rates are adjusted as needed to stay market competitive.

Health and well-being
  • Medical, dental and vision coverage.
  • Access to 24/7 mental health and well-being support for employees and dependents.
  • Discounted gym memberships and fitness resources.
  • Free Care.com membership.
  • Voluntary benefits such as accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.
  • Time away from work: Paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence.
  • Employer-provided basic life and accidental death and dismemberment coverage with buy-up coverage options.
  • Employer-provided short-term disability and long-term disability.

Retirement and savings
  • 403(b) plan with employer matching contribution.
  • Additional 457(b) plan may be available.
  • Flexible spending accounts for health care and dependent day care; health savings account available when enrolled in high-deductible (HD) medical plan.

Education and career growth
  • UCHealth provides access to academic degrees and certificate programs to promote professional and personal growth.
    • Up to 100% of tuition, books and fees paid for by UCHealth for specific educational degrees.
    • Other programs may qualify for up to $10,000/year pre-paid by UCHealth or up to $5,250/year in the form of tuition reimbursement.
  • Access to LinkedIn Learning, which offers thousands of virtual courses and seminars, and internal professional development opportunities.
  • Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness.

* Eligibility for some programs is based on an employee's scheduled work hours.
We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.
UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.
UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when the do not impose an undue hardship on the organization.
Who We Are (uchealth.org)

What UCHealth (Colorado) employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply