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Integrity Consulting Jobs in Kansas (NOW HIRING)

... integrity and objectivity when interacting with clients at all corporate levels. We are not your typical consulting firm. We are entrepreneurial, action oriented and results driven professionals who ...

... integrity and objectivity when interacting with clients at all corporate levels. We are not your typical consulting firm. We are entrepreneurial, action oriented and results driven professionals who ...

Outside Sales Consultant

Topeka, KS · On-site

$50K - $200K/yr

Doing the Right Thing Through Higher Standards and Integrity. If you're looking for a career that offers independence, unlimited earning potential, and opportunities for long-term growth, we'd love ...

Crop Consultant Requisition ID: 32678 Location: Clay Center, KS, USA, 67432 Workplace Type: On-Site ... We're guided by our culture of care and our core values: safety, inclusion, integrity, and results.

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Integrity Consulting information

How does an integrity consultant typically collaborate with clients and internal teams to address ethical challenges?

Integrity Consultants often work closely with both client leadership and cross-functional internal teams, such as legal, compliance, and HR, to identify and resolve ethical or regulatory risks. They facilitate workshops, conduct risk assessments, and develop tailored policies or training programs. Effective collaboration and communication are key to ensuring that recommendations are practical and align with the organization's values. This role requires balancing advisory responsibilities with hands-on support to help clients build a culture of integrity.

What is the difference between Integrity Consulting vs Compliance Analyst?

AspectIntegrity Consulting
CertificationsOften requires certifications like CFE, CPA, or CIA
Work EnvironmentConsulting firms, corporate compliance departments, or government agencies
Primary FocusAdvising organizations on ethical practices, risk management, and integrity programs
Industry UsageCommonly used in corporate, government, and non-profit sectors

Integrity Consulting professionals focus on advising organizations to uphold ethical standards and manage risks related to integrity. Compliance Analysts primarily ensure organizations follow laws and regulations through monitoring and reporting. While both roles require knowledge of regulations and certifications, Integrity Consulting emphasizes strategic advice and ethical frameworks, whereas Compliance Analysts focus on adherence and enforcement of specific rules.

What are the key skills and qualifications needed to thrive as an integrity consultant?

To thrive as an Integrity Consultant, you need a deep understanding of compliance frameworks, risk assessment, and ethical business practices, often supported by a degree in law, business, or a related field. Familiarity with regulatory databases, compliance management systems, and certifications such as Certified Compliance & Ethics Professional (CCEP) are commonly required. Strong analytical thinking, attention to detail, and excellent communication skills help you stand out when advising organizations on ethical standards and risk mitigation. These abilities are crucial to ensure organizations maintain legal compliance, protect their reputations, and foster a culture of integrity.

What is integrity consulting?

Integrity consulting is a specialized field that helps organizations develop, implement, and maintain ethical standards and compliance programs. Consultants in this area advise companies on best practices for fostering honesty, transparency, and ethical behavior among employees and leadership. They often assist with risk assessments, training programs, and investigations into potential misconduct. The goal is to reduce ethical risks, ensure adherence to laws and regulations, and build a culture of trust within the organization.
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Blue Cross and Blue Shield of North Carolina rating

7.8

Company rating: 7.8 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

189th of 304 rated insurance


Job description

Job Description

To provide strategic direction and centralized leadership to the provider payment integrity and reimbursement policy functions inclusive of prepayment clinical and coding requirements and post payment recoupment, to promote accuracy in claims payment and correct coding to drive savings. Leads strategies for reimbursement policy development, claims editing, post payment analytics and recoupment efforts, provider education, coordination of benefits and development of new innovative programs to drive downstream cost savings for the organization. Has direct or matrixed accountability for SIU integration with or other payment integrity activities. Ensures alignment and compliance with industry standards and accountable for cost of care initiatives and assigned targets to provide affordable care to members.

Blue Cross NC is seeking a strategic and innovative Vice President, Payment Integrity to lead the vision, strategy, and execution of enterprise payment integrity programs that advance affordability, payment accuracy, and operational excellence.

As a key member of the leadership team, this executive will oversee initiatives designed to prevent, identify, and recover inaccurate healthcare payments while enhancing provider experience and supporting sustainable healthcare costs. The Vice President will partner across Finance, Medical Economics, Provider Network Management, Clinical Operations, Technology, Compliance, and Legal to drive measurable impact through analytics, automation, and process innovation.

What You'll Do

  • Assess the Payment Integrity ecosystem, prioritize high-value opportunities, and establish KPIs for savings, operations, and performance tracking.
  • Develop and execute an enterprise-wide Payment Integrity strategy aligned with organizational affordability and performance goals.
  • Lead programs focused on payment accuracy, claims integrity, coding validation, recovery operations, coordination of benefits, and related payment integrity functions.
  • Leverage advanced analytics, automation, and emerging technologies to identify opportunities, reduce waste, and improve outcomes.
  • Establish performance metrics, governance frameworks, and reporting to measure business impact and value realization.
  • Partner with provider-facing teams to balance payment accuracy with a positive provider experience.
  • Manage a high-performing multi-vendor portfolio by enforcing SLAs, optimizing fee structures, and minimizing provider abrasion.
  • Serve as a trusted advisor to executive leadership on payment integrity trends, risks, opportunities, and industry best practices.
  • Build and develop a high-performing team while fostering a culture of innovation, accountability, and continuous improvement.

What You'll Bring

  • Bachelor's degree in Business, Healthcare Administration, Finance, Public Health, or a related field.
  • 12+ years of progressive leadership experience in payment integrity, healthcare economics, claims operations, health plan operations, revenue cycle, or a related healthcare function.
  • Proven success leading large-scale strategic initiatives and high-performing teams within a payer, health plan, consulting organization, or healthcare enterprise.
  • Deep knowledge of healthcare reimbursement methodologies, claims administration, payment accuracy, and regulatory requirements.
  • Strong financial, analytical, and business acumen with the ability to translate complex data into actionable strategies.
  • Exceptional executive presence, communication skills, and ability to influence across diverse stakeholder groups.

Why Blue Cross NC

At Blue Cross NC, we're committed to making healthcare better and more affordable for the people we serve. This role offers a unique opportunity to shape the future of payment integrity, influence enterprise strategy, and drive meaningful impact on affordability, operational performance, and healthcare outcomes across North Carolina and beyond.

Join us and help transform healthcare through innovation, integrity, and strategic leadership.

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JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.


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