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Program Integrity Director Jobs in Alabama (NOW HIRING)

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

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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 Alabama? For Program Integrity Director jobs in Alabama, the most frequently searched job titles are:
What cities in Alabama are hiring for Program Integrity Director jobs? Cities in Alabama with the most Program Integrity Director job openings:

Coord Physician Residency-Residency Program-FT-1st shift

Huntsville Hospital Health System

Huntsville, AL

Other

Posted 10 days ago


Huntsville Hospital Health System rating

6.0

Company rating: 6.0 out of 10

Based on 203 frontline employees who took The Breakroom Quiz

731st of 875 rated healthcare providers


Job description

Overview

The Coordinator of the Family Medicine Residency Program will work in conjunction with the Program's Director, Associate Director, and hospital leadership to plan and operationalize a new teaching program that maintains substantial compliance with requirements set forth by the accrediting body, the ACGME. The Program Coordinator is a vital leader within the program whose focus is to ensure a welcoming, inclusive work environment for both faculty and resident physicians where educational, scholarly, and clinical training needs are provided, documented, and reported to governing and accrediting bodies as required.

Essential Duties and Responsibilities:

With oversight and direction from the Program Director, the Program Coordinator is responsible for: the operational and financial management of the Crestwood Medical Center Family Medicine Residency Program which includes:

Demonstrating a commitment to professionalism and the highest standards of integrity within a team-based setting

Acting as an administrative role model for solutions-focused collaboration that achieves success

Representing the program as the key point of contact for related associations (including but not limited to the ACGME, NRMP, AAMC, AAIM), physician faculty, members of the patient care team, hospital and participating site leadership, medical students, resident physicians and training locations

Commitment to ongoing learning, understanding, application and attention to accreditation requirements as well as program and institutional policies

Ensuring program operations are executed in a manner that meets the program's mission and aims while ensuring fiscal responsibility of budget utilization

Liaising with physician faculty to plan day-to-day educational assignments schedules (rotation, clinic, call, and didactic) and refine the assignment's curriculum

Implementation, utilization and oversight of residency management software (New Innovations) in compliance with Institutional policies that assures timely receipt of accurate work hour, procedure, and scholarly activity logs and evaluations of faculty, residents, and the program

Planning and directing annual virtual and in-person recruitment activities in compliance with Institutional policies and the National Residency Matching Program (NRMP) policies and Codes of Conduct

Planning and hosting a variety of program-related social and well-being events throughout the year in a budget conscious manner

Coordinating and contributing as an active member to the program's Clinical Competency and Program Evaluation Committees

Compiling and ensuring the submission of accurate reports to the ACGME, AAMC, ABIM, the Institution, and Hospital administration as requested

Coordinate responses and represent the program during ACGME site visits and self-studies

Qualifications

Bachelor Degree preferred - Min. 2 years' work experience in academic administration, physician scheduling, social work, and secondary or higher education teaching.

Licenses/Certificates:  N/A

Employment Type: OTHER

What Huntsville Hospital Health System employees say

Pay

Benefits

Hours and flexibility

Workplace

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