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Program Integrity Director Jobs in Colorado (NOW HIRING)

Program Coordinator

Greeley, CO · On-site

$21.09 - $22.99/hr

Associate Director of Administration (Northern, Southern and Western regions) Client Services ... Do you thrive in an environment that values service, innovation, wellness, and integrity? If so, we ...

Program Coordinator

Denver, CO · On-site

$23.81 - $25.95/hr

Level 1 (Entry level up to 2 years of direct experience): $23.81 per hour Level II (3+ years of ... Do you thrive in an environment that values service, innovation, wellness, and integrity? If so, we ...

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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 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 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 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.

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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:
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VA National Program Director - US

Amplity Health

Colorado Springs, CO

$195K - $200K/yr

Full-time

Medical, Dental, Vision, Life, PTO

Posted 3 days ago


Job description

Join Amplity, the full-service go-to partner of biopharma companies that delivers flexible + specialized medical + commercial services. No matter where a drug is in its lifecycle, we scale with ease to maximize resources + improve impact for all our clients. Through strategic partnerships + deep therapeutic expertise, Amplity transforms how breakthrough treatments reach the people who need them.

Federal Accounts Veterans Affairs National Program Director

Pharmaceutical

Field Based

We have an opportunity for an experienced Federal Accounts VA National Program Director to join and build our new VA KAM team. Use your Federal Account Expertise to lead a high performing team. As an Amplity employee you will receive a base salary, bonus potential, comprehensive benefit package that includes medical, dental, vision, pet insurance company funded life insurance, long-term, short-term disability, generous PTO, paid holidays, mental wellness program and more.

Employees can expect to be paid a salary of approximately $195K - $200K. The salary range displayed may vary based on market data/ranges, an applicant's skills, prior relevant experience, certain degrees, certifications, and other relevant factors.

Position Summary:

The FederalAccounts VA National Program Director is responsiblefor managinga team of Veterans Affairs (VA) Key Account Managers (KAMs) who engage with key VA/VISN accounts. This role provides client program management andVA KAMleadership, ensuring alignment with companyobjectives, andoptimizingthe performance of the VA KAM team.The VAKAM Program Director serves as the primary point of accountability for the team's success. The Program Director willsuccessfully partnerwith client leadership and cross-functional teams to drive business objectives.

Essential Duties/Responsibilities:

Lead, mentor, and manage a team of FederalVA KeyAccount Managers (KAMs) to achieve sales performance and strategic goals.

Work closely with client leadership to develop and implement team strategies to align with companyobjectivesand VA key account engagement priorities.

Conduct regular one-on-one meetings and team coaching sessions tomonitorperformance, provide feedback, andidentifyopportunities for professional development.

Ensure VAFederal KAM activities and account strategies are executed effectively and in compliance with company policies, VApolicies, federallaw,and regulatory guidelines.

Collaborate with client and Amplity senior leadership to set goals, define priorities, and create strategic plans for key account engagement.

Oversee the development and execution of account plans created by Federal VA KAMs, ensuring alignment with broader businessobjectives.

Analyze team performance metrics, market data, and competitive intelligence to refine strategies andidentifygrowth opportunities.

Partner with cross-functional teams to ensure alignment and seamless execution of initiatives.

Buildandmaintainrelationships with senior-level stakeholders within key accounts to strengthen partnerships andoptimizecollaboration.

Represent the company in high-level discussions withVA keyaccounts, key opinion leaders (KOLs), and industry stakeholders toestablishcredibility and drive strategic initiatives.

UtilizeCRM tools and other reporting platforms tomonitorteam performance, track key performance indicators (KPIs), and ensure data integrity.

Develop and deliver regular reports and presentations on team progress, challenges, and opportunities to senior leadership.

Ensure all activities conducted by the Federal AccountVA KAMteam are fully compliant withfederal law, VA policies,regulatory guidelines, corporate policies, and ethical standards.

Drive a culture of accountability, collaboration, and continuous improvement withinthe VAKAM team.

Key Working Relationships:

Directly manages a teamof VAKey Account Managers (KAMs).

Collaborates closely the clientand withcross-functional teams,

Qualifications:

Bachelor's degree from an accredited institutionrequired, master's degree a plus dermatology and or biologics experience advantageous

Substantial pharmaceutical leadership and key account VA hospital,VISN experience

Strong interpersonal, negotiation, and communication skills, with the ability to influence and engage with senior stakeholders.

Proficiencyin CRM tools, data reporting platforms, and Microsoft Office Suite.

Deep awareness of VA, healthcare regulations, formulary processes,promotionalrequirements,and access dynamicswithin VA/VISNS key accounts

Ability to travel weekly as needed

Technical aptitude with Microsoft Office Suite, including Excel, PowerPoint, digital meeting platforms

Valid driver's license with safe driving recordrequired

Successfully pass all required Amplity and client training

Key Performance Competencies:

Leadership and Team Development

Strategic Thinking

Decision-Making

Emotional Intelligence

Client Relationship Management

Performance Management

Adaptability

Credentialing Requirements:

As a representative of a pharmaceutical company, you may be required to submit and maintain credentials, such as training, vaccinations, and other job-related documentation to gain access to hospitals or healthcare providers. It is the Company's expectation that you comply with the requirements outlined by the facilities on your call plans.

Additionally, certain geographic jurisdictions or hospital systems have requirements to apply for and obtain a representative license. At this time, representatives working in the District of Columbia, City of Chicago, State of Nevada, State of Oregon, or those associated with Jackson Memorial Health in Miami-Dade County Florida may be required to obtain specific licenses. This list may be subject to change, including the potential for additions or modifications. In the event of any significant changes, you will be notified accordingly.

EPIIC Values:

All positions at Amplity have a responsibility to demonstrate our EPIIC Values in order to uphold our high-service standards.

Excellence: We set high standards. We are solutions-focused and achieve outstanding results with a professional and positive attitude.

Passion: We love what we do. Our energy inspires, engages, and motivates others.

Innovation: Our ideas set us apart. We are curious and bold and challenge traditional ways of working.

Integrity: We are open, honest, and transparent. We do the right thing with courage and understanding.

Collaboration: We are better together. We actively seek the participation of others to achieve greater outcomes.

About Us

Amplity powers biopharma innovation through expert-led teams that deliver. Whether you knew us in the 80's as Physician Detailing Inc., or in the 00's as part of Publicis Health , the companies that came together in 2019 to form Amplity have delivered contract medical, commercial + communications excellence for 40+ years.

Our people-driven, tech-enabled DNA fuels everything we do.Our professionals understand the pharmaceutical industry from the inside out. With a deep grasp on product lifecycles, marketing hurdles, operational nuances + the complex needs of providers and patients, we help our clients launch products + operate smoothly with precision - across all business shapes, sizes + specialties.

We are on a mission to improve patient outcomes through executional excellence - enabling our partners in pharma to thrive in turn. At Amplity, we are allies in excellence. And we do it quicker, better, nicer than anyone else.

Our Diversity Policy

We encourage and support equal employment opportunities for all associates and applicants for employment without regard to sex, race, color, religion, national origin, age, disability, marital status, sexual orientation or veteran status. Employment decisions are evaluated on the basis of an individual's skills, knowledge, abilities, job performance and other qualifications. In addition, Amplity Health maintains policies and procedures designed to comply with applicable federal, state and local laws governing non-discrimination in employment in every location in which Amplity Health has facilities.