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Program Integrity Director Jobs in Connecticut (NOW HIRING)

oakhill

GILEAD - Program Manager

Middletown, CT · On-site

$63K - $70K/yr

Supporting the Residential Program Director by implementing recovery-oriented, trauma informed ... Acting with compassion, integrity, and ethics Gilead employees are held to standards and ...

BHCARE INC

Program Manager

Hamden, CT · On-site

Prepare for and participate in audits and accreditation reviews Collaboration & Direct Support ... Work for an organization guided by quality, respect, integrity, innovation, and recovery

BHcare Inc.

Program Manager

Hamden, CT

Prepare for and participate in audits and accreditation reviews Collaboration & Direct Support ... Work for an organization guided by quality, respect, integrity, innovation, and recovery

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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 Connecticut? For Program Integrity Director jobs in Connecticut, the most frequently searched job titles are:
What job categories do people searching Program Integrity Director jobs in Connecticut look for? The top searched job categories for Program Integrity Director jobs in Connecticut are:
What cities in Connecticut are hiring for Program Integrity Director jobs? Cities in Connecticut with the most Program Integrity Director job openings:
Program Integrity Director jobs near you
GILEAD - Program Manager

GILEAD - Program Manager

Gilead Community Services

Middletown, CT • On-site

$63K - $70K/yr

Full-time

Medical, Dental, Life, PTO

Posted 12 days ago

Job description

Established in 1968, Gilead has over 50 years of experience providing the highest quality services that support each person's recovery from mental health or substance use challenges in their lives. Gilead empowers personal growth, independence and recovery through improved mental health, physical well-being, and community integration. Gilead's supportive and collaborative services are marked by excellence, compassion, innovation, and integrity.
Residential Program Manager Program
Gilead Community Services is seeking a responsible and experienced Program Manager to join our multi-disciplinary team in our supervised apartment program for women.
About the position:
The Program Manager oversees two of Gilead's Middletown area Mental Health Intensives (MHI) that serve adult men with histories of major mental illness that can present high risk behaviors in the community. The schedule is Monday-Friday from 8am-4pm (40 hours per week). The individual in this role provides and supervises clinical services and supports the Residential Program Director in overseeing program administration. This role also has supervisory responsibilities including managing employee schedules, hiring, and training staff, providing guidance and direction to non-management staff members, and other administrative and personnel management tasks as needed.
Minimum Requirements:
  • Master's degree in a human service field; Licensed degree preferred
  • Five years of clinical experience total with two years of management
  • Must maintain and provide proof of valid driver's license and automobile insurance in good standing
  • Reliable use of personal vehicle as needed

Benefits:
  • Generous paid vacation, sick, and personal time plus paid holidays
  • Affordable, employer-sponsored medical and dental insurance (Gilead pays 88%)
  • Employer-provided long-term disability and life insurance (Gilead pays 100%)
  • Hands-on learning experience and supervision
  • Scholarship, tuition reimbursement, and professional development opportunities
  • Paid training, education, and certification as necessary (including CPR training)

This is a non-union position and pays $63,000 - $70,000 annually dependent on experience.
Responsibilities:
  • Providing clinical knowledge regarding severe and prolonged mental health and substance abuse disorders as well as complex trauma issues, through supervision, training, and education of staff
  • Supporting the Residential Program Director by implementing recovery-oriented, trauma informed clinical services with an emphasis on dignity and respect through intervention and support, inclusion of family and community, and supportive counseling
  • Consulting with the Residential Program Director regarding medical and mental health needs regarding risk management and implementing new or revised programming in compliance with Gilead's mission and vision
  • Providing support in hiring, training, supervision, evaluation of program staff
  • Overseeing the employee schedules, time off requests, and daily workflow management of the program
  • Maintaining the program's clean, safe, and home-like atmosphere
  • Acting with compassion, integrity, and ethics

Gilead employees are held to standards and regulations set by the Department of Mental Health and Addiction Services (DMHAS) and other regulatory bodies. These standards are outlined in Gilead's "Standards of Conduct" policy. It's important that these standards and regulations are met through all duties performed, outcomes achieved, and conditions kept within the organization.
We support equality for and advancement of all people, based on their qualifications and actions alone, without regard to color, gender, age, religion, national origin or disability.
Our company is dedicated to fostering an inclusive environment. If you need a reasonable accommodation to participate in the job application or interview process, please reach out to total.rewards@oakhillct.org. We will make every effort to accommodate your needs in accordance with applicable laws and our commitment to accessibility and inclusion.
An Equal Opportunity Employer.

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