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Program Integrity Director Jobs in Indiana (NOW HIRING)

Adams & Associates, Inc.

CSIO (62151)

Edinburgh, IN · On-site

$24.40/hr

... all program integrity guidelines and procedures and ensures no manipulation of student data. o ... Reports significant concerns to the Center Director. o Ensures sanctions are imposed in accordance ...

ADAMS AND ASSOCIATES INC

CSIO (62151)

Edinburgh, IN

$24.40/hr

... all program integrity guidelines and procedures and ensures no manipulation of student data. o ... Reports significant concerns to the Center Director. o Ensures sanctions are imposed in accordance ...

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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.
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Program Integrity Director jobs near you

Family Medicine MD/DO Program Director - Multiple Locations, Indiana

Commonwealth Medical Services

Richmond, IN • On-site

Full-time

Medical, Dental, Vision, Retirement

Posted 13 hours ago

Job description

Family Medicine Residency Program Director

A high-quality, provider-led health system is seeking a patient-centered and empathetic Family Medicine physician to serve as Residency Program Director for an established ACGME-accredited Family Medicine Residency Program. The ideal candidate is board-certified and demonstrates a commitment to excellence, integrity, accountability, and compassionate patient care.

This leadership role carries full accountability for the residency program, including ensuring compliance with ACGME and sponsoring institution requirements. The Program Director will be supported with dedicated administrative time and resources, with at least 50% of effort protected for program leadership responsibilities and the remaining time devoted to clinical practice.

The organization serves a broad regional population across multiple counties in a stable, community-based healthcare environment and encourages physician leaders to grow beyond clinical medicine into management, education, and system leadership roles.

Position Details
  • Full-time, hospital-employed leadership position
  • Residency leadership team includes:
    • 3 full-time core faculty physicians
    • 1 administrative director
    • 2 medical education assistants
    • 1 practice manager
    • 1 clinical supervisor
  • Opportunity to lead program growth and development

Benefits

Compensation & Benefits
  • Competitive base salary
  • Qualifying employment site for Public Student Loan Forgiveness (PSLF)
  • Comprehensive benefits package
  • Medical malpractice insurance with tail coverage
  • 403(b) retirement plan with employer match
  • Medical, dental, vision, and health coverage
  • Social membership to a local country club

Apply