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Program Integrity Director Jobs in Iowa (NOW HIRING)

Respond to clinical crises according to facility policy, ensuring safety and program integrity ... Requires standing, walking, and direct patient interaction. * Shifts may include evenings, weekends ...

Each day, City staff and elected officials are Intentional, Transparent, and work with Integrity ... Plans and recommends maintenance and capital improvement programs. * Recommends and assists in ...

Each day, City staff and elected officials are Intentional, Transparent, and work with Integrity ... Plans and recommends maintenance and capital improvement programs. * Recommends and assists in ...

Each day, City staff and elected officials are Intentional, Transparent, and work with Integrity ... Plans and recommends maintenance and capital improvement programs. * Recommends and assists in ...

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

Counselor

Ascension Recovery Services

Pleasant Hill, IA • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 22 days ago


Job description

Salary:

Counselor

Thrive Now Recovery Center

Pleasant Hill, IA

Full-time day shift

Join a team thats changing lives.

AtThrive Now Recovery Center - Pleasant Hill and our affiliated treatment centers, we are building something differentprograms that deliver exceptional, person-centered care and restore hope for individuals, families, and communities impacted by substance use and mental health disorders. Our work is grounded in trauma-informed care, compassion, and integrity, and every team member plays a meaningful role in a clients recovery journey.

Whether youre bedside in medical, guiding clinical programming, supporting recovery services, or ensuring smooth day-to-day operations, youll be part of a collaborative, mission-driven team that shows up for one another and the people we serve. We offer modern, well-trained workplaces, opportunities for growth, and leadership that invests in your success.

About the Role

The Counseloris a dedicated behavioral health professional responsible for delivering individual, group, and family services within a trauma-informed, recovery-oriented treatment setting. This role is vital in conducting screenings, developing treatment plans, and ensuring high-quality documentation aligned with Iowa HHS, federal, and payer standards. You will function as a collaborative member of a multidisciplinary team to support client safety, stabilization, and long-term recovery outcomes.

Essential Duties & Responsibilities

Assessment & Treatment

  • Conduct biopsychosocial assessments and risk screenings in accordance with established clinical protocols and Iowa state guidelines.
  • Develop and implement individualized treatment plans aligned with ASAM criteria and client-specific needs.
  • Facilitate structured individual, group, and family counseling sessions using evidence-based modalities such as CBT, DBT, and Motivational Interviewing.
  • Respond to clinical crises according to facility policy, ensuring safety and program integrity.

Documentation & Compliance

  • Document all services accurately and timely, adhering to Iowa Medicaid (IME), commercial payer, and Joint Commission (TJC) standards.
  • Maintain progress notes, treatment plan reviews, and discharge summaries that reflect trauma-informed practices.
  • Uphold strict confidentiality, ethical guidelines, and 42 CFR Part 2 regulations.

Care Coordination & Collaboration

  • Participate in interdisciplinary treatment team meetings and utilization management reviews.
  • Coordinate with internal medical and recovery support staff to ensure integrated, holistic care.
  • Communicate with external partners, referral sources, and family systems to support successful transitions in care.

Minimum Qualifications

  • Education: Bachelor's or Masters degree in Social Work, Counseling, Psychology, or a related behavioral health field from an accredited institution.
  • Certification: Current, unrestricted certification or license in the State of Iowa appropriate for substance use counseling (e.g., tCADC, CADC, IADC).
  • Certifications: Current CPR and First Aid certification (or ability to obtain within 30 days of hire).

Preferred Qualifications

  • Advanced state-recognized addiction counseling certification (e.g., IADC, LIADC).
  • Experience in residential, detox, or ASAM 3.5/3.7 levels of care.
  • Knowledge of Iowa-specific Medicaid documentation and TJC/CARF accreditation standards.
  • Training in trauma-specific models or culturally responsive care for diverse populations.

Work Conditions

  • On-site role in a residential treatment environment.
  • Requires standing, walking, and direct patient interaction.
  • Shifts may include evenings, weekends, holidays, or overnight coverage.

Why Youll Love Working Here

The work you do truly changes lives. We recognize the importance of supporting the people who make that impact possible. When you join our team, youre stepping into a place that invests in your growth, wellbeing, and long-term career success.

Comprehensive Benefits & Support

We offer a well-rounded benefits package designed to support you at work and at home, including:

  • ICHRA Health Benefit choose the health plan that fits your needs, with premium reimbursement
  • Dental & Vision Insurance
  • Employer-Paid Life Insurance, with optional supplemental coverage
  • 401(k) Retirement Plan
  • Generous Paid Time Off (PTO)+ paid holidays
  • Paid Training & Continuing Education
  • Employee Assistance Program (EAP)
  • Clear Career Pathways & Advancement Opportunities
  • Safe, Trauma-Informed Work Environment
  • Modern Facilities & Work life balance
  • Supportive Nursing Leadershipthat invests in your growth

Equal Employment Opportunity

We are proud to be an equal opportunity employer. We believe that diversity and inclusion strengthen our organization and enhance the quality of care we provide. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by applicable law. We are committed to creating an inclusive environment for all employees.