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Program Integrity Director Jobs in Kansas (NOW HIRING)

BHG LXXXIX LLC

Program Director

Kansas City, KS

Program Director Behavioral Health Group (BHG) is the largest network of Joint Commission ... Join us and become part of a community that values excellence, integrity, and making a real ...

KVC Health Systems

Program Manager I

Olathe, KS · On-site

$28.50 - $30.50/hr

Two or more years in a management role OR four or more years of direct care experience in a ... Integrity, Open Honest Communication, Teamwork, and Continuous Improvement while helping both ...

Heartspring Inc

Principal Gift Director

Wichita, KS · On-site

Champion our integrity by providing customer service while exhibiting e xcellence through ... program innovation, endowment development, and long-range organizational initiatives. Guide the ...

Holton Health Care Center

Activity Director

Holton, KS · On-site

$16.75 - $22.75/hr

Pillars for successful employment are work ethic, integrity, and competence. We are currently seeking an Activity Director. Job Responsibilities and Duties: * Ensure an on-going program of activities ...

Holton Health Care Center

Activity Director

Holton, KS

$16.75 - $22.75/hr

Pillars for successful employment are work ethic, integrity, and competence. We are currently seeking an Activity Director. Job Responsibilities and Duties: * Ensure an on-going program of activities ...

Larned State Hospital

Clinical Director (PSP)

Larned, KS · On-site

$140K - $155K/yr

This role maintains overall accountability for the clinical integrity of the program, including ... In addition to direct clinical oversight, the role carries significant administrative and ...

BHC

Public Works Group Director

Overland Park, KS · On-site

Our shared values and objectives focus on integrity and professionalism. We embrace teamwork ... Aligns programs to business needs, driving employee success, growth, profitability, and continuous ...

HomeServices of America

Marketing Director

Leawood, KS · On-site

... integrity. Manage marketing programs and staff. Job Duties and Responsibilities (Essential Job ... Partner with the Creative Director and Project Manager on ongoing projects, ensuring consistent ...

ReeceNichols Real Estate

Marketing Director

Leawood, KS · On-site

... integrity. Manage marketing programs and staff. Job Duties and Responsibilities (Essential Job ... Partner with the Creative Director and Project Manager on ongoing projects, ensuring consistent ...

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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.

What job categories do people searching Program Integrity Director jobs in Kansas look for? The top searched job categories for Program Integrity Director jobs in Kansas are:
What cities in Kansas are hiring for Program Integrity Director jobs? Cities in Kansas with the most Program Integrity Director job openings:
Program Integrity Director jobs near you
Program Director

Program Director

Behavioral Health Group

Kansas City, KS • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

Job description

Program Director
Behavioral Health Group (BHG) is the largest network of Joint Commission-accredited treatment centers and the leading provider of opioid addiction treatment services. We are dedicated to helping individuals overcome substance use disorders. With over 110 locations in 22 states, our team of more than 1,900 employees serves over 42,000 patients.
Job Overview: The Program Director supervises daily operations of an opiate treatment center, ensuring excellence in operations, staffing, training, compliance, and customer service. Responsibilities include team member supervision, scheduling, training, service delivery oversight, patient progress evaluation, policy implementation, and regulatory adherence. The Program Director performs duties within their licensed scope, as specified in an addendum.
Key Responsibilities:
  • Supervise patient admission, medication delivery, and patient processing.
  • Maintain high standards for the treatment center's infrastructure.
  • Address urgent issues and patient complaints promptly.
  • Monitor and report on program performance regularly.
  • Manage revenue collection and expenditures.
  • Ensure schedule adherence and minimize overtime.
  • Lead and mentor team members to achieve annual goals.
  • Implement and enforce agency's Code of Ethics and Conduct.
  • Coordinate training programs and audits.
  • Serve as the Corporate Compliance Officer.
  • Ensure team members are properly educated, credentialed, and licensed.
  • Manage recruitment, staffing levels, and team morale.
  • Handle hiring, termination, and unemployment claims with HR.
  • Ensure compliance with all regulatory and accrediting agency requirements.

Qualifications:
  • Leadership experience in substance abuse treatment services required.
  • Demonstrate desire to provide compassionate, evidence-based care.
  • Experience in operations, compliance, safety, accreditation, and quality of care.
  • Valid driver's license.
  • Excellent verbal and written communication skills.
  • Strong problem-solving and ethical standards knowledge.

Physical Demands and Working Conditions:
The physical demands and working conditions outlined here represent what is required for an employee to perform the essential functions of this job. Reasonable accommodations may be provided for individuals with disabilities, as long as they do not create an undue hardship for the business.
  • Ability to speak and hear effectively in person and over the phone.
  • Adequate vision to read correspondence, computer screens, and forms.
  • Ability to sit for extended periods, with some bending, stooping, and stretching.
  • Variable workload with periodic high stress and activity levels.
  • Interactions with patients who may be ill, have infectious diseases, mental health diagnoses, or involvement in the criminal justice system.
  • Standard medical office environment.
  • Prolonged periods of keyboarding.

Why Join BHG?
  • Work-Life Balance: Enjoy generous paid time off, holidays, and personal needs. Benefit from flexible schedules with early in/early out hours, no nights, and no Sundays.
  • Investment in Your Growth: Prioritize your development with role-based training and advancement opportunities.
  • Comprehensive Benefits: Choose from three benefits programs, including health, life, vision, and dental insurance. Enjoy tuition reimbursement and 401K plan with discretionary match.
  • Recognition and Rewards: Experience competitive pay, quarterly bonuses, and incentives for certifications or licenses.
  • Employee Perks: Access exclusive discounts on various services and entertainment options, and benefit from our Employee Assistance Program and self-care series.

At BHG, we thrive on the greatness of our people. Join us and become part of a community that values excellence, integrity, and making a real difference in the lives of others.
BHG is an equal opportunity, affirmative action employer providing equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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