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Program Integrity Director Jobs in Kansas (NOW HIRING)

Program Director

Mission, KS · On-site

$100 - $130/hr

Overview The Program Director is responsible for the strategic leadership, operational oversight ... High level of confidence, integrity, enthusiasm, executive presence and a personality that fits a ...

This role drives program integrity, compliance, and continuous improvement without direct people management responsibilities, serving as a trusted subject matter expert and functional authority for ...

Activity Director

Sabetha, KS

$17.25 - $23.50/hr

Plan, organize, facilitate, and direct recreational activity programs for residents * Develop ... Integrity * Servant Heart * Inspire * Nurture * Growth * Nationally recognized workplace and care ...

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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 is a program integrity director?

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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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:
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$100 - $130/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 20 hours ago


Job description

Overview

The Program Director is responsible for the strategic leadership, operational oversight, administration, and overall management of a comprehensive patient services portfolio, including full market access reimbursement support, patient affordability programs, and related patient support services. This role ensures the successful delivery of services across multiple programs while maintaining a strong focus on patient experience, client satisfaction, compliance, quality, and operational excellence.

The Program Director will lead, mentor, and develop a team of Program Managers, Supervisors, Care/Case Managers, and other operational personnel. Responsibilities include workforce planning, recruitment, onboarding, performance management, training, succession planning, and fostering a culture of accountability, collaboration, and continuous improvement.

This role is accountable for ensuring all assigned programs consistently meet or exceed client key performance indicators (KPIs), regulatory requirements, quality standards, and financial objectives. The Program Director will oversee day‑to‑day operations, monitor program performance, identify operational risks, implement process improvements, and drive efficiencies through technology, automation, and best practices.

As the primary client‑facing leader, the Program Director serves as the strategic point of contact for pharmaceutical manufacturer clients and other key stakeholders. This includes providing executive‑level program updates, leading governance meetings, managing escalations, addressing client concerns, and developing action plans to ensure successful outcomes. The Program Director will cultivate strong client relationships, identify opportunities for program enhancement, and support business growth initiatives, including new program implementations, service expansions, and contract renewals.

Additional responsibilities include overseeing budget management, resource allocation, compliance and audit readiness activities, and cross‑functional collaboration with technology, finance, quality, compliance, pharmacy, and patient services teams. The Program Director is expected to leverage data and analytics to drive informed decision‑making, improve operational performance, and deliver measurable value to clients and patients.

Responsibilities

Key Responsibilities:

  • Provide strategic and operational leadership for a portfolio of HUB and affordability programs.
  • Lead and develop high‑performing teams through effective coaching, training, and performance management.
  • Ensure achievement of client SLAs, KPIs, quality standards, and compliance requirements.
  • Serve as the primary escalation point for operational, client, and patient‑related issues.
  • Build and maintain strong relationships with client stakeholders through regular business reviews and governance meetings.
  • Analyze program performance metrics and implement corrective actions and continuous improvement initiatives, using data as a key driver of decision‑making support.
  • Oversee program budgets, staffing models, forecasting, and resource planning.
  • Partner with internal departments to support system enhancements, program launches, and operational readiness activities.
  • Ensure compliance with applicable regulatory, privacy, and industry requirements, including HIPAA, FDA, and manufacturer‑specific guidelines.
  • Support business development efforts by participating in client presentations, RFP responses, and implementation planning for new programs.
  • Drive innovation and operational excellence through process optimization, automation, and technology‑enabled solutions.
  • Maintain a patient‑centric approach while balancing client objectives, operational efficiency, and financial performance.
  • This role requires a proven leader with extensive experience in patient services, market access, reimbursement support, hub operations, or specialty pharmacy environments, along with strong client management, operational leadership, and strategic planning capabilities.
Qualifications
  • BA/BS degree preferred
  • 8‑10 years of experience required working at a market access and/or patient affordability vendor, specialty pharmacy, pharmaceutical company, or healthcare industry partner, including previous management experience.
  • Advanced problem‑solving skills with the ability to work cross‑functionally to resolve issues and generate results among potentially conflicting constituencies.
  • High level of confidence, integrity, enthusiasm, executive presence and a personality that fits a fast‑paced, energetic, and proactive organization. Strong work ethic is a must.
  • Ability to manage others, both direct and indirect reports.
  • Proven ability to work in a team environment where the majority of team reports up to you and where coaching, mentoring, and delegating is an absolute must.
  • Exceptional verbal and written communication and presentation skills required to both internal and external clients.
  • Ability to build strong relationships with peers, across the organization and the senior leadership team.
  • Excellent interpersonal skills and ability to influence sometimes without explicit authority.
  • Thorough understanding of business operations and processes required.
Why work for Valeris?
  • Our Mission is rewarding and fulfilling (Patient Access to Life‑Saving/Improving/Extending Medications/Treatments)
  • We employ the best Talent and Tools from the Patient Access Industry (We are the Industry Leader)
  • We monitor the market to ensure we offer competitive salaries and benefits.
  • 401K w/ 5% matching; day‑1 vestment period
  • 15 days PTO
  • 9 Holidays + 2 Floating Days
  • Health/Dental/Vision/Life; Coverage Day‑1
  • Volunteer Hours

*This is not an exhaustive list of benefits.

*Benefits are subject to change.

** Some positions require onsite presence and/or structured hours/shifts.

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