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Program Integrity Director Jobs in Kansas (NOW HIRING)

Integrity: We are honest and professional. * Trust: We count on each other. * Excellence: We strive ... Advanced training programs * Passionate company culture committed to the highest standard of care ...

Executive Director

Overland Park, KS · On-site

$120K - $135K/yr

Integrity: We are honest and professional. * Trust: We count on each other. * Excellence: We strive ... Advanced training programs * Passionate company culture committed to the highest standard of care ...

Ensure the integrity of First Aid Beauty's brand identity across all consumer touchpoints. * Lead ... Understand customer behavior and expectations to anticipate consumer needs and design programs and ...

Participate in CBMC training programs and national meetings for development and alignment ... Demonstrates Biblical standards of integrity, humility, and servant leadership. Education ...

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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 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:
Executive Director

Executive Director

BRISTOL HOSPICE LLC

Overland Park, KS • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago


Bristol Hospice rating

7.2

Company rating: 7.2 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

20th of 43 rated hospices


Job description

Are you experienced in establishing and implementing goals for hospice services and driving the day to day operations?
Keep reading..

Join our team at Bristol Hospice and take on the exciting pivotal role of Executive Director!
In this position you will perform continuous quality assessment and performance improvements. Lead the strategic initiatives towards strengthening efforts in carrying out the Bristol Hospice Care mission and assuring long-term growth and sustainability.

Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visitbristolhospice.comor follow us onLinkedIn.

Our Culture

Our culture is cultivated using the following values:

  • Integrity:We are honest and professional.
  • Trust:We count on each other.
  • Excellence:We strive to always do our best and look for ways to improve and excel.
  • Accountability:We accept responsibility for our actions, attitudes, and mistakes.
  • Mutual Respect:We treat others the way we want to be treated.

On an Average Day You Will:

(includes but not limited to)

  • Perform tasks associated with operational planning and budgeting
  • Ensure organizational compliance with legal, regulatory and accreditation requirements
  • Monitor business operations to insure financial stability
  • Evaluate hospice services and personnel using measurable outcomes and objectives
  • Establish and maintain effective channels of communication including integration or technology, as applicable
  • Ensure hospice personnel stay current with clinical information and practices
  • Ensure adequate and appropriate staffing
  • Provide staff development including orientation, in-service, continuing education, competency testing and quality assessment performance improvement
  • Ensure that interdisciplinary care is provided
  • Ensure supportive services are available to personnel
  • Ensure coordination with other departments, services and senior management, as appropriate
  • Ensure staff and organization stay current on local/national hospice issues and trends
  • Ensure that appropriate service policies and procedures are developed and implemented to accomplish identified outcomes
  • Other duties as assigned

Requirements:

  • Bachelor's degree in Business Administration or Health Care preferred, or equivalent direct work experience
    Must have three (3) years of experience in health care management, five (5) years preferred
  • Ability to communicate and facilitate training via phone, WebEx, or in-person
  • Working knowledge of Microsoft Word, Excel, PowerPoint, and EMR systems.
  • Must demonstrate an ability to supervise and direct professional and administrative personnel
    Must possess an ability to deal tactfully with the community
    Must possess a knowledge of corporate business management
    Must understand hospice care and the services provided to patient and family/caregiver through an interdisciplinary group
    Must possess an intimate knowledge of Medicare Hospice Certification
  • Must be able to travel and work flexible hours
  • Must be willing to travel to hospice locations as assigned and be flexible with working hours

We Got the Perks:

  • Tuition Reimbursement
  • PTO and Paid Holidays
  • Medical, Dental, Vision, Life Insurance, and more
  • HSA & 401(k) available
  • Mileage Reimbursement for applicable positions
  • Advanced training programs
  • Passionate company culture committed to the highest standard of care in the hospice industry

Join a Team that embraces the reverence of life!

EEOC Statement

Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.


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