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Program Integrity Director Jobs in Kentucky (NOW HIRING)

Baptist Health

Community Pharmacist - PRN Float

Louisville, KY · On-site

$56 - $67.25/hr

The Community Staff Pharmacist provides direct patient care services including but not limited to ... 340B program integrity as applicable to practice site. Baptist Health is looking for a Community ...

Thrive

Thrift Store Manager

Louisville, KY · On-site

$20/hr

  • Medical

... protect program integrity. * Digital & E-Commerce Expansion: Use store downtime to proactively ... experience directing non-profit or volunteer teams is a huge plus!). * Assertive Empathy:

NextDecade Corporation

$180 - $240/hr

## Director, Facilities EngineeringApplylocations: Brownsville Sitetime type: Full timeposted on ... integrity of the facility.* Manage the technical authority program and act as the point of ...

Public Partnerships LLC

$180 - $215/hr

... direct their own long-term home care. Our role as the nation's largest and most experienced ... and state program integrity requirements.* Advise on background check compliance, exclusion ...

Stryker Corporation

$100 - $232/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Position Summary Revenue Integrity Informatics is seeking a Lead Director - Revenue Integrity ... Align risk adjustment programs with state Medicaid models (e.g., CDPS, CRG, or state-specific ...

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Program Integrity Director information

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.

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 popular job titles related to Program Integrity Director jobs in Kentucky?

For Program Integrity Director jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Program Integrity Director jobs in Kentucky look for?

The top searched job categories for Program Integrity Director jobs in Kentucky are:

What cities in Kentucky are hiring for Program Integrity Director jobs?

Cities in Kentucky with the most Program Integrity Director job openings:

Program Integrity Director jobs near you
Infographic showing various Program Integrity Director job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, 4% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Community / Retail Pharmacist - PRN, Float

Baptist Health

Lexington, KY • On-site

$58 - $69.50/hr

Part-time

Posted 7 days ago

Baptist Health South Florida rating

8.1

Company rating: 8.1 out of 10

Based on 99 frontline employees who took The Breakroom Quiz

1st of 24 rated health and beauty retailers

Job description

Summary
This position assists the Community Pharmacy Manager with the direction and development of pharmacy staff to optimize patient experience and delivery of services. The Community Staff Pharmacist provides direct patient care services including but not limited to drug regimen review, disease state management, medication counseling, adherence monitoring, discharge medication reconciliation, prescription dispensing, and immunization administration. Proficient with all steps of dispensing and verification workflows. This position is responsible for performing all pharmacy operations in accordance with accredited policies and procedures, ethical and professional practices, Board of Pharmacy, and State and Federal requirements. The Community Staff Pharmacist maintains appropriate patient record documentation for clinical and dispensing services. Adheres to best practices for medication safety and ensures appropriate documentation of medication events. The Community Staff Pharmacist is responsible for inventory management functions, including maintaining 340B program integrity as applicable to practice site.
Job Description:
Baptist Health is looking for a Community Retail PRN Float Pharmacist to join our Pharmacy team! Float locations will be Lexington, Hamburg, Richmond and Corbin.
  • Assists the manager with oversight of pharmacy operations and personnel.
  • Supports the orientation, training, and development of community pharmacy staff.
  • Ensures compliance with Baptist Health policies, 340B program (if applicable), accrediting bodies, REMS compliance, third-party payers (including audits), and state and federal regulations.
  • Ensures timely completion of all claim and invoice reconciliation as needed by the Community Pharmacy Manager.
  • Ensures adequate control and documentation of controlled substance ordering, receiving, inventory management, and dispensing in compliance with state and federal regulations.
  • Maintains compliance with immunization protocols and ensures all staff have current training, including BLS CPR certification.
  • Ensures the integrity of medications by assuring storage under proper conditions (e.g., refrigeration) and security.
  • Monitors drug shortages and implements solutions to avoid therapy delays.
  • Supports the development and implementation of strategies to eliminate or minimize medication errors.
  • Reports Good Catches, Adverse Drug Events, and Medication/Fluid errors.
  • Coordinates safe transitions of care from the hospital with patients, caregivers, other institutions, providers, and pharmacies.
  • Ensures prompt and friendly service, prioritizing the patient's well-being in all functions and duties.
  • Performs responsibilities of Community Pharmacy Manager during their absence.

Minimum Requirements
  • Kentucky Board of Pharmacy license in good standing.
  • Bachelor's Degree in Pharmacy or Doctorate of Pharmacy required.
  • Must obtain Basic Life Support (BLS) certification within 6 months of hire.
  • Must obtain Immunization certification within 6 months of hire.
  • Community Pharmacy experience preferred.
  • Must have and maintain a valid driver's license.
  • Must be available to travel to Lexington, Hamburg, Richmond and Corbin Community Pharmacies as needed.

If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!
Baptist Health is an Equal Employment Opportunity employer.

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About Baptist Health South Florida

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Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 27,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World's Most Ethical Companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Miami, FL, US

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