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Program Integrity Director Jobs in Louisiana (NOW HIRING)

Our teams live out the organization's core values of integrity, commitment, innovation, and ... A self-motivated leader who can work effectively without direct supervision * Knowledgeable of the ...

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Program Director We are seeking a passionate and dedicated Part-Time Teacher to join our Mother ... Demonstrates the character qualities of enthusiasm, courtesy, flexibility, integrity, gratitude ...

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Program Director We are seeking a passionate and dedicated Part-Time Teacher to join our Mother ... Demonstrates the character qualities of enthusiasm, courtesy, flexibility, integrity, gratitude ...

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Program Director We are seeking a passionate and dedicated Part-Time Teacher to join our Mother ... Demonstrates the character qualities of enthusiasm, courtesy, flexibility, integrity, gratitude ...

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... program within the healthcare environment. We are seeking a Director to effectively, and ... Business Ethics: Demonstrate integrity, respect, and discretion in all business dealings

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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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Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago


Sabre Industries rating

5.6

Company rating: 5.6 out of 10

Based on 54 frontline employees who took The Breakroom Quiz

523rd of 537 rated manufacturers


Job description

At Sabre Industries, we connect and power America's communities with world-class utility and telecom solutions. We reliably build a better world together; one customer, one team, and one community at a time.

Our teams live out the organization's core values of integrity, commitment, innovation, and connection. That's how we continuously exceed our high standards of enterprise excellence-by creating a space for our engaged employees to thrive.

With consistent hiring opportunities nationwide and countless career levels, chances are the next big step on your career path starts here. We work with our employees to create customized career paths and development in all facets of the organization. People will always be our greatest asset and we place emphasis on enhancing the lives of our employees.

Scope of Responsibility:

This position is responsible for effectively managing multiple projects from conception through completion, meeting and exceeding client expectations.

Essential Duties:

  • Develops project plans
  • Coordinates projects and communicates progress
  • Develops workable implementation plans and communicates changes effectively
  • Schedules other people and their tasks to use time efficiently while planning ahead
  • Promptly responds to customer's needs and meets commitments
  • Manages customer situations and solicits customer feedback to improve service
  • Exhibits confidence in self and others to inspire and motivate others to perform well
  • Builds commitment and overcomes resistance
  • Prepares and supports those affected by the change
  • Monitors transition and evaluates results.
  • Accepts feedback and gives appropriate recognition to others

Position Requirements:

  • Bachelor's Degree in related field or equivalent experience
  • A self-motivated leader who can work effectively without direct supervision
  • Knowledgeable of the industry manufacturing needs
  • Good personal organization
  • Effective verbal, nonverbal and written communication skills
  • Basic personal computer skills required: MS Project, MS Outlook, Word, Excel, and database entry
  • Able to work well with others throughout the company
  • Must be detail oriented.

Physical Requirements:

  • Demonstrated ability to work with frequent interruptions in workflow and constantly changing priorities
  • Must be able to remain in a stationary position for extended periods of time with the ability to move throughout the office or outside manufacturing plant as needed
  • Must be able to perform physical activities that require the use of fingers, hands, and arms, such as sitting, typing, using office equipment and reaching
  • Some additional physical activities may require walking, stooping, bending, twisting and handling of materials
  • Position requires manual dexterity, arm-hand steadiness, and a safety-minded individual
  • Must have the ability to concentrate on tasks for long periods of time and be able to observe and receive information from all relevant sources

At Sabre Industries, we invest in your future with a competitive benefits program. As a full-time employee, you are eligible for:

  • Medical, Dental & Vision coverage
  • 401(k) with Company Match
  • Continuing Education & Tuition Reimbursement
  • Life and Disability Coverage
  • Paid Time Off & Paid Holidays
  • Health and Wellness Resources
  • Employee Discounts

Sabre Industries is an Equal Opportunity Employer: M/F/Vets/Disabled/Sexual Orientation/Gender Identity


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