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Program Integrity Director Jobs in Maine (NOW HIRING)

NFI North, Inc.

PROGRAM DIRECTOR

Bangor, ME · On-site

NFI North has an opening for a Program Director for our 10-bed Adult Program, located at 60 Ohio ... Dedicated: Devoted to a task or purpose with loyalty or integrity * Detail Oriented: Capable of ...

Prime Healthcare

Manager of Revenue Integrity

Lewiston, ME · On-site

$38.18 - $55.29/hr

The Manager also provides assistance to the Sr. Director Revenue Integrity. The Manager Revenue ... Our abundant resources, programs, and voluntary options serve as a foundation for individual growth ...

WEX, Inc.

Risk Operations Program Manager

Portland, ME · On-site

... integrity and fuels our next phase of growth. How You'll Make an Impact STRATEGIC PLANNING ... direct reporting lines. * Excellent writing and verbal communication skills, with the ability to ...

eNett

Risk Operations Program Manager

Portland, ME

... integrity and fuels our next phase of growth. How You'll Make an Impact STRATEGIC PLANNING ... direct reporting lines. * Excellent writing and verbal communication skills, with the ability to ...

WEX

Risk Operations Program Manager

Portland, ME · On-site

... integrity and fuels our next phase of growth. How You'll Make an Impact STRATEGIC PLANNING ... direct reporting lines. * Excellent writing and verbal communication skills, with the ability to ...

Hometown Health Center

Finance Director

Palmyra, ME · On-site

$80K/yr

... the accuracy, integrity, and strategic direction of HHC's financial operations, including ... Ensures compliance with sliding fee discount program financial policies and 340B drug pricing ...

Good Shepherd Food Bank

Facilities Director

Auburn, ME · On-site

$75K - $87K/yr

... integrity of refrigeration and freezer systems critical to food safety. This role supports our ... Ensure sanitation and housekeeping programs meet ServSafe principles, food safety audit standards ...

Good Shepherd Food Bank

Facilities Director

Auburn, ME · On-site

$75K - $87K/yr

... integrity of refrigeration and freezer systems critical to food safety. This role supports our ... Ensure sanitation and housekeeping programs meet ServSafe principles, food safety audit standards ...

Good Shepherd Food Bank

Facilities Director

Auburn, ME · On-site

$75K - $87K/yr

... integrity of refrigeration and freezer systems critical to food safety. This role supports our ... Ensure sanitation and housekeeping programs meet ServSafe principles, food safety audit standards ...

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

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

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

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

Program Integrity Director jobs near you

PROGRAM DIRECTOR

Bangor, ME • On-site

NFI North, Inc.
Offices of Mental Health Practitioners • 51 - 200 employees
Learn more about NFI North, Inc.external

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

Job description

At NFI North, we strive to create a world where mental and behavioral health services are readily accessible for everyone creatingA Place to Belong.NFI North provides mental health and behavioral support services to people facing life challenges. We design diverse and innovative programs that provide a high level of structure within communities of care when a person or family is in need. Our goal is for people to grow, have hope, thrive in their community and feel like they belong.

NFI North has an opening for a Program Director for our 10-bed Adult Program, located at 60 Ohio Street in Bangor, Maine. This program serves adults living with mental illness.

Miller Terraces is a behavioral health residential care facility that provides quality treatment services focused on mental health rehabilitation. Candidates must demonstrate strong leadership, communication, and management skills, as well as a genuine appreciation for supporting individuals as they work toward increased independence and an enhanced quality of life.

The Program Director is administratively and fiscally responsible for the overall operation of the program. This position also provides oversight of the program’s clinical and medical staff. Administrative duties include budget oversight, payroll, scheduling, on-call, training oversight and facilitation of management and staff meetings. The program director is considered an integral part of the larger agency leadership team.

Qualifications include a preferred master’s degree in human services, social work, psychology, or a related field, along with at least two years of supervisory experience in a residential setting serving individuals with mental health needs. A bachelor’s degree will be considered for applicants with extensive leadership experience in the field. A Residential Care Administrator license is a plus.

NFI North offers comprehensive and affordable Medical, Dental, Prescription and Vision coverage. Generous paid time off including 3 weeks of vacation, sick time and 11 paid holidays. We also offer a 4-day work week (10-hour days), tuition reimbursement, retirement match, company paid Life Insurance and Long-Term Disability and much more! In addition to excellent training, we offer supportive environments that allow for creativity, a sense of empowerment and opportunities for advancement.

Equal Opportunity Employer/Affirmative Action

E-Verify Employer

Travel Required

Yes . Travel for conferences, training, meetings

  • Leader: Inspires teammates to follow them
  • Enthusiastic: Shows intense and eager enjoyment and interest
  • Dedicated: Devoted to a task or purpose with loyalty or integrity
  • Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
  • Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
  • Self-Starter: Inspired to perform without outside help
Education

Bachelors or better in Human Services or related field.

Masters or better in Human Services or related field.

Experience

4 years: Leadership and supervisory

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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