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Program Integrity Director Jobs in Maine (NOW HIRING)

Skillcloud HCM

Director of Finance

Portland, ME

$90K - $95K/yr

... integrity, credibility, and dedication to the mission of ProsperityME. * Ability to translate ... Excellent experience with financial programs and software including QuickBooks Benefits of the Job:

Skillcloud HCM

Director of Finance

Portland, ME · On-site

$90K - $95K/yr

... integrity, credibility, and dedication to the mission of ProsperityME. * Ability to translate ... Excellent experience with financial programs and software including QuickBooks Benefits of the Job:

Good Shepherd Food Bank

Facilities Director

Auburn, ME

$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 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.
What are popular job titles related to Program Integrity Director jobs in Maine? For Program Integrity Director jobs in Maine, the most frequently searched job titles are:
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

Director of Finance

Skillcloud HCM

Portland, ME

$90K - $95K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 21 days ago

Job description

ProsperityME

Director of Finance

Portland, Maine

 

ProsperityME is seeking a Director of Finance to play a critical role in partnering with the senior leadership team in strategic decision making and operations as ProsperityME continues to enhance its quality programming and build capacity. This is a tremendous opportunity for a finance leader to maximize and strengthen the internal capacity of a well-respected, high-impact organization.

Requirements of the Director of Finance:
  • 5-7+ years of overall professional financial and operations management experience
  • Minimum of a BA, MBA/CPA or related degree preferred
  • Experience of final responsibility for the quality and content of all financial data, reporting and audit coordination for either a division or significant program area
  • Experience working in a financial position for a nonprofit organization and possess qualities of integrity, credibility, and dedication to the mission of ProsperityME.
  • Ability to translate financial concepts to programmatic and fundraising colleagues
  • Experience preparing for audit and 990 tax returns with the audit committee.
  • Excellent communication and relationship building skills with an ability to prioritize, negotiate, and work with a variety of internal and external stakeholders
  • Experience with analysis and reporting of financial operations for department heads, program leaders, Board Finance Committee, and the Board of Directors. Identify and troubleshoot trends in income and expenses.
  • Supervisory experience and ability to collaborate with auditors and any contracted staff
  • Excellent experience with financial programs and software including QuickBooks
Benefits of the Job:
  • Competitive salary in the range of $90K-$95k
  • Excellent Medical, Dental, Vision benefits 100% paid for employee and family members
  • 4 weeks earned PTO and 12 paid holidays
  • 401K with up to 3% match
  • Opportunity to work in a collaborative, flexible, mission-based environment.
Responsibilities of the Director of Finance:
  • Analyze and present financial reports and oversee all financial, project and grants accounting.
  • Lead the annual audit process, liaise with external auditors and the finance committee of the board of directors.
  • Oversee the annual budgeting and planning process in conjunction with the ED; administer and review all financial plans and budgets; monitor progress and changes; and keep senior leadership team abreast of the organization's financial status.
  • Oversee LIHTC compliance & long-term monitoring of affordable housing developments.
  • Serve as the primary financial liaison to lenders and equity investors on affordable housing developments.
  • Manage organizational cash flow and forecasting.
  • Implement a robust contracts management and financial management/ reporting system.
  • Update and implement all necessary accounting practices and policies.
  • Effectively communicate and present the critical financial matters to the board of directors.
  • Demonstrated supervisory, training, and collaboration experience.
  • Identify and troubleshoot trends in income and expenses.
  • Attend Board Finance Committee meetings and full Board meetings to provide financial updates.

ProsperityME (PME) is a 501(c)(3) nonprofit organization based in Portland, Maine which offers financial education services, higher education scholarships, housing support, economic empowerment and small business assistance to the New Mainer population. Employees enjoy being a part of a mission-based organization with a collaborative culture where they are valued and respected.

Skillcloud HCM Solutions has been engaged to manage this search. NO PHONE CALLS OR RECRUITERS PLEASE.


Equal Opportunity Employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, ancestry, familial status, age, physical or mental disability, pregnancy, sexual orientation, gender identity, genetic information, veteran status, or any other characteristic protected by law. 
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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