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Program Integrity Director Jobs in Minnesota (NOW HIRING)

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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.
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Program Integrity Director jobs near you
Program Counselor/In Home Support Staff

Program Counselor/In Home Support Staff

Integrity Living Options

Minneapolis, MN • Remote

$18.50 - $24.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

Job description

$500 SIGN ON BONUS

Valid license, vehicle, and insurance are required for this position.

Looking for full-time. Willing to travel all over Twin Cities area.

Integrity Living Options, Inc. (ILO), is a Minnesota based organization that provides services and supports for individuals with a range of mental health diagnoses. ILO is seeking individuals to work Full-time or Part-time positions in our 24 Hour Emergency Assistance/In-Home Supports Division. The primary responsibility of this position is to provide services to individuals by consistently meeting and assessing the individual's goals and needs (per guidelines set by DHS and the agency).

The role of the Individualized Home Support Staff (IHS) is to provide direct supervision and training for people who live in community settings. Broad categories for support include community participation, health, safety and wellness, household management, and adaptive skills by offering guidance and instruction to the client. Persons served are typically seen multiple times weekly and may require remote support for the purposes of check-ins and consultation.

Benefits at ILO include: Affordable and comprehensive health insurance*; dental insurance*, vision insurance, NICE healthcare (free in-home visits for ANYONE living in your home), long-term disability*; 401k with employer match; access to AFLAC supplemental insurance programs; Direct Deposit; PTO; bereavement pay; 2 weeks of paid time off following the birth or adoption of a child*; holiday pay*; referral bonuses; scheduled increases of pay; mileage reimbursement; advancement opportunities with rapidly growing agency; smartphones for work use.

*Pertains to Full-Time staff.

All applicants will receive consideration for employment regardless of their race, color, creed, religion, national origin, sex, sexual orientation, disability, age, marital status, or status with regard to public assistance.

Job Types: Full-time, Part-time, Internship

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