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Program Integrity Director Jobs in Nebraska (NOW HIRING)

Direct program integrity and compliance activities, ensuring accurate eligibility determinations and reducing fraud, waste, and abuse through strong oversight and accountability. Requirements ...

Clinical Documentation Integrity Specialist

Omaha, NE ยท Remote

$31.50 - $42.50/hr

Wellness Program and Employee Assistance Program * GROWTH AND DEVELOPMENT : Advancement ... Collaborate with Director to develop fully informed views and insights into the drivers behind data ...

Clinical Documentation Integrity Specialist

Omaha, NE ยท Remote

$31.50 - $42.50/hr

Wellness Program and Employee Assistance Program * GROWTH AND DEVELOPMENT : Advancement ... Collaborate with Director to develop fully informed views and insights into the drivers behind data ...

$144K - $238K/yr

Summary The Director, Claims Support is responsible for the strategic and operational leadership of ... integrity programs, and provider dispute resolution. Benefits: * 3 weeks PTO & 8 paid holidays

... this role ensures the integrity and efficiency of financial operations. This position is ... Accounting degree required or currently enrolled in program or equivalent combination of experience ...

This position has operational responsibility for the accounting, purchasing, revenue integrity ... programs. * Maintains departmental reports and records and collects statistical data for ...

This position has operational responsibility for the accounting, purchasing, revenue integrity ... programs. * Maintains departmental reports and records and collects statistical data for ...

Catering Director

Omaha, NE ยท On-site

$21/hr

Manager- Catering Operations Are you passionate about developing programs and serving people with a ... Integrity Attention to detail Time management and timeliness Careful and prudent Relentless in the ...

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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.
What job categories do people searching Program Integrity Director jobs in Nebraska look for? The top searched job categories for Program Integrity Director jobs in Nebraska are:
What cities in Nebraska are hiring for Program Integrity Director jobs? Cities in Nebraska with the most Program Integrity Director job openings:

Director - Office of Economic Assistance

Son

Lincoln, NE โ€ข Hybrid

$160K/yr

Full-time

Life, Retirement, PTO

Posted 13 days ago


Job description

The work we do matters!

Hiring Agency:

Health & Human Services - Agency 25


Location:

Lincoln, NE


Hiring Rate:

$1.000


Job Posting:

JR2026-00025935 Director - Office of Economic Assistance (Open)


Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed):


Job Description:

The Director of the Office of Economic Assistance (OEA) provides executive leadership and strategic oversight for statewide public assistance programs administered by the Nebraska Department of Health and Human Services (DHHS). The Director is responsible for ensuring the effective administration of programs that support economic stability, food security, employment readiness, and financial well-being for Nebraskans.
This role leads policy development, program administration, operational strategy, and stakeholder engagement for major state and federally funded assistance programs that help individuals and families achieve long-term self-sufficiency and economic mobility. Programs administered through OEA provide critical medical, nutritional, employment, and financial support services to families, children, older adults, low-income individuals, and individuals with disabilities across Nebraska.
The Director collaborates with DHHS leadership, federal and state partners, legislators, and community stakeholders to ensure programs are delivered efficiently, in compliance with federal and state requirements, and aligned with the agency's mission of helping people live better lives.


Salary: The starting annual salary for this position is $160,000. Final compensation will be commensurate with education and experience, if approved.

Essential Functions:

  • Direct statewide administration of public assistance programs, ensuring effective service delivery and compliance with federal and state laws, regulations, and policies.

  • Establish strategic priorities and operational goals for the Office of Economic Assistance and lead large-scale cross-system initiatives that improve efficiency, strengthen program alignment, and enhance customer service.

  • Provide executive oversight of multiple federally funded assistance programs and funding streams, ensuring program integrity and alignment with federal requirements and state priorities.

  • Lead policy development and legislative strategy, including evaluating proposed legislation and implementing statutory or regulatory changes impacting public assistance programs.

  • Represent DHHS in engagement with federal partners, legislators, advocacy organizations, and community stakeholders to support coordinated service delivery and economic stability initiatives.

  • Direct program integrity and compliance activities, ensuring accurate eligibility determinations and reducing fraud, waste, and abuse through strong oversight and accountability.


Requirements / Qualifications

Minimum Qualifications:

  • Bachelor's degree in Public Administration, Social Work, Human Services, Public Policy, Business Administration, or a related field.

  • Significant leadership experience in public assistance programs, social services administration, human services policy, or related areas.

  • Demonstrated experience managing complex programs funded by federal and state resources.

Preferred Qualifications:

  • Master's degree in Public Administration, Social Work, Public Policy, or a related field.

  • Executive leadership experience within a large human services organization.

  • Experience overseeing federally funded programs such as SNAP, TANF, or similar economic assistance initiatives.

  • Experience working with legislative bodies, community organizations, and multi-agency initiatives.

Location: This position is typically based in Lincoln, Nebraska, within the Nebraska Department of Health and Human Services. This role may require occasional travel for meetings, stakeholder engagement, and program oversight activities.


If you're currently employed by the State of Nebraska, please don't apply through this external career site. Instead, log in to Workday and open the Jobs Hub - Internal Apply app from your home landing page. You can access Workday anytime through the Link web page: https://link.nebraska.gov/


Benefits

We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.
Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits

Equal Opportunity Statement

The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.