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Program Integrity Director Jobs in Nevada (NOW HIRING)

$52K/yr

The Program Director is also responsible for related administrative tasks. The essential job duties ... Ensures programming schedule accountability, proper attendance recording and integrity, and data ...

New

The Director of Revenue Integrity will be charged with ensuring the integrity of the revenue across ... Makes recommendations to the Vice President of Revenue Cycle regarding programs, projects, or ...

Director of Revenue Integrity

Reno, NV · On-site

$71.51 - $100.11/hr

The Director of Revenue Integrity will be charged with ensuring the integrity of the revenue across ... Makes recommendations to the Vice President of Revenue Cycle regarding programs, projects, or ...

The Director of Revenue Integrity will be charged with ensuring the integrity of the revenue across ... Makes recommendations to the Vice President of Revenue Cycle regarding programs, projects, or ...

BCBA Consultant

Las Vegas, NV · On-site

$67K - $82K/yr

... program development, systems building, and mentoring leadership teams, rather than ongoing direct ... integrity. Key Responsibilities Program & Licensing Development * Guide the organization through ...

Housing Director

Sparks, NV · On-site

$101K - $125K/yr

... integrity in a role that promotes safety and traditional values within a customer-focused ... Experience in administering HUD-funded housing programs or similar initiatives is essential for ...

Housing Director

Sparks, NV · On-site

$101K - $125K/yr

... integrity in a role that promotes safety and traditional values within a customer-focused ... Experience in administering HUD-funded housing programs or similar initiatives is essential for ...

Program Aide/Assistant

North Las Vegas, NV · On-site

$35K - $45K/yr

... integrity in holding in confidence all information pertaining to beneficiaries, beneficiary ... as directed by ARC Administrator including: typing, mailing and/or emailing correspondence ...

Youth Program Officer I

Minden, NV · On-site

$27.21 - $38.10/hr

Primary Objectives Performs intermediate work performing a variety of direct care services to ... Demonstrates integrity by avoiding conflicts of interest, managing personal biases, and ensuring ...

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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 are popular job titles related to Program Integrity Director jobs in Nevada? For Program Integrity Director jobs in Nevada, the most frequently searched job titles are:
What job categories do people searching Program Integrity Director jobs in Nevada look for? The top searched job categories for Program Integrity Director jobs in Nevada are:
What cities in Nevada are hiring for Program Integrity Director jobs? Cities in Nevada with the most Program Integrity Director job openings:

$74K/yr

Other

Posted 17 days ago


Job description

The incumbent serves as a Facility Research Compliance Officer (RCO) at VA Sierra Nevada Health Care System (SNHCS). This position is organizationally part of the Facility Director's Office and reports directly to the Facility Director. The RCO evaluates compliance with federal and VA requirements for the conduct of research which may include requirements in one or more of the following areas, the protection of human research subjects, laboratory animal welfare, and research safety and securityQualifications:To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 06/15/2026.
Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-11 position you must have served 52 weeks at the GS-09. The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment.
You may qualify based on your experience and/or education as described below:
  • Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-09 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:
    • Developing policies, procedures, and criteria for the administration of research programs;
    • Implementing data collection and auditing protocols for complex clinical studies;
    • Reporting and analyzing research compliance oversight matters;
    • Participating on various committees related to research compliance; and
    • Utilizing knowledge of Human Subjects Protection principles, regulations, standards, and procedures. OR,
  • Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have Ph.D. or equivalent doctoral degree or 3 full years of progressively higher level graduate education leading to such a degree or LL.M., if related. OR,
  • Combination: Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond GS-11.
You will be rated on the following Competencies for this position:
  • Analytical Reasoning
  • Manages and Organizes Information
  • Project Management
  • Quality Management
  • Research

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Preferred experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-09 in the normal line of progression for the occupation in the organization. Examples of specialized experience includes what is stated in the above Individual Occupational Requirement, as well as:
Applying federal research regulations and institutional policies in areas such as human subjects protection, animal research oversight, laboratory safety, privacy/security, conflicts of interest, and research misconduct, ensuring regulatory compliance and program integrity.
Conducting audits, monitoring, inspections, investigations, or quality assurance reviews within research, healthcare, regulatory, or scientific programs, and documenting findings for leadership.
Performing compliance analyses to identify risks, deficiencies, or system vulnerabilities, and recommending corrective actions, process improvements, or internal control enhancements.
Providing compliance guidance, training, technical assistance, and policy interpretation to researchers, staff, committees, or program stakeholders to support regulatory adherence and operational effectiveness.
Note: A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment.
Physical Requirements: The work is primarily sedentary, although some slight physical effort may be required.
For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.Education:
A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.Employment Type: OTHER