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Program Integrity Director Jobs in Nevada (NOW HIRING)

CCMC

Facilities Director

Las Vegas, NV

Integrity, Respect, Service and Community. About the Community: This active-lifestyle community is ... Support programs, including Employee Assistance Program and Calm Health * Optional benefits ...

KR Wolfe

HR Director

Incline Village, NV · On-site

... Integrity)--drive us. In Human Resources, we build a thriving, high-trust culture by aligning ... Oversee employee benefits programs, including benefits deductions, Paid Time Off and compensation ...

CCMC

Facilities Director

Las Vegas, NV

Integrity, Respect, Service and Community. About the Community: This active-lifestyle community is ... Support programs, including Employee Assistance Program and Calm Health * Optional benefits ...

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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 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 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 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.

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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:
Program Integrity Director jobs near you
Program Manager - Special Needs Unit

Program Manager - Special Needs Unit

Desert Parkway Behavioral Healthcare Hospital

Las Vegas, NV

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

Job description

We are seeking a passionate and experienced Program Manager to join our dynamic team. This role combines direct patient supervision, clinical oversight, and leadership, requiring a balance of direct to indirect supervision. The Program Manager will drive program development, mentor staff, and ensure exceptional care delivery.

KEY RESPONSIBILITIES:

  • Oversees the creation, revision and implementation of Behavior Plans that are based on the targeted behavioral needs of patients.
  • Frequently communicates with families and community providers to provide updates and progress on treatment.   
  • Directs the behavioral assessment and behavioral treatment protocols.                                 
  • Leads a behavioral team that produces initial behavioral plans for staff implementation and meets five (5) days a week to refine and individualize plans as needed.                               
  • Guides in the moment clinical adjustments to the Behavior Plan daily.
  • Provides daily behavioral direction for Treatment Team                                 
  • Enhances the delivery of effective and measurable behavioral treatment to patients.
  • Maintains and improves clinical data feedback loops between direct care staff and the clinical staff.
  • Responsible for the integrity of all program behavioral data.
  • Performs formal behavioral analysis procedures for selected target behaviors.
  • Supports the family/caregiver training program including scheduling sessions and facilitating effective training of family/caregivers.
  • Consults other departments as appropriate to collaborate on patient care and performance improvement activities.

Requirements

  • Master's degree in Counseling, Social Work, Special Education, Applied Behavior Analysis, or related field required
  • Active Nevada State Clinical License (LCSW, LMFT, LCPC) or BCBA preferred
  • Minimum two (2) years' experience working in a clinical setting required, preferred experience providing behavioral treatment to youth with developmental disabilities and challenging behaviors. 
  • Strong leadership experience
  • Previous experience working with individuals with autism spectrum disorder.
  • Demonstrates critical thinking and organizational skills for the development and delivery of training programs. 
  • Specific knowledge and skills in area of training and development
  • Skills in data collection, analysis, evaluation, and interpretation
  • Problem-solving skills
  • Must have experience with coordinating and collaborating with a multidisciplinary team
  • Experience with therapeutic limit-setting helpful or an understanding of level systems or other behavior management modalities helpful
  • Ability to maintain professional boundaries

Benefits

A full benefits package is available the first of the month following 30 days of employment.

Desert Parkway offers competitive benefits to include:

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401K Retirement Plan
  • Healthcare spending account
  • Dependent care spending account
  • PTO Plan with holiday premium pay
  • Discounted cafeteria meal plan
  • Life insurance (including plans for spouse and children)
  • Short- and long-term disability (with additional buy-in opportunities)
  • Pet Insurance
  • Identity Theft Insurance

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