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Program Integrity Director Jobs in Nevada (NOW HIRING)

NaphCare

Medical Director

Henderson, NV · On-site

$175 - $185/hr

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Naphcare, Inc.

Medical Director

Henderson, NV · On-site

$175 - $185/hr

Display integrity, professionalism and be able to adhere to a Code of Conduct and comply with all ... Employee Assistance Program (EAP) services * 401K and Roth with company contribution that starts ...

Astound Group LLC

Creative Director

Las Vegas, NV · On-site

... we create programs that combine creative excellence, operational discipline, and ROI-focused ... Unwavering Integrity: Uphold the highest ethical standards, valuing honesty and transparency.

Taphealthcare

People Services Director

Elko, NV · On-site

$101K - $136K/yr

Compliance and Regulatory Programs * Performance Management * Workforce Development * Experience ... Lead complex employee and labor relations matters with professionalism and integrity. * Support ...

Danville Services

Nevada State Director

Las Vegas, NV · On-site

$80K - $95K/yr

This is a rare and great opportunity for the right candidate to lead the Nevada Danville programs ... Maintains a high level of integrity and honesty in all situations and settings * Has excellent ...

Danville Services

Nevada State Director

Las Vegas, NV · On-site

$80K - $95K/yr

This is a rare and great opportunity for the right candidate to lead the Nevada Danville programs ... Maintains a high level of integrity and honesty in all situations and settings * Has excellent ...

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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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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:
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Program Integrity Director jobs near you
Director of Investigations

Director of Investigations

Nevada State Contractors Board

Las Vegas, NV

$125K - $145K/yr

Full-time

Medical, Dental, Vision, Retirement

Posted 15 days ago

Job description

The Nevada State Contractors Board (NSCB) is seeking a full-time Director of Investigations and requests all interested and qualified individuals to apply. The position reports to the Executive Office of the NSCB.

The Director of Investigations serves as the head of the NSCB Investigations Department and is responsible for the oversight of all compliance and criminal investigations worked by investigators in the Department. The NSCB has offices in Las Vegas and Reno.  The Director of Investigations acts as the NSCB's primary law enforcement officer whose responsibilities include coordinating operations and investigations with local, state and federal law enforcement agencies.

The NSCB is committed to ensuring the integrity and professionalism of the construction industry in Nevada, and has the responsibility to promote quality construction by Nevada licensed contractors through regulatory licensing system designed to protect the health, safety and welfare of the public.  This is an At-Will position.

Requirements

Bachelor's degree; or ten years related law enforcement experience and/or training; or equivalent combination of education and experience.  The ideal candidate is a mission-driven leader with a law enforcement background possessing strong management, strategic, relational, and operational experience.

SKILLS AND ABILITIES

To perform this job successfully, an individual must be able to comprehend Nevada Revised Statute 624.  Excellent written and oral communication skills. Experience preparing professional correspondence, including a high level of proficiency in grammar, spelling, and punctuation.  Knowledge of computer databases, spreadsheets and word processing.  Knowledge of concepts, materials and terminology related to criminal law; industry standards applicable to construction; procedures and practices for documenting investigations.

The individual must have the ability to read, analyze, and interpret legal and legislative documents. Ability to respond to inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches, correspondence, and articles for publication.  Ability to effectively present information to the media and in public outreach programs.

CERTIFICATES, LICENSES, REGISTRATION

Must possess a valid Nevada driver's license.

Benefits

Starting annual salary is between $125,000 to $145,000, to be determined based on experience.  Benefit package includes Medical, Dental, Vision, 401 and 457 pension plans.  The NSCB is a quasi-State agency and employees are not participants in the Nevada P.E.R.S. retirement program.  Additional benefits information will be provided during the interview process.

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