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Program Integrity Director Jobs in Nevada (NOW HIRING)

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

... 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 ...

... marketing program recommendations based on client needs • Negotiate pricing/contracts with ... Integrity, Truth, and Reality 03: Kindness, Empathy, and Grace 04: Resilience, Mettle, and ...

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

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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.

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 cities in Nevada are hiring for Program Integrity Director jobs? Cities in Nevada with the most Program Integrity Director job openings:

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago


Job description

Are you a facilities maintenance superhero looking for a place where you can make a positive difference? Our Facilities Director is a valued part of our operations and we're looking for you!
We're CCMC, a community management company specializing in master-planned communities. Our vision of inspiring a resident-centric focus is brought to life by our core values: Integrity, Respect, Service and Community.
About the Community:
This active-lifestyle community is well-located in a beautiful area. The large, master-planned boasts thousands of single family homes along with tree-lined streets, community parks, walking trails, and a sense of community not found in the vicinity.
The Facilities Director is responsible for overseeing and performing a wide range of operational tasks that will play a crucial role in executing our company's purpose statement: We build community by bringing people together in the neighborhoods where they live and, in the offices, where we work. Simply put, we create experiences that connect people.
What you'll accomplish:
  • Oversees the facility maintenance of association-owned properties
  • Routinely inspects facilities, establishes and implements a preventative maintenance schedule / calendar and maintains records of planned service
  • Obtains multiple bids for contracted work and issues work orders
  • Builds key relationships with vendors and contractors while directing and evaluating their performance
  • Reviews invoices prior to payment to ensure accuracy
  • Provides oversight, supervision and support to community standards team member(s) as needed in regards to compliance / violation matters associated with the upkeep and maintenance of individual properties within the community
  • Meets with insurance adjusters in the event of an insurance claim involving common property
  • Works with builders and developers to track outstanding maintenance items
  • Provides written reports and photo documentation of any facility damage
  • Establish and maintain maintenance schedule in accordance with the association's annual operating budget

What we're looking for:
  • Strong communication skills, both written and verbal
  • A minimum of 5 years of experience in facilities management / maintenance
  • Technical degree preferred
  • Project management skills, including the ability to plan and execute on deliverables
  • Knowledge to read and understand contracts, construction plans and schematics
  • Ability to establish and maintain good working relationships with Board, staff, residents, volunteers, and contractors
  • Strong supervisory skills to manage the work of employees, contractors, and vendors
  • Ability to work evenings and weekends as necessary and respond to after-hours emergencies
  • Strong computers skills with Microsoft Office
  • Skills in carpentry, HVAC, electric, plumbing, and other building trades
  • Must be able to work outdoors in various weather conditions, particularly high heat, and to walk long distances to perform physical inspections
  • Must be able to repetitively lift and carry up to 50 lbs. and perform other physical labor
  • A valid driver's license and vehicle insurance
  • Must pass a pre-employment physical, drug screen, and background check

If driving is, or becomes, a requirement of the role, it is required, at all times, that you hold a valid state driver's license for the class of vehicle you are driving, maintain a clean motor vehicle report, and hold current automobile insurance at statutory limits. You must notify Human Resources immediately regarding any change to your motor vehicle standing. CCMC may periodically review motor vehicle reports to ensure compliance with these requirements.
The physical requirements can vary, but generally, they may include:
  • Mobility: Ability to walk the grounds long distances in various weather conditions.
  • Lifting and Carrying: Occasionally lifting and carrying supplies or equipment up to 25 pounds.
  • Extended Sitting or Standing: Capability to sit or stand for extended periods during meetings or events.
  • Manual Dexterity: Skills in using technology, including computers and mobile devices.
  • Driving: Ability to operate vehicle to perform certain job functions. (Please note: We will request and review an MVR at the time of hire and on a periodic basis thereafter to ensure that employees maintain a satisfactory driving status.)

We are committed to creating an inclusive and accessible work environment. If you require reasonable accommodations during the application process or in performing the job duties as described in the posting, please email talent@ccmcnet.com so we can review next steps together.
What we offer:
  • Comprehensive benefits package including medical, dental, and vision
  • Wellness program
  • Flexible Spending Accounts
  • Company-matching 401k contributions
  • Paid time off for vacation, holidays, medical, and volunteering
  • Paid parental leave
  • Training and educational assistance
  • Support programs, including Employee Assistance Program and Calm Health
  • Optional benefits including short- and long-term disability, life insurance, and pet insurance
  • Most importantly, a caring team who is dedicated to your success!