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Program Integrity Director Jobs in New York (NOW HIRING)

Susquehanna University

Program Director

Brooklyn, NY · On-site

$80K - $85K/yr

The Program Director will provide supervision of all program staff with regard to Case Management ... We believe in fostering a culture built on our core values: respect, integrity, support, maximizing ...

Susquehanna University

Program Director

Manhattan, NY · On-site +1

$70K - $80K/yr

The Program Director will provide supervision of all program staff with regard to Case Management ... We believe in fostering a culture built on our core values: respect, integrity, support, maximizing ...

Susquehanna University

Program Director

Far Rockaway, NY · On-site +1

$80K - $90K/yr

The Program Director will be responsible for providing leadership in developing, planning ... We believe in fostering a culture built on our core values: respect, integrity, support, maximizing ...

husadayforce

Program Director

New York, NY

HELP One, Building C | 314 Hinsdale Street, Brooklyn, NY 11207 What You'll Do As Program Director ... Ensure the integrity of the AWARDS case management system and all other program records. * Liaison ...

husadayforce

Program Director

New York, NY

HELP One, Building C | 314 Hinsdale Street, Brooklyn, NY 11207 What You'll Do As Program Director ... Ensure the integrity of the AWARDS case management system and all other program records. * Liaison ...

husadayforce

Program Director

New York, NY

HELP One, Building C | 314 Hinsdale Street, Brooklyn, NY 11207 What You'll Do As Program Director ... Ensure the integrity of the AWARDS case management system and all other program records. * Liaison ...

husadayforce

Program Director

New York, NY · On-site

HELP One Building B | 282 Hinsdale Street, Brooklyn, NY 11207 What You'll Do As Director of ... Ensure the integrity of the AWARDS case management system and all other program records. * Liaison ...

HELP USA

Program Director

Brooklyn, NY · On-site

$80K/yr

Direct supervision of social services staff. * Coordinate with DSS/ HRA or other tenant referral ... Ensure the integrity of the AWARDS case management system and all other program records. * Liaison ...

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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 is a program integrity director?

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 New York? For Program Integrity Director jobs in New York, the most frequently searched job titles are:
What job categories do people searching Program Integrity Director jobs in New York look for? The top searched job categories for Program Integrity Director jobs in New York are:
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Program Integrity Director jobs near you

Program Director

Services For The Underserved, Inc.

Manhattan, NY • On-site

$80K - $85K/yr

Full-time

Medical, PTO

Re-posted 23 days ago

Services for the UnderServed rating

9.4

Company rating: 9.4 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

MinUSD $80,000.00/Yr.MaxUSD $85,308.00/Yr.Position Overview
  • SCOPE OF ROLE: 

    • The Program Director will provide supervision of all program staff with regard to Case Management to ensure quality care for residents with mental health diagnosis, HIV/AIDS, and histories of substance use.  

  • ESSENTIAL DUTIES & RESPONSIBILITIES: 
    • Familiar with Federal, State and Local laws and regulations as they apply to the community residence program and agency policies  
    • Direct supervision of all program staff with regard to Case Management  
    • Development and implementation of individual client service plans in conjunction with clinical staff, counseling team and client  
    • The Program Director is responsible for ensuring that contracts with clients reflect goals of service plans for assisting counselors to develop intervention goals and activities which support the service plan  
    • Coordinates Annual Functional Assessment Review for each client, submitting report and recommendations to Utilization Review Committee.  
    • Responsible for maintaining contact with other service agencies and insuring client placement for treatment and program activities (may include volunteer job placement)  
    • Responsible for coordination with Intake Coordinator of orientation and transitioning into program of all new residents  
    • Participates in discharge planning  
    • Provides emergency and relief coverage as necessary  
    • May represent agency with community groups and agencies  
    • Prepare reports for Assistant Deputy Director of Mental Health Services and Executive Director, including any problems, and proposals for changes in policies or program design  
    • Provides supervisory meetings with all staff and maintains documentation of these meetings  
    • Ability to work flexible shifts including weekends as assigned 
    • Other duties as assigned including any problems, and proposals for changes in policies or program design 
    Qualifications
  • REQUIREMENTS: 

    • REQUIRED QUALIFICATIONS  

    • Master's degree required  
    • Minimum of 3-5 years of supervisory experience  
    • Experience with HIV/AIDS population and mental health 

    PREFERRED QUALIFICATIONS 

    • Bilingual English/Spanish speaking preferred 
    Company Overview

    S:US IS AN EQUAL OPPORTUNITY EMPLOYER 

    Join a team of employees who care about the wellbeing of others. We believe in fostering a culture built on our core values: respect, integrity, support, maximizing individual potential and continuous quality improvement. From health and wellness resources to generous PTO, professional development, and more, explore all that we offer on our Benefits Page and see how S:US invests in you. 

    We believe in fostering a culture built on our core values: respect, integrity, support, maximizing individual potential and continuous quality improvement. 

    All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, age, sexual orientation, national origin, veteran status, or genetic information and including all other statuses protected by Federal, State and Local laws. S:US is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities, including allowance of the use of services animals. To request reasonable accommodation or if you believe such a request was improperly handled or denied, contact the Leave Team at MyMedicalLeave@sus.org. 

    ID2026-18673Work LocationIn PersonEmployment Type: FULL_TIME

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