1

Program Integrity Director Jobs in New York (NOW HIRING)

... compliance and program integrity. * Conduct regular site visits, quality assurance reviews ... Provide direct supervision and performance oversight to Residence Managers. * Support Residence ...

Specific responsibilities of the Executive Director will include but not be limited to: - Design and implement a more expansive program integrity system including fraud deterrence measures ...

Specific responsibilities of the Executive Director will include but not be limited to: - Design and implement a more expansive program integrity system including fraud deterrence measures ...

Executive Director

Manhattan, NY · On-site

$125K - $150K/yr

Specific responsibilities of the Executive Director will include but not be limited to: - Design and implement a more expansive program integrity system including fraud deterrence measures ...

next page

Showing results 1-20

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 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:
What cities in New York are hiring for Program Integrity Director jobs? Cities in New York with the most Program Integrity Director job openings:
Risk & Integrity Data Analyst

Risk & Integrity Data Analyst

City of New York

Manhattan, NY

$98K - $112K/yr

Full-time

Posted 12 days ago


City Of New York rating

7.1

Company rating: 7.1 out of 10

Based on 77 frontline employees who took The Breakroom Quiz

487th of 649 rated public administrative organizations


Job description

Job Description

THE SELECTED CANDIDATE WILL BE OFFERED A SALARY BETWEEN $98,159 - $112,883.00
The Administration for Children's Services (ACS) protects and promotes the safety and well-being of children and families through child welfare and juvenile justice services and community supports. ACS manages community-based supports and foster care services, and provides subsidized child care vouchers. ACS child protection staff respond to allegations of child maltreatment. In juvenile justice, ACS oversees detention, placement, and programs for youth in the community.
The Division of Child and Family Well-Being (CFWB) works to ensure families and children have the critical supports they need to thrive and exercise self-determination. CFWB leverages concrete resources, stakeholder relationships, and community and family strengths to drive toward greater equity and social justice, reduce disparities and disproportionality - including in the child welfare system -, and create conditions that foster well-being for families and children across New York City. Our work includes the provision of child care assistance; support for caregivers and child-serving professionals to prevent child injury; and investment in community-based approaches.
The CFWB Policy and Compliance unit performs all tasks related to CFWB policies and procedures for child care assistance, ensures compliance with federal, state and local laws and regulations that govern funding for CFWB programming and quality assures CFWB activities to proactively safeguard compliance and standards.
Child care is explicitly identified as the provision of a public service within the federal regulations of the Community Development Block Grant program and ACS has historically claimed CDBG funding for child care.
Reporting to the Executive Director for Child Care Risk and Integrity, the specific responsibilities of the Risk and Integrity Data Analyst will include but not be limited to:
- Conduct extensive data analysis to identify trends and irregularities for the child care subsidy system.
-Work closely with the Program Integrity team leadership to support efforts related to prevention of both child care applicant and provider fraud.
ADDITONAL INFO:
Section 424-A of the New York Social Services Law requires an authorized agency to inquire whether a candidate for employment with child-caring responsibilities has been the subject of a child abuse and maltreatment report.
TO APPLY:
Please go to www.cityjobs.nyc.gov or www.nyc.gov/ess for current NYC employees and search for Job ID# 782064.
No phone calls, faxes or personal inquiries permitted.
Note: Only candidates under consideration will be contacted
CITY RESEARCH SCIENTIST - 21744

Qualifications

1. For Assignment Level I (only physical, biological and environmental sciences and public health) A master's degree from an accredited college or university with a specialization in an appropriate field of physical, biological or environmental science or in public health.
To be appointed to Assignment Level II and above, candidates must have:
1. A doctorate degree from an accredited college or university with specialization in an appropriate field of physical, biological, environmental or social science and one year of full-time experience in a responsible supervisory, administrative or research capacity in the appropriate field of specialization; or
2. A master's degree from an accredited college or university with specialization in an appropriate field of physical, biological, environmental or social science and three years of responsible full-time research experience in the appropriate field of specialization; or
3. Education and/or experience which is equivalent to "1" or "2" above. However, all candidates must have at least a master's degree in an appropriate field of specialization and at least two years of experience described in "2" above. Two years as a City Research Scientist Level I can be substituted for the experience required in "1" and "2" above.
NOTE:
Probationary Period
Appointments to this position are subject to a minimum probationary period of one year.

Additional Information

The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.


What City Of New York employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom