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Program Integrity Director Jobs in New York (NOW HIRING)

Susquehanna University

Program Director

Ozone Park, NY · On-site +1

$65K - $68K/yr

The Program Director is an empathetic and compassionate leader who will focus on enhancing the ... We believe in fostering a culture built on our core values: respect, integrity, support, maximizing ...

UnitedMasters | Translation

Program Director

New York, NY · On-site

$135K - $165K/yr

We are looking for a Program Director to join Translation! What You'll Do Intake and Team Design ... Leads with integrity and trust * Curious and eager to learn or roll out new ways of working

New

UMT - Internal

Program Director

New York, NY · On-site

$135K - $165K/yr

We are looking for a Program Director to join Translation! What You'll Do Intake and Team Design ... Leads with integrity and trust * Curious and eager to learn or roll out new ways of working

New

UMT - Internal

Program Director

New York, NY · On-site

$135K - $165K/yr

We are looking for a Program Director to join Translation! What You'll Do Intake and Team Design ... Leads with integrity and trust * Curious and eager to learn or roll out new ways of working

UnitedMasters | Translation

Program Director

New York, NY · On-site

$135K - $165K/yr

We are looking for a Program Director to join Translation! What You'll Do Intake and Team Design ... Leads with integrity and trust * Curious and eager to learn or roll out new ways of working

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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:
What cities in New York are hiring for Program Integrity Director jobs? Cities in New York with the most Program Integrity Director job openings:
Program Integrity Director jobs near you

Program Director

Services For The Underserved, Inc.

Ozone Park, NY • On-site, Remote

$65K - $68K/yr

Full-time

Medical, PTO

Re-posted 5 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

Min
USD $65,000.00/Yr.
Max
USD $68,000.00/Yr.
Position Overview
The Developmental Disabilities Division believes that our role in supporting people with Intellectual and Developmental Disabilities is to live meaningful lives as determined by the person. All persons shall live a life with dignity conforming to each personal value system. Our philosophy is for the people we serve to be part of the community, to live fulfilling lives driven by their choices and to be as independent as possible. Our mission is to accomplish this with well-trained staff, access to the quality health care, clinical supports, and a clean and safe home.
The Program Director is an empathetic and compassionate leader who will focus on enhancing the quality of life of all the people supported in their respective program and additional programs when needed. They will lead their programs and staff and ensure that they are continuously improving the quality of the programs and providing excellent quality of life for the people we support. They will be responsible for ensuring that they are meeting the regulatory and quality standards. They will ensure that people supported are treated with dignity and respect. They will focus on developing strategies to educate, develop their teams so that the mission, vision and values of the organization are achieved. The leader will ensure that the expectations and desires of the people supported and their circle of support are met. They will provide transformational leadership that positions the residential team to adapt to changes in people's needs as they arise. They will manage and lead their team and provide 24-hour support in emergency situations. This will include all aspects of their program including direct care.
ESSENTIAL DUTIES & RESPONSIBILITIES:
Person Centered Planning
  • Ensures that a person-centered focus is used to provide care and support by all staff who work within the residence
  • Ensures a positive climate that promotes respect and dignity for people supported.
  • Supports the person's independence, choice and outcomes.
  • Participates in the screening, admission and discharge of people within the residence to ensure a smooth transition of support.
  • Promotes participation in activities of meaningful daily living, such as vocation, recreation, spirituality.
  • Provides prompt, efficient, and personalized support to meet requirements, requests, and concerns.
  • Provides opportunities for people support to personalize their environment

Leadership
  • Provides leadership and direction for the residences through a combination of activities, including but not limited to observation, mentoring, coaching.
  • Maintains all records and systems and ensures staff are properly trained and supported .
  • Ensure all staff are trained in all aspects of each person's life including health protocols , personal choice and outcomes.
  • Leads meetings with all stakeholders to ensure participation for all members of each person's circle of support.
  • Represents the division and organization by participating on DD councils and IAC committees.
  • Coaches and mentors all staff under their supervision
  • Understands and applies appropriate techniques for conflict resolution, crisis prevention, intervention and resolution.
  • Provides round-the-clock responsiveness as part of emergency notifications and assistance.
  • Ensures that the program are operating within their established budget.
  • Partners with the Human Resources Department in all efforts relevant to hiring, developing and retaining staff.

Regulatory
  • Maintains all records in compliance with OPWDD regulations.
  • Ensure the observations are completed across all staffing shifts.
  • Ensure all health care needs are met and all staff are trained in the needs of the people we support
  • Ensure all Fire Safety Regulations are met
  • Ensure all agency policies and procedure are followed.
  • Partners with the Quality Assurance and Quality Improvement team to ensure that all standards relative to the residences are met.

Quality Improvement
  • Continually monitors program to look for areas that could improve.
  • Ensures that the CARF philosophy is implemented, and reassessed accordingly.
  • Ensures that the program is continuously requesting feedback from all stakeholders .

Qualifications
EDUCATION AND EXPERIENCE
• Bachelor's Degree preferred .
Proven experience successfully leading a program
• Experience working with people with IDD.
PREFERRED QUALIFICATIONS & SKILLS
  • AMAP; SCIP-R; CPR & First Aid is
    • Note: S:US will provide on-the-job training for such certifications.
  • Basic computer skills (e.g. MS Office suite and Windows).
  • Drivers License 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 ourBenefits 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.
ID
2026-18616
Work Location
In Person

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