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Program Integrity Director Jobs in Rhode Island (NOW HIRING)

... ensure the integrity and optimization of the Human Resources/payroll Information systems ... Build and maintain a program of services and a staff of associates to provide HR/PR systems support ...

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... ensure the integrity and optimization of the Human Resources/payroll Information systems ... Build and maintain a program of services and a staff of associates to provide HR/PR systems support ...

New

Employee Assistance Program * Referral Bonus * Employee Discounts - (Enterprise, Staples, HD Supply ... A company culture that is dedicated to promoting integrity, joy, respect, and excellence! * Life ...

... and data integrity events), ensuring investigations are scientifically sound, riskbased ... Provide Quality oversight and lifecycle management of the global stability program, including ...

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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 job categories do people searching Program Integrity Director jobs in Rhode Island look for? The top searched job categories for Program Integrity Director jobs in Rhode Island are:
What cities in Rhode Island are hiring for Program Integrity Director jobs? Cities in Rhode Island with the most Program Integrity Director job openings:
Infographic showing various Program Integrity Director job openings in Rhode Island as of May 2026, with employment types broken down into 4% As Needed, 69% Full Time, 19% Part Time, 4% Temporary, 3% Contract, and 1% Nights. Highlights an 94% Physical, 4% Hybrid, and 2% Remote job distribution.

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Posted 2 days ago


Brown University Health rating

6.8

Company rating: 6.8 out of 10

Based on 70 frontline employees who took The Breakroom Quiz

488th of 864 rated healthcare providers


Job description

SUMMARY Reporting to the Vice President Brown University Health Corporate Services (VP BUHCS), plan, organize, and direct all activities necessary to ensure the integrity and optimization of the Human Resources/payroll Information systems established and maintained to achieve an auditable environment, produce an accurate payroll, and provide human resource management information. Build and maintain a program of services and a staff of associates to provide HR/PR systems support for management and users. Establish a communication link between Finance, Human Resources, and Information Technology, merging operational and system needs.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence, as these values guide our everyday actions with patients, customers, and one another. By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals. RESPONSIBILITIES In consultation with the VP BUHCS and various Human Resources management, develop short- and long-term goals and implement action plans to attain agreed upon objectives.

Consult with managers and department heads systemwide as part of ongoing evaluation of Brown University Health PR/HR System Operations and Services. Regularly collaborate and meet with corporate and site HR managers to coordinate activities that impact the HR/PR systems and the payroll process. Participate in the development of HR policies and procedures that affect the systems' data, the systems' operations, and the accuracy of HR and PR information.

Develop policies and procedures for the use and operation of the HR/PR systems. Interview, hire, and assign subordinate staff; provide guidance and counsel to subordinate staff; conduct periodic performance evaluations; recommend personnel actions; act as a resource for staff; conduct periodic individual and/or group staff meetings; provide and maintain subordinate staff development plans; develop standards for subordinate staff performance. Recommend, modify, and administer payroll policies and procedures to ensure efficient and accurate payroll processing.

Continually review work processed to ensure that established quality standards, accuracy, and confidentiality are maintained. Recommend policy changes to Director of Corporate Financial Services. Develop annual operating and capital budgets for the PR/HR System Operations and Services function for Director of Corporate Financial Services.

Ensure that all payroll accounting practices are in compliance with U.S. Department of Labor requirements and other Federal and State agency guidelines. Provide project management and support for certain PR/HR projects

Collaborate with PR/HR Systems Manager and Payroll Supervisor to refine payroll accounting practices and procedures and modify systems to improve the payroll process. Coordinate incident reports and audits reports to ensure accuracy of PR/HR information. Manage staff interaction with Federal and State agencies (e.g., State of Rhode Island Unemployment Assessments, Temporary Disability Insurance, Worker's Compensation), and with banks and attorneys with respect to IRS inquiries and subpoenaed payroll records

Responsible for resolving bank account issues related to payroll, such as direct payroll deposit and establishing new procedures as needed. Manage relationships with outsourced vendors as it relates to PR/HR and Time and Attendance systems. Participate on councils, quality improvement teams, affiliate conversions, and other such committees as required.

Maintain quality assurance, safety, environmental, and infection control in accordance with established Brown University Health policies, procedures, and objectives. Perform other related duties as required. PERFORMANCE STANDARDS Effective utilization of resources Management of continuous quality improvement High quality, high value patient-focused services Resource productivity Fiscal responsibility Development and implementation of effective quality programs Customer satisfaction Performance improvements year-to-year Positive feedback from peers, direct reports, and staff.

QUALIFICATIONS-EDUCATION BS/BA or equivalent. Comprehensive knowledge of Federal and State programs, reporting requirements, and regulations concerning payroll earnings and deductions and an understanding of the impact payroll and human resource activities have on the general ledger and other finance functions. A complete and in-depth understanding of the ADP enterprise HRMS System, and the Kronos Scheduling/Time Entry applications.

Interpersonal skills necessary to interface effectively with all levels of personnel in discussions and explanations of complex information and to gain cooperation with individuals and groups while effecting timely progress. Oral and written communication and presentation skills needed to effectively perform duties. QUALIFICATIONS-EXPERIENCE Seven to ten years of progressively more responsible experience in complex, automated environment, health care environment preferred, human resources and payroll system operation and services.

SUPERVISION Direct supervision for up to 5 full-time equivalent personnel. Supervision includes interviewing, hiring, scheduling, training, and conducting performance appraisals and recommendation of personnel actions. Pay Range $134,035.20-$221,187.20 Location Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903 Work Type M-F 830-5 Work Shift Day Daily Hours 8 hours Driving Required No Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment

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