1

Program Integrity Director Jobs in South Carolina

$81K - $146K/yr

This employee will serve as the Director for the Program Integrity & Volunteer Development Division. The director must be knowledgeable about the mission, vision, and purpose of the agency. This ...

Director of Pharmacy

Columbia, SC · On-site

$150 - $200/hr

The Director of Pharmacy ensures that all legal, accreditation, and certification requirements are ... program integrity. * Develops and modifies policy and procedure in accordance with program ...

Director of Pharmacy

Aiken, SC · On-site

$109K - $145K/yr

Additionally, the Director leads 340B program oversight, develops policies and procedures, and collaborates with internal and external stakeholders to ensure program integrity and cost-effective ...

$92K - $175K/yr

Advocate for policies and practices that preserve the operational integrity and long-term viability ... this program. Assist the Executive Director in the strategic planning, administration, and ...

ELECTRICAL ENGINEER

Myrtle Beach, SC · On-site

$75K - $94K/yr

Works directly with Santee Cooper's direct serve commercial customers with instruction and ... to ensure program integrity. * Helps provide technical support related to energy efficiency ...

next page

Showing results 1-20

Program Integrity Director information

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 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 popular job titles related to Program Integrity Director jobs in South Carolina?

For Program Integrity Director jobs in South Carolina, the most frequently searched job titles are:

What job categories do people searching Program Integrity Director jobs in South Carolina look for?

The top searched job categories for Program Integrity Director jobs in South Carolina are:

What cities in South Carolina are hiring for Program Integrity Director jobs?

Cities in South Carolina with the most Program Integrity Director job openings:

$81K - $146K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago


State Of South Carolina rating

7.9

Company rating: 7.9 out of 10

Based on 46 frontline employees who took The Breakroom Quiz

17th of 50 rated states


Job description

Job Responsibilities Are you an experienced professional looking for new opportunities to further your career. The SC Department of Children's Advocacy is seeking a hardworking and dependable candidate just like you to apply. This position will offer great benefits with the state, including 15 days of annual and sick leave per year or more depending on applicable state service.

Responsibilities of the Division Director: Ensure that all divisions are in compliance with Department of Children's Advocacy (DCA) standards. Develop a strategy and infrastructure for effective mission-drive quality assurance, training, recruitment and data integrity program. Ensure that staff and volunteers are trained and ensure quality standards are adhered to within each division to be successful in their positions.

Interpret information for use in development of strategic plans for the DCA. Participates in the decision and policy making process for the DCA. Under limited supervision, this position will manage the Program Integrity and Volunteer Development Division which provides training, recruiting, quality assurance and data/research support to each division in the Agency.

Must be able to maintain confidentiality and use discretion within the agency. This employee will serve as the Director for the Program Integrity & Volunteer Development Division. The director must be knowledgeable about the mission, vision, and purpose of the agency.

This employee must have experience and demonstrated skills to effectively engage in strategic planning and initiatives, project management, quality assurance, training, research and data collection and analysis. Must have advanced computer skills in word processing, spreadsheets and program database management. Ability to manage work and provide guidance to employees.

Knowledge of laws, regulations, policies and procedures relevant to the agency. Must possess excellent communication (written and verbal) skills. Must be able to maintain confidentiality and use discretion within the program.

Supervises staff to include preparing performance planning and evaluation documents and related personnel paperwork. Coaches, counsels and trains employees. Establishes and monitors work processes.

Implement management policies and initiatives and promote teamwork. Develops, implements, and monitors quality assurance guidelines for DCA divisions. Analyzes division data to determine trends and makes recommendations in identified problem areas.

Oversee development of strategy and infrastructure for effective mission-driven volunteer recruitment, engagement, and retention. Oversee the development of curricula and implementation of training across the agency. Complete any special projects assigned by supervisor.

Minimum and Additional Requirements A bachelor's degree and relevant program experience. Two (2) years of program management experience in quality assurance, training program delivery, or data analysis Additional Requirements: Position may require overnight travel. Position may require the employee to work evenings and weekends.

Position requires routine driver duties. Position requires frequent stooping and/or bending. Position requires frequent lifting: 25 lbs.

Position requires non-essential declaration. Position may be required to report to work during emergency situations. Must have valid driver's license.

Must possess strong oral and written communication skills. Preferred Qualifications A master's degree in public administration, Human Services, Business Administration, or a related field. Five (5) or more years of experience in quality assurance, training, and data/research.

Demonstrated experience supervising professional staff and managing multi-layered program teams. Experience designing state-wide volunteer recruitment or engagement infrastructure. Additional Comments The SC Department of Children's Advocacy is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth or related medical conditions, including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.

Supplemental questions are considered part of your official application. Any misrepresentation will result in your disqualification from employment. Please complete the state application to include all current and previous work history and education.

A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position. The SC Department of Children's Advocacy offers an exceptional benefits package for full time (FTE) employees: Health, dental, vision, long-term disability, and life insurance for employees, spouses, and children. Click here for additional information.

15 days annual (vacation) leave per year 15 days sick leave per year 13 paid holidays Paid Parental Leave S.C. Deferred Compensation Program available (S.C. Deferred Compensation) Retirement benefit choices* State Retirement Plan (SCRS) State Optional Retirement Program (State ORP) *Enrollment in one of the listed plans is required for all FTE employees; please refer to the contribution section of hyperlinked retirement sites for the current contribution rate of gross pay.


What State Of South Carolina employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


State of South Carolina logo

About State of South Carolina

Sourced by ZipRecruiter

State of South Carolina is not a typical corporation, but the governing body of the US state of South Carolina, located in the capital city of Columbia. Its industry focuses on public administration, providing key essential services to ensure the efficient functioning of the state. These services range from public safety and environment protection to education, healthcare, and economic development. The state was founded in 1788, grounded in democratic principles meant to support the overall well-being of its citizenry. Its core values revolve around service, integrity, accountability, and transparency. The mission of the State of South Carolina is to improve the quality of life for all its people, with a focus on education advancement, economic growth, and improved healthcare.

Industry

Public administration

Company size

10,000+ Employees

Headquarters location

Columbia, SC, US

Social media