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Program Integrity Director Jobs in Tennessee (NOW HIRING)

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Program Director

Memphis, TN ยท On-site

$60K - $65K/yr

Reporting to the Chief Executive Officer, the Program Director will be responsible for enhancing ... of integrity, credibility, and commitment to the mission of the company. ยท Flexible and able to ...

Be Seen First

Program Director

Memphis, TN ยท On-site

$60K - $65K/yr

Reporting to the Chief Executive Officer, the Program Director will be responsible for enhancing ... of integrity, credibility, and commitment to the mission of the company. ยท Flexible and able to ...

Program Director

TN ยท On-site

$40K - $43K/yr

Vision insurance Program Director Life's too short to not work someplace awesome! At The Little Gym ... Although we are goofballs, we still promote respect, compassion and integrity. We will continuously ...

Sr. Program Director

Brentwood, TN ยท On-site

$109K - $110K/yr

The Sr Program Director is responsible for the growth of client accounts. They will develop and ... integrity, and authenticity. We develop and inspire through training and coaching on the job. At ...

Sr. Program Director

Brentwood, TN ยท On-site

$109K - $110K/yr

The Sr Program Director is responsible for the growth of client accounts. They will develop and ... integrity, and authenticity. We develop and inspire through training and coaching on the job. At ...

Sr. Program Director

Brentwood, TN ยท On-site

$109K - $110K/yr

The Sr Program Director is responsible for the growth of client accounts. They will develop and ... integrity, and authenticity. We develop and inspire through training and coaching on the job. At ...

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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 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.
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Program Director

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday


Job description

Boston Government Services, LLC. (BGS) is seeking a Program Director to join our team in Paducah, KY. This position is contingent upon contract award.


BGS is an engineering, technology, and security firm helping to advance missions of national importance for government programs, national laboratories, national security facilities, nuclear operations, and complex projects. We support clients at every stage, from strategic planning and program management to the execution of engineering and technical activities. We work to attract and retain the best talent because the best talent delivers the best results for our clients. Our capabilities are based on our experience in complex, secure, and highly regulated environments. We leverage our experience and capabilities to provide mission-driven solutions tuned to our client's mission needs and strategic direction.


Work that Matters. People that Matter More. At BGS, we believe meaningful work starts with great people. We foster a culture built on respect, collaboration, and accountabilityโ€”where employees are empowered to contribute ideas, grow professionally, and make an impact. We care about our employeesโ€™ well-being through competitive benefits, clear expectations, and an environment that values both excellence and connection.


If you align with BGSโ€™ company values and culture, we would love for you to explore opportunities to join our growing team by checking out the job description below!


Responsibilities:

  • Executive oversight, client interface, contractual authority.
  • Serve as the primary interface with project leadership.
  • Ensure program alignment with schedule, scope, and expectations.
  • Maintain independence and contractual integrity of AHJ Functions.
  • Other duties as assigned.


Requirements:

  • BA/BS Degree in engineering or related discipline plus 15 years of direct experience.
  • Experience with large-scale infrastructure, DOE/ commercial nuclear programs, program leadership.
  • Successful drug screening.
  • Must be eligible to obtain and maintain a security or clearance badge.


Preferred Qualifications:

  • Professional Engineering License (KY or equivalent by endorsement) along with multiple discipline exposure.


Location/Work Arrangement:

  • This position is a fully onsite position in Paducah, KY.
  • Schedule is full-time, Monday โ€“ Friday 40-hour week.


Benefits:

BGS offers a competitive total compensation package to eligible employees. Benefits include Health, Dental, Vision, Life Insurance, Paid Vacation, 401K, Long and Short-Term Disability.


EEO:

BGS is an Equal Opportunity/Affirmative Action employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.


Exclusive Agreement Disclaimer:

BGS has standing contracts with federal agencies throughout the United States. We require an affirmative exclusive agreement to represent all candidates to our clients. By submitting this application, you are consenting to allow BGS to represent you as a candidate for the role in which you are applying.


Schedule is full-time, Monday โ€“ Friday 40-hour week.