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Program Integrity Director Jobs in Tennessee (NOW HIRING)

Behavioral Health Group

Regional Director

Nashville, TN · On-site

Mentor Program Directors, establish goals, and monitor progress. * Develop training programs and ... High integrity, effective communication, problem-solving skills. * Experience in upfront admissions ...

Father Ryan High School

Teacher

Nashville, TN · On-site

... program and student progress. The candidate should possess excellent writing and communication ... and integrity; * Direct and evaluate the learning experiences of students in curricular, co ...

Father Ryan High School

Teacher

Nashville, TN · On-site

... program and student progress. The candidate should possess excellent writing and communication ... and integrity; * Direct and evaluate the learning experiences of students in curricular, co ...

CTI And Associates Inc.

Senior Program Manager

Oak Ridge, TN · On-site

$100K - $101K/yr

Has direct interaction with customer. * May provide technical work direction and/or review of ... Integrity and Ethics. We treat our people, clients and partners with integrity and respect and ...

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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 Integrity Director jobs near you
English Teacher 2026-2027 School Year

English Teacher 2026-2027 School Year

Father Ryan High School

Nashville, TN • On-site

$43K - $59K/yr

Other

Posted 22 days ago

Job description

Description

For each teaching position, Father Ryan seeks a person of faith who is creative, enthusiastic, and well-versed in the core subject area and current pedagogy. The candidate should provide support to the instructional process by serving as a teacher with specific responsibility for supervising students, developing lesson plans and delivering group instruction within established curriculum guidelines, collaborating with colleagues, and responding to a wide range of inquiries from various stakeholders regarding the instructional program and student progress. The candidate should possess excellent writing and communication skills, an ability and desire to work collaboratively, and a familiarity with technologies standard in the educational profession. Candidates should expect to have extra-curricular duties assigned to them, as well, and should include areas in which they could moderate clubs or coach.


Requirements

The most qualified candidates should:

  • Have a master's degree or higher and a major in the field of English;
  • Have a minimum of three years of teaching experience;
  • Accept and support the values and principles of Catholic education within the mission of the Church, in an atmosphere of trust, mutual respect, and integrity;
  • Direct and evaluate the learning experiences of students in curricular, co-curricular, and extracurricular activities;
  • Act as an engaged House System member and be an effective Mentor Group Leader;
  • Provide students with appropriate academic guidance that will promote their proper educational welfare;
  • Cooperate and participate in the planning and evaluation of the school program;
  • Follow the school curriculum guides and diocesan mandates for curriculum;
  • Take part in the professional development program of the school;
  • Maintain cordial relationships with colleagues;
  • Follow the ethics of the profession;
  • Create a classroom environment that recognizes and respects the value of each student, while exercising appropriate classroom management;
  • Work in partnership with parents in the ongoing process of educating their child.

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