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Program Integrity Director Jobs in Utah (NOW HIRING)

... Program. Job Summary: The Clinical Director will provide oversight and support for psychotherapy ... The Clinical Director ensures clinical integrity and compliance through local monitoring and risk ...

Clinical Director

Draper, UT · On-site

$90K - $130K/yr

... Program. Job Summary: The Clinical Director will provide oversight and support for psychotherapy ... The Clinical Director ensures clinical integrity and compliance through local monitoring and risk ...

... Program. Job Summary: The Clinical Director will provide oversight and support for psychotherapy ... The Clinical Director ensures clinical integrity and compliance through local monitoring and risk ...

... Program. Job Summary: The Clinical Director will provide oversight and support for psychotherapy ... The Clinical Director ensures clinical integrity and compliance through local monitoring and risk ...

Clinical Director

Riverton, UT · On-site

$90K - $130K/yr

... Program. Job Summary: The Clinical Director will provide oversight and support for psychotherapy ... The Clinical Director ensures clinical integrity and compliance through local monitoring and risk ...

Program Assistant

Salt Lake City, UT · On-site

$17 - $18.50/hr

Provide excellent customer service to station's audience and members via phone calls, email, direct ... integrity, and PCI Compliance * This is not designed to contain or be interpreted as a ...

Program Assistant

Salt Lake City, UT · On-site

$17 - $18.50/hr

Provide excellent customer service to station's audience and members via phone calls, email, direct ... integrity, and PCI Compliance * This is not designed to contain or be interpreted as a ...

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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 are popular job titles related to Program Integrity Director jobs in Utah? For Program Integrity Director jobs in Utah, the most frequently searched job titles are:
What job categories do people searching Program Integrity Director jobs in Utah look for? The top searched job categories for Program Integrity Director jobs in Utah are:
What cities in Utah are hiring for Program Integrity Director jobs? Cities in Utah with the most Program Integrity Director job openings:

$90K - $130K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago


Lifestance Health rating

6.8

Company rating: 6.8 out of 10

Based on 85 frontline employees who took The Breakroom Quiz

488th of 864 rated healthcare providers


Job description

At LifeStance Health, we strive to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in mental healthcare.

Thank you for taking the time to explore a career with us. As the fastest growing mental health practice group in the country, now is the perfect time to join our team!

LifeStance Health Values

  • Belonging: We cultivate a space where everyone can show up as their authentic self.

  • Empathy: We seek out diverse perspectives and listen to learn without judgment.

  • Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.

  • One Team: We realize our full potential when we work together towards our shared purpose.

Benefits
As a full-time employee of LifeStance Health, the following benefits are offered: medical, dental, vision, AD&D, short and long-term disability, and life insurance. Additional benefits include a 401k retirement savings with employer match, paid parental leave, paid time off, holiday pay and an Employee Assistance Program.

Job Summary:

The Clinical Director will provide oversight and support for psychotherapy clinicians, engaging through coaching and education of new and tenured clinicians and enhancing ongoing clinician professional growth and development. The Clinical Director will work in a dyad partnership with the Practice Group Manager to enhance, plan for, and implement clinical strategy and related operations, including recruitment, interviewing and hiring. The Clinical Director ensures clinical integrity and compliance through local monitoring and risk management.

Compensation: $90,000 - 130,000/annually, plus annual bonus potential

Duties/Responsibilities:

Clinician Education & Engagement:

  • Partners with Practice Group Manager and other team leaders to support new clinicians through provision of clinically focused regional onboarding training, promoting caseload ramp, and engaging in new employee orientation.

  • Provides, ensures and advocates for the training, education and supervision of clinical staff based upon regional needs to uphold clinical best practices, updated policies and regulations and coding quality assurance.

  • Facilitates training, coaching and education as part of strengthening best practices and fostering professional growth.

  • Enables regular peer consultation forums for clinicians to review patient cases and to solicit input and support from colleagues.

  • Meets regularly with strong performers to solicit feedback, mentor, engage, and encourage continued professional development (e.g., educate on career progression paths, offer informational interviews)

  • Leads efforts to foster a positive culture to continually engage and empower clinicians in partnership with the rest of the state leadership team.

Clinical Strategy & Operations:

  • Provides clinical support and oversight of psychotherapy clinicians.

  • Reports Key Performance Indicators (KPIs) regularly to regional leadership in accordance with the company's strategies and processes.

  • Evaluates quality metrics to best address and identify center-level trends and creates associated clinician-focused strategic solutions to enhance behavioral health service delivery.

  • Provides onsite clinical consultation, expertise and support regarding clinical concerns.

  • Demonstrates knowledge of state-specific supervisory protocol requirements.

  • Implements national clinical policies and any state specific addendums through regional procedures and workflows.

  • Partners with operations leaders regarding personnel actions.

  • Collaborates with operations leaders to enhance clinician professional growth development.

  • Communicates regularly with members of the operations team to flag issues related to clinician satisfaction and retention.

  • In collaboration with other team leaders, assesses and projects staffing needs to address performance challenges and clinical trend related KPIs.

  • Monitors state and center-level clinic data.

Clinician Interviewing & Hiring:

  • Partners with clinical recruiting and operations to support clinician recruitment and hiring strategy.

  • Facilitates clinician interviews and utilizes associated clinical competence assessment to guide hiring decisions.

Clinical Integrity & Risk Management:

  • Supports, investigates and responds to clinical integrity concerns to mitigate risks and liabilities related to care delivery (e.g., critical incidents, board complaints, patient complaints, quality of care concerns).

  • Engages members of operational leadership when managing complaints relating to standard of care or other clinically related concerns.

  • Consults and supports the clinical integrity and regulatory compliance process through proper escalation and reporting of actionable compliance items.

  • Ensures adherence to all HIPAA, confidentiality and clinical safety standards in accordance with state and federal regulations.

  • Evaluates national policy initiatives against state and local regulations, community practice standards, and professional ethics.

  • Monitors ongoing changes to state regulations to ensure clinical compliance.

  • Partners with legal/compliance team to provide guidance to clinicians on subpoenas, court orders, and other clinically related legal matters.

  • Conducts clinical record reviews, as clinically indicated and to meet regulatory clinical standard of care and best practice requirements.

  • Collaborates with other teams to identify areas of opportunity for quality improvement, risk management and clinical integrity interventions, both individually and/or operationally.

Required Skills/Abilities:

  • Excellent verbal & written communication

  • Exceptional team and staff level engagement

  • A commitment to continuous learning and improvement based on current clinical best practices and standards of care

  • Experience managing a diverse team with a track record for hiring, coaching and retaining strong talent

  • Proven ability to improve business processes, methods, quality, and decision-making to achieve meaningful, measurable improvements

  • Experienced Clinician with demonstrated ability to develop the clinical practice of other clinicians

  • Effective at communicating and translating complexity to a clinical audience

  • Demonstrated ability to identify and mitigate clinical compliance risk

Education and Experience:

  • MA degree in clinical social work, marriage and family therapy, clinical counseling or related field or PhD/PsyD in clinical psychology

  • 5+ years clinical experience

  • Experience in clinical leadership

  • Active license

Supervisory Responsibilities:

  • Provides clinical support and oversight of psychotherapy clinicians.

  • Recruits, interviews, hires, and trains new staff.

Physical Requirements:

  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • While performing the duties of this job, the employee is regularly required to sit, stand, bend, talk, and hear. The employee is frequently required to walk. The employee must be able to lift and/or move objects up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

In Office and Travel Requirements:

  • The Clinical Director must reside and practice in the state in the state where they serve as Director.

  • A minimum of 60% of the Clinical Director's time will be spent onsite supporting clinicians and collaborating with operations.

  • Additional travel to attend division and national leadership meetings is required quarterly.

LifeStance provides the compensation range and benefits that it in good faith believes it might pay and/or offer for this position. LifeStance reserves the right to ultimately pay more or less than the posted range and offer additional benefits and other compensation, depending on circumstances not related to an applicant's sex or other status protected by local, state, or federal law.

#LI-JK2

LifeStance is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Learn moreabout Diversity, Equity and Inclusion at LifeStance.

LifeStance Health complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact our Human Resources Team at ADA@lifestance.com. Please note: This contact isintended solely for accommodation requests. Inquiries regarding applications, resumes and applicant status should not besent to this email addressas they will not be reviewed or responded to. To apply for a position, please use our official careers page.


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