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Program Integrity Director Jobs in Utah (NOW HIRING)

ROCKY MTN UNIVERSITY OF HEALTH

Director, OSES

Provo, UT · On-site

$90K - $100K/yr

Develop, implement, and evaluate programs that support academic success, student engagement ... Proven ability to manage sensitive and confidential information with integrity. * Excellent written ...

Utah State University

Program Assistant III

Logan, UT · On-site

$43K/yr

... integrity, facilitating smooth operations, and contributing to the welcoming and efficient ... previous direct supervisors, to be entered into Candidate Profile * A cover letter to be typed ...

Kairoi Residential

Community Director

Salt Lake City, UT · On-site

$70K - $92K/yr

Exceptional PTO program, paid holidays, floating holidays, birthday day off, and a milestone ... with integrity will thrive in our organization. * Someone that is proven to mentor, develop, 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.
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:
Program Integrity Director jobs near you
Strategic Benefits Program Manager

Strategic Benefits Program Manager

University of Utah Health

Salt Lake City, UT • On-site

Full-time

Medical, Life, Retirement, PTO

Posted 10 days ago

University Of Utah Health rating

7.7

Company rating: 7.7 out of 10

Based on 140 frontline employees who took The Breakroom Quiz

157th of 884 rated healthcare providers

Job description

Overview
As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA
The Strategic Benefits Program Manager manages assigned benefit program portfolios and serves as a primary Benefits Center of Excellence liaison to Shared Services, Communications, vendors, brokers, consultants, HR partners, and internal stakeholders. This role translates benefits strategy into program design, policy, operational alignment, vendor coordination, and communication. This position is responsible for evaluating benefit programs, identifying gaps, developing recommendations, and ensuring programs are designed, governed, and delivered effectively. The role operates within a Center of Excellence model and is not responsible for transactional benefits administration. Program assignments may include Health & Welfare or Retirement & Financial Wellness portfolios, depending on organizational need.
Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.
Responsibilities
Essential Functions
Core Responsibilities (All Program Managers):
  • Manages assigned benefit program portfolios, ensuring alignment with organizational strategy and employee needs.
  • Evaluates program effectiveness, vendor performance, employee experience, and cost implications.
  • Conducts benchmarking, gap analysis, and research to support program recommendations.
  • Develops program options, implementation plans, timelines, and leadership recommendations.
  • Translates strategy into operational requirements, including impacts to systems, vendors, Shared Services, and communications.
  • Serves as the Benefits COE liaison to Shared Services and ensures alignment between policy and operations.
  • Owns policy, procedures, and compliance governance for assigned programs.
  • Coordinates vendor, broker, and consultant interactions, including performance evaluation and implementation support.
  • Provides subject matter expertise for employee communications and education strategies.
  • Leads cross-functional benefit projects and change initiatives.

Program Area Focus: Retirement & Financial Wellness Portfolio
  • Manages retirement and financial wellness programs, including defined contribution plans and ancillary benefits.
  • Manages Time Away From work policies, including Paid Time Off (PTO), Leave of Absence (FMLA) strategy, and other leaves.,
  • Manages life and disability strategy as well as related insurance coverage.
  • Evaluates plan performance, participation trends, and retirement readiness metrics.
  • Partners with recordkeepers, investment advisors, and consultants on plan oversight and improvements.
  • Develops and supports financial wellness initiatives and employee education strategies.
  • Supports governance activities, plan compliance, and audit readiness.
Knowledge / Skills / Abilities
  • Advanced knowledge of employee benefits programs and plan design across multiple domains.
  • Strong understanding of either health & welfare or retirement/financial wellness programs.
  • Ability to assess program effectiveness and develop strategic recommendations.
  • Knowledge of benefits regulations and compliance requirements (e.g., ERISA, ACA, IRS, DOL, HIPAA).
  • Strong vendor management and project management skills.
  • Ability to translate complex concepts into operational and employee-facing guidance.
  • Strong analytical, problem-solving, and communication skills.
  • Ability to influence across a matrixed organization without direct authority.

Qualifications
Required
  • Bachelor's degree in Human Resources, Business Administration, Finance, Health Administration, Public Administration, or a related field, or equivalent combination of education and experience.
  • Minimum eight (8) years of progressively responsible experience in employee benefits, benefits consulting, or a related field.
  • Experience supporting or managing benefit program design, vendor coordination, policy interpretation, compliance activities, or large-scale benefits initiatives.
  • Experience working with cross-functional stakeholders including Shared Services, HRIS, Payroll, Finance, Legal, Communications, and external vendors or consultants.
  • Demonstrated ability to lead projects, analyze complex issues, and develop actionable recommendations.

Qualifications (Preferred)
Preferred
  • Experience in a large healthcare system, academic medical center, university, public employer, or complex matrixed organization.
  • Experience in a Benefits Center of Expertise, Shared Services model, benefits consulting, or outsourced benefits administration environment.
  • Experience supporting open enrollment strategy, benefits platforms, vendor transitions, RFP processes, or program redesign.
  • Familiarity with systems such as Workday, PeopleSoft, or other benefits administration and ERP platforms.
  • Professional certifications such as Certified Employee Benefits Specialist (CEBS), SHRM-CP, SHRM-SCP, Professional in Human Resources (PHR/SPHR), or project management certification.
  • Experience preparing executive-level presentations, business cases, and implementation roadmaps.
Working Conditions and Physical Demands
Employee must be able to meet the following requirements with or without an accommodation.
  • This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements
Non Indicated

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