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Program Integrity Director Jobs in Wisconsin (NOW HIRING)

WI · On-site

$100 - $232/hr

Position Summary Revenue Integrity Informatics is seeking a Lead Director - Revenue Integrity ... Align risk adjustment programs with state Medicaid models (e.g., CDPS, CRG, or state‑specific ...

The Safety Manager reports to the General Manager and has direct influence across all shifts and ... program integrity * Participate in equipment change reviews -- ensure safety is evaluated before ...

The Safety Manager reports to the General Manager and has direct influence across all shifts and ... program integrity * Participate in equipment change reviews -- ensure safety is evaluated before ...

We pride ourselves on delivering services with respect, integrity, and a deep commitment to the ... Provides direct care support to our members with disabilities by assisting with activities of daily ...

Program Lead - Neenah

Neenah, WI · On-site

$20 - $21/hr

We pride ourselves on delivering services with respect, integrity, and a deep commitment to the ... Provides direct care support to our members with disabilities by assisting with activities of daily ...

We pride ourselves on delivering services with respect, integrity, and a deep commitment to the ... Provides direct care support to our members with disabilities by assisting with activities of daily ...

We pride ourselves on delivering services with respect, integrity, and a deep commitment to the ... Provides direct care support to our members with disabilities by assisting with activities of daily ...

We pride ourselves on delivering services with respect, integrity, and a deep commitment to the ... Provides direct care support to our members with disabilities by assisting with activities of daily ...

We pride ourselves on delivering services with respect, integrity, and a deep commitment to the ... Provides direct care support to our members with disabilities by assisting with activities of daily ...

WI · On-site

$100 - $231.54/hr

Position Summary Revenue Integrity Informatics is seeking a Lead Director - Revenue Integrity ... Align risk adjustment programs with state Medicaid models (e.g., CDPS, CRG, or state‑specific ...

WI · On-site

$100 - $231.54/hr

Position Summary Revenue Integrity Informatics is seeking a Lead Director - Revenue Integrity ... Align risk adjustment programs with state Medicaid models (e.g., CDPS, CRG, or state‑specific ...

We pride ourselves on delivering services with respect, integrity, and a deep commitment to the ... Provides direct care support to our members with disabilities by assisting with activities of daily ...

We pride ourselves on delivering services with respect, integrity, and a deep commitment to the ... Provides direct care support to our members with disabilities by assisting with activities of daily ...

... integrity, and sustainability of the organization. This position provides direction and ... Collaborates with program and leadership teams to align financial resources with program ...

... integrity, and sustainability of the organization. This position provides direction and ... Collaborates with program and leadership teams to align financial resources with program ...

... integrity, and sustainability of the organization. This position provides direction and ... Collaborates with program and leadership teams to align financial resources with program ...

Finance Director

Milwaukee, WI · On-site

$85 - $95/hr

... integrity, and sustainability of the organization. This position provides direction and ... Collaborates with program and leadership teams to align financial resources with program ...

Showing results 21-40

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 Wisconsin?

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

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

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

What cities in Wisconsin are hiring for Program Integrity Director jobs?

Cities in Wisconsin with the most Program Integrity Director job openings:

Director of Finance (46727)

SETON CATHOLIC SCHOOLS INC

Saint Francis, WI • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago


Job description

Position Title: Director of Finance      
Reports to: Chief Finance and Administrative Officer

Employment Classification: Full-Time 12-Month Exempt

Join the Transformation of Urban Catholic Education in Milwaukee  

Seton Catholic Schools is a collaborative network of K-8 parish schools in the Greater Milwaukee area. We are coming together to strengthen academics, faith formation, and life-long outcomes for all students. Over the next several years, Seton will include twenty schools serving up to 7500 students and be a national model for urban Catholic school renewal. By joining our team, you can become a leader in this important transformation.

Role Summary

The Director of Finance will be responsible and accountable for achieving the financial and operational commitments of Seton Catholic Schools (Seton). The Director of Finance will advise the Chief Finance and Administrative Officer and Seton’s Leadership Team on the financial and business matters of Seton. The Director of Finance prepares and administers Seton’s budget, guides the development of financing methods, directs, and supervises the Finance and Accounting Teams to maintain compliance across Finance, School Operations, Facilities, Food Services, Supply Chain, Government Funding, Contract Management, Fundraising, and Audits. The Director of Finance will work as a contributor to the Seton Leadership Team and develop and maintain effective working relationships with Seton staff and key stakeholders critical to the success of the organization.

The Director of Finance will recruit, develop, and retain talented team members committed to the mission of Seton and will direct the work of his/her staff, anticipate, and resolve problems, and contribute to the decision-making processes for both the strategic and tactical work of the organization. The Director of Finance will also ensure continuous improvement of all business and financial processes to further support the mission of Seton. This position is responsible for the development, implementation, and execution of finance and operations policies, procedures, systems, budgets and informing and working directly with the Seton Catholic Schools Leadership Team and Chief Finance and Administrative Officer. The Director of Finance is committed to integrity and compliance in all financial operations and activities.

Key responsibilities include but are not limited to the following: 

  • Demonstrate a commitment to the mission of Seton Catholic Schools in all activities and behaviors as a leader.
  • Oversee and have direct managerial responsibility for all departments (or department leads) reporting to the Director of Finance, Finance and Accounting.
  • Provides leadership by partnering with Department Leaders from the Archdiocese, Parishes, Schools, Academics, Human Resources, Operations, Facilities, and School Nutrition Program Teams to establish policies and processes to ensure efficiencies and compliance.
  • Achieve all financial and operational objectives of the organization through planning and execution.
  • Implement and optimize effective finance and management operating systems required to achieve operational excellence at Seton Catholic Schools.
  • Collaborate effectively with other Seton leaders and other key stakeholders in parishes, the Archdiocese of Milwaukee, and the broader community to achieve the objectives of the organization.
  • Clearly communicate expectations of standards of excellence, goals, and expectations for the organization.
  • Develop and execute both strategic and tactical plans through collaboration with the leaders of departments reporting to the Director of Finance to achieve the long-range and short-term objectives of Seton.
  • Lead change management initiatives as required that engage all key stakeholders.
  • Coach and provide mentoring support to Seton staff to enable them to achieve the objectives of the organization and their full potential.
  • Ensure all compliance requirements for federal and state regulations are met while leading with integrity.
  • Responsible for coordinating and scheduling annual audits to ensure compliance and adherence to all accounting and program regulations.
  • Participate in and lead as appropriate the identification of strategy, needs, scoping of requirements, selection and management of vendors required to support core Seton processes.

Qualifications:

  • Successful financial leadership experience in school districts or networks, either public or private/charter operating in a voucher or other government funded programs.
  • Specific experience working with the Wisconsin Department of Public Instruction Private School Choice Programs, Every Student Succeeds Act (ESSA) Title Programs, Special Needs Scholarship Program, and School Nutrition Programs desirable.
  • Demonstrated ability to work collaboratively in achieving the objectives of Seton Catholic Schools.
  • Specific proven history of successfully managing cash flow requirements for a school district or network.
  • Success in leading large scale change in organizations and developing high performing teams.
  • Demonstrated ability to recruit, develop, and retain top talent.
  • Ability to influence and work with all levels of the organization and external stakeholders.
  • Proven capability to develop and implement operations and management reporting models for schools or complex organizations that provide an integrated assessment of unit plans and performance.
  • An exceptional manager of resources and multi-faceted projects that often require coordination and collaboration across multiple departments, stakeholder groups, and timelines.
  • Well-developed analytic and problem solving skills.
  • Highly organized with ability to manage multiple priorities and deliver assignments on time.
  • Excellent listening, written and verbal communication and interpersonal skills.
  • Ability to manage conflict and work towards successful resolution.
  • Ability to delegate tasks while maintaining oversight.
  • Organizational development, personnel management, budget and resource development, and strategic planning skills.
  • Successful financial management including report preparation and effective communication of the financial position of an organization.
  • Bachelor’s Degree required with an emphasis in Business and/or Accounting.
  • Must meet driving and Seton insurance liability coverage requirements

Compensation:

  • Competitive pay commensurate with experience.
  • Health, dental, and vision coverage.
  • Archdiocese of Milwaukee pension program.
  • 403(b) retirement plan and FSA plan.
  • Paid Time Off
  • Unlimited potential for professional growth—we are building a new model for urban, Catholic education.

Working Conditions:

  • This position requires physical skills that will allow the employee to work in a typical office setting, such as standing, sitting, talking, and listening on the phone, and moving between offices and buildings. Must be willing and able to travel between campuses as needed. Ability to lift, carry, push, or pull materials weighing up to 10 pounds, with or without reasonable accommodation.