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Program Integrity Director Jobs in Wisconsin (NOW HIRING)

Clarity Care

Program Lead - Oshkosh

Oshkosh, WI · On-site

$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 ...

WRTP|BIG STEP

Finance Director

Milwaukee, WI · On-site

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

CLARITY CARE INC

Program Lead - Marshfield

Marshfield, 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 ...

Wisconsin

Rural Health Program Assistant

Madison, WI

$24.04/hr

Strong attention to detail to maintain documentation standards and ensure data integrity ... Maintains established methods and organizational systems directed at the maintenance of electronic ...

CLARITY CARE INC

Program Lead - Marshfield

Marshfield, 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 ...

Kids From Wisconsin

Executive Director

Milwaukee, WI · On-site

Proficiency with standard computer programs, integration of systems, and electronic communication ... Model of integrity and fairness with the highest ethical standards. * Ingenuity, dedication ...

Clarity Care

Program Lead - Green Bay

Green Bay, WI · On-site

$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 ...

Louisville Ballet

WI · On-site

Founding Director and Board of Directors Status: Full-time, Exempt About Artistree Artistree ... integrity, transparency, and fiscal responsibility, and works to strengthen and expand programs in ...

Community Living Alliance

Finance Director

Madison, WI · On-site

$115K - $120K/yr

... Forgiveness Program (PSLF), 403B Retirement Plan Options, Employee Assistance Program (EAP ... Ensure integrity and consistency of financial data across systems by validating, reconciling and ...

Community Living Alliance

Finance Director

Madison, WI · On-site

$115K - $120K/yr

... Forgiveness Program (PSLF), 403B Retirement Plan Options, Employee Assistance Program (EAP ... Ensure integrity and consistency of financial data across systems by validating, reconciling and ...

Ancora Education

WI · On-site

$60K - $64K/yr

Motivation, dedication, professionalism, integrity, and enthusiasm for teaching. * Sensitivity to ... Previous experience as an academic program director. * Experience in student guidance or related ...

Clarity Care

Program Lead - Fond du Lac

Fond Du Lac, WI · On-site

$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 ...

stcam

Campus Culinary Director

Wauwatosa, WI · On-site

Employee Assistance Program (EAP) * Purpose-Driven Work - Make a meaningful impact on the lives of ... Mission-Focused Organization - Be part of a respected community that values compassion, integrity ...

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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 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:
Program Integrity Director jobs near you
Program Lead - Oshkosh

Program Lead - Oshkosh

Clarity Care

Oshkosh, WI • On-site

$21/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 19 days ago

Job description

Positions with a Purpose: Exceptional People, Extraordinary Care! Clarity Care is Looking For You! Starting pay up to $21/hr based on experience!

Clarity Care is a nonprofit organization dedicated to supporting individuals with varying abilities so they can lead independent, fulfilling lives within their communities. Guided by a strong mission, vision, and set of core values, we strive to be Wisconsin’s provider of choice for compassionate, high-quality care. We pride ourselves on delivering services with respect, integrity, and a deep commitment to the people we serve. Our team members help empower individuals by offering personalized programs that honor each person’s uniqueness and potential.

Desired Skills and Qualifications: 
  • Likes to Supervise Others.
  • Manages Group Home Operations.
  • Ability to build a team environment. 
  • People Person - Customer Service Oriented.
  • Hands on Caregiving Experience.
  • Personal Care Work (PCW).
  • Likes Community Involvement.
  • Compassion to work in Human Services.
  • Desire to Make A Difference.

Key Responsibilities:
  • Hands on Caregiving. Provides direct care support to our members with disabilities by assisting with activities of daily living; bathing, grooming, toileting, and hygiene as outlined by the individual service plan. Be comfortable using mobility devices and practice safe transfer and ambulation techniques like in assisted living facilities. 
  • Leads group home meetings and communicate changes with the home, consumers, staff, and organization to ensure everyone is informed and updated.
  • Collaborates with HR in hiring, retention, discipline, and termination processes to ensure qualified employees and adequate staffing.
  • Completes all applicable documentation related to tasks assigned.
  • Welcoming Home. Maintains a safe, sanitary and welcoming group home by performing housekeeping (vacuuming, emptying trash, cleaning bathroom, dusting, bed making and changing linens); and laundry.
  • Prepares and Serves Meals by following general nutritional guidelines, menus, individual dietary restrictions, needs and preferences to ensure consumer health.
  • Community Activities. Assists, escorts, and provides physical and other types of assistance needed by members during social and recreational activities.

Extra Bonuses (Yes, this keeps getting better): 
  • Competitive Wages.
  • Weekend Shift Premium- $1.00/hr.
  • Health, Dental, Vision, Retirement Plan and more!
  • Room for advancement.
  • Company Discounts.
  • Paid Training.
  • Paid Time Off (accrues after 1st full month). 
 
Ready to Apply? We’d Love to Hear From You!

Apply online: www.claritycare.org/apply
Call us: 920-236-6560 ext. 1415