We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
We're the largest consumer-directed home care agency in NY State, and are continually expanding our ... integrity and reporting related to the SFC programs and the ability to triage issues to the ...
... integrity and quality of the nursing program. ESSENTIAL FUNCTIONS * Provides individualized ... Coordinates with Associate Deans, Program Directors, counseling, and other offices to facilitate ...
... integrity and quality of the nursing program. ESSENTIAL FUNCTIONS * Provides individualized ... Coordinates with Associate Deans, Program Directors, counseling, and other offices to facilitate ...
Area Director
Westlake, OH · On-site
$60K - $65K/yr
Our programs empower people with IDD to form meaningful friendships with their peers, secure jobs ... Works to inspire and motivate local staff by demonstrating personal commitment and integrity and ...
Quick apply
Area Director
Westlake, OH · On-site
$60K - $65K/yr
Our programs empower people with IDD to form meaningful friendships with their peers, secure jobs ... Works to inspire and motivate local staff by demonstrating personal commitment and integrity and ...
District Law Enforcement and Security Manager
Cleveland, OH · On-site
$125K/yr
... program integrity. Managing regional budgets, staffing plans, equipment allocations, and ... Directing regional investigations, compliance activities, and enforcement initiatives, including ...
District Law Enforcement and Security Manager
Cleveland, OH · On-site
$125K/yr
... program integrity. Managing regional budgets, staffing plans, equipment allocations, and ... Directing regional investigations, compliance activities, and enforcement initiatives, including ...
Program Specialist, Nursing
Cleveland, OH · On-site
$60K - $70K/yr
... integrity and quality of the nursing program. ESSENTIAL FUNCTIONS * Provides individualized ... Coordinates with Associate Deans, Program Directors, counseling, and other offices to facilitate ...
Program Specialist, Nursing
Cleveland, OH · On-site
$60K - $70K/yr
... integrity and quality of the nursing program. ESSENTIAL FUNCTIONS * Provides individualized ... Coordinates with Associate Deans, Program Directors, counseling, and other offices to facilitate ...
Director of Technology
Akron, OH · On-site
$115K - $135K/yr
Committed to quality work, integrity, and community impact. Physical and Travel Requirements ... Wellness programs and educational reimbursement. * Flexible in-office, hybrid, or remote work ...
Director of Technology
Akron, OH · On-site
$115K - $135K/yr
Committed to quality work, integrity, and community impact. Physical and Travel Requirements ... Wellness programs and educational reimbursement. * Flexible in-office, hybrid, or remote work ...
Director of Technology
Akron, OH · On-site
$115K - $135K/yr
Committed to quality work, integrity, and community impact. Physical and Travel Requirements ... Wellness programs and educational reimbursement. * Flexible in-office, hybrid, or remote work ...
Quick apply
Director of Technology
Akron, OH · On-site
$115K - $135K/yr
Committed to quality work, integrity, and community impact. Physical and Travel Requirements ... Wellness programs and educational reimbursement. * Flexible in-office, hybrid, or remote work ...
Director of Technology
Akron, OH · Hybrid
$115K - $135K/yr
Committed to quality work, integrity, and community impact. Physical and Travel Requirements ... Wellness programs and educational reimbursement. * Flexible in-office, hybrid, or remote work ...
Director of Technology
Akron, OH · Hybrid
$115K - $135K/yr
Committed to quality work, integrity, and community impact. Physical and Travel Requirements ... Wellness programs and educational reimbursement. * Flexible in-office, hybrid, or remote work ...
This is a leadership role with a strong focus on collaboration, integrity, and excellence in ... Participate in program development and quality improvement initiatives Qualifications * Licensed ...
Quick apply
This is a leadership role with a strong focus on collaboration, integrity, and excellence in ... Participate in program development and quality improvement initiatives Qualifications * Licensed ...
Business Integrity Trade Compliance Senior Manager
Cleveland, OH · On-site
$91K - $321K/yr
Your ability to direct the team through complexity, demonstrating composure in challenging ... programs and frameworks - Collaborating with stakeholders to validate outcomes and incorporate ...
Business Integrity Trade Compliance Senior Manager
Cleveland, OH · On-site
$91K - $321K/yr
Your ability to direct the team through complexity, demonstrating composure in challenging ... programs and frameworks - Collaborating with stakeholders to validate outcomes and incorporate ...
Facilities Director
Hudson, OH · On-site
Collaborate with ministry leaders to anticipate and schedule facility needs for programs, events ... Demonstrated ability to build and sustain a culture of teamwork, integrity, and spiritual growth.
Facilities Director
Hudson, OH · On-site
Collaborate with ministry leaders to anticipate and schedule facility needs for programs, events ... Demonstrated ability to build and sustain a culture of teamwork, integrity, and spiritual growth.
Program Integrity Director information
See Brunswick, OH salary details
$26.1K - $34.7K
5% of jobs
$34.7K - $43.3K
13% of jobs
$46.6K is the 25th percentile. Wages below this are outliers.
$43.3K - $52K
19% of jobs
The median wage is $59.7K / yr.
$52K - $60.6K
15% of jobs
$60.6K - $69.2K
11% of jobs
$77.4K is the 75th percentile. Wages above this are outliers.
$69.2K - $77.9K
14% of jobs
$77.9K - $86.5K
9% of jobs
$86.5K - $95.1K
5% of jobs
$95.1K - $103.8K
2% of jobs
$103.8K - $112.4K
2% of jobs
$112.4K - $121.1K
5% of jobs
$26.1K
$69.1K
$121.1K
How much do program integrity director jobs pay per year?
What are the key skills and qualifications needed to thrive as a program integrity director, and why are they important?
What is the difference between Program Integrity Director vs Claims Manager?
| Aspect | Program Integrity Director | Claims Manager |
|---|---|---|
| Required Credentials | Bachelor's degree, certifications in healthcare compliance or auditing | Bachelor's degree, experience in claims processing or insurance |
| Work Environment | Healthcare or insurance organizations, compliance departments | Insurance companies, healthcare payers, claims processing units |
| Employer & Industry Usage | Used in healthcare, government programs, insurance sectors | Primarily 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 is a program integrity director?
What are some typical challenges faced by a program integrity director, and how can they be addressed?

Full-time
Medical, Retirement
Posted 5 days ago
FreedomCare rating
6.9
Based on 46 frontline employees who took The Breakroom Quiz
47th of 239 rated social care providers
Job description
We pride ourselves on our values which drive the level of care that we deliver to our patients:
- Here For You (An attitude of service, empathy, and availability)
- Own It (Drive and ownership)
- Do the Right Thing (High integrity)
- Be Positive (Great attitude and a can-do positive approach to challenges)
Join our team and make a positive impact on the lives of others! We are looking for a Licensed Social Worker (LSW) for our team in Ohio.
This is a full-time, hybrid role with required fieldwork and a commute to our FreedomCare office in Cleveland, OH at least two times a month.
Department & Position Overview:
The Licensed Social Worker role will be essential to our Structured Family Caregiving (SFC) program, within the state of Ohio.
SFC is a caregiving arrangement in which a patient lives with a principal caregiver who provides daily support based on the patient's daily care needs. The goal of this service is to provide necessary care while fostering and emphasizing the patient's independence in a home environment that will provide them with a range of care options as their needs evolve. The service is designed to provide options for alternative long-term care to persons who meet nursing facility-level care needs while preserving the dignity, self-respect, and privacy of the patient.
As the Licensed Social Worker, you will be responsible for oversight of our patients' care by providing continued support to both the patient and caregiver; serving as both the escalation point and advocate for quality of service with FreedomCare and the SFC program.
Every Day You Will:
- Interpret the philosophy and objectives of the agency to clients, families, and others.
- Ensure that compliance needs are met, in adherence with; HIPAA, rules and regulations of Ohio Department of Medicaid and Ohio Department of Aging, relevant policies of the provider, policies/procedures as administered by FreedomCare, as well as any state or federal mandates.
- Conduct initial in-person home assessments with the patient and the caregiver to ensure compliance needs are met and that the plan of care is in place and clearly communicated.
- Provide day-to-day monitoring with monthly contact with both the patient and caregiver, as it relates to:
- Patient enrollment [credentialing, claims operations, prior authorization appeals, etc.] and patients' satisfaction with care delivery and caregiver support [ensure program integrity and reporting related to the SFC programs and the ability to triage issues to the appropriate internal staff].
- Quality of service is within the required plan of care, providing; individualized coaching, continued education, and review the caregivers goals and needs to support continued enhancement of competencies.
- *Contacts may be a combination of telephonic and in-person visits, with no more than sixty calendar days between in-person visits.
- Maintain detailed and accurate case records, documenting significant changes and observations, inclusive of but not limited to written records, reports, and notes in accordance with agency policy and procedure following client visits or contacts in an accurate, timely, complete, concise and legible manner.
- Act as the point of escalation and provides input to the client's plan of care to include the physician's plan of treatment as well as problem list, implementing and monitoring any changes as necessary.
- Perform other job-related duties as may be required or directed by the supervisor.
Education and Experience:
- Valid and active Ohio Licensed Social Worker license, issued by the CSWMFT Board.
- Bachelor's degree (BSW) or Master's degree (MSW) in Social Work from a CSWE-accredited program
- Minimum of 2 years clinical experience, 1 year of experience with elders or adults with disabilities
- Home care experience a plus
- Bilingual in Spanish is a plus
- Experience with CRM (Salesforce is a plus)
- Valid driver's license with an insured vehicle for travel within the state
Qualifications:
- Demonstrated success driving operational excellence by effectively evaluating operational tasks as well as setting, achieving and measuring targeted outcomes, in a hybrid and field-based environment.
- A high level of adaptability and experience in case management, with a fast-paced environment, presenting a high degree of autonomy, ambiguity, and accountability.
- Excellent verbal and written communication, with the ability to effectively cascade information across diverse target demographics internally and externally.
- Ability to represent FreedomCare holistically, with high emotional intelligence, empathy, and consciousness of end-user experiences (employees and customers).
- Experience using a CRM (Salesforce is a plus)
Why work at FreedomCare?
We are here for you and committed to providing a best-in-class employee experience. We offer competitive compensation, medical benefits, retirement plans, wellness programs, fun company events and ongoing learning opportunities to grow your career.
This is a place where your voice matters, where we build great relationships, and your work has meaning and a tangible positive impact on others!
At FreedomCare, we celebrate diversity and are committed to creating an inclusive environment for all employees. We are an Equal Opportunity Employer and do not discriminate based upon race, religion, color, national origin, ancestry, age, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, status as a protected veteran, status as an individual with a disability, citizenship or immigration status, or other applicable legally protected characteristics.
At FreedomCare, base pay is one part of our total compensation package and is determined within a range. This provides our employees with the opportunity to professionally grow and develop within a role. The base pay range for this role is between $28.00 and $33.00 an hour at the commencement of your first year of employment. Compensation decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.
Compensation Range
$28-$33 USD
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