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Program Integrity Director Jobs in Columbia, SC (NOW HIRING)

Director of Pharmacy

Columbia, SC ยท On-site

$140 - $180/hr

The Director of Pharmacy ensures that all legal, accreditation, and certification requirements are ... program integrity. * Develops and modifies policy and procedure in accordance with program ...

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Program Manager III (Deputy Director) Company : South Carolina Aeronautics Commission - State of ... Advocate for policies and practices that preserve the operational integrity and long-term viability ...

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Program Integrity Director information

See Columbia, SC salary details

$27.3K

$72.3K

$126.7K

How much do program integrity director jobs pay per year?

As of Sep 2, 2026, the average yearly pay for program integrity director in Columbia, SC is $72,342.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,000.00 and $85,600.00 per year, depending on experience, location, and employer.

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 Columbia, SC?

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

What job categories do people searching Program Integrity Director jobs in Columbia, SC look for?

The top searched job categories for Program Integrity Director jobs in Columbia, SC are:

What cities near Columbia, SC are hiring for Program Integrity Director jobs?

Cities near Columbia, SC with the most Program Integrity Director job openings:

Director of Pharmacy

GOEBEL FIXTURE COMPANY

Columbia, SC โ€ข On-site

$140 - $180/hr

Other

Posted yesterday

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Job description

  • Location 221 Dawson Road,Columbia, SC, 29223,United States
  • Employee Type Full Time-Exempt
  • Required Degree 4 Year Degree
  • Manage Others Yes
POSITION SUMMARY

Under the general direction and guidance of the Chief Medical Officer, the Director of Pharmacy is responsible for all operations of the Pharmacy department in accordance with Federal and State Laws and Regulations as they pertain to the practice of pharmacy. The Director of Pharmacy ensures that all legal, accreditation, and certification requirements are met, assumes a leadership role in planning and delivering patient care, and ensures the pharmacy department upholds the standard operating procedures of Cooperative Health.

PRINCIPAL RESPONSIBILITIES

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Develops and supervises all aspects of the Cooperative Health pharmacy department in accordance with all applicable laws and regulations.
  • Develops and updates pharmacy policy and procedure.
  • Ensures the efficient operation of the pharmacy within established guidelines.
  • Serves as the direct supervisor for all pharmacists; conducts performance reviews, recommends merit increases, promotions, and disciplinary actions.
  • Reviews, negotiates, and implements all pharmacy contracts and updates in conjunction with the CMO.
  • Coordinates monthly financial reporting and analysis.
  • Participates in the CQI committee and initiatives.
  • Coordinates with clinical directors to implement and lead new clinical initiatives in the organization and in the pharmacy department.
  • Ensures compliance of the 340B drug program including:
    • Acts as the liaison between administration, pharmacy staff, pharmacy vendors, and third-party administrators for contract pharmacy to ensure 340B program integrity.
    • Develops and modifies policy and procedure in accordance with program requirements.
    • Provides ongoing 340B training for staff.
    • Attends 340B trainings and monitors for updates in program requirements.
    • Responsible for recertification and registration on the OPA database in conjunction with the CMO and serves as the primary contact for the 340B OPAIS.
    • Performs audits and compliance assessments internally and coordinates external compliance assessments.
    • Regularly monitors 340B purchasing activity and compliance with established protocols.
    • Other duties as assigned.
COMPETENCIES
  • FQHC experience preferred; demonstrated proficiency and comfort with technology including MS Office (Word, Excel, Outlook, PowerPoint), database management, webinar systems, and HTML email systems.
  • Proven ability to manage and prioritize multiple complex activities simultaneously.
  • Experience supervising and leading diverse employees and managing complex programs.
  • Ability to analyze and report clinical outcomes and participate in continuous quality improvement (CQI) initiatives.
  • Ability to understand and respond effectively and with sensitivity.
  • Self-motivated to remain current with all aspects of community health center practices and policies.
  • Familiarity with the development and implementation of training programs for healthcare providers.
  • Experience working with diverse communities to address healthcare needs.
  • Professional communication and public speaking skills; ability to interact with established networks of healthcare professionals at the local, regional, and national level.
  • Excellent written communication skills including demonstrated competency in preparation of correspondence and reports.
  • Proven ability to work independently while remaining an effective team member.
  • Must possess initiative, flexibility, and strong leadership skills.
EDUCATION & EXPERIENCE
  • Minimum of a Bachelor of Science in Pharmacy required.
  • Current license in good standing to practice as a Registered Pharmacist in the state of South Carolina.
  • 5 years of pharmacy experience, including management experience.
  • Minimum of 3 years of experience in the 340B field.
  • Familiarity with pharmacy software systems and operations; basic word processing and computer skills required.
PHYSICAL DEMANDS
  • Prolonged periods of sitting or standing.
  • Must be able to lift up to 25 pounds.
  • Ability to sit, stand, stoop, and squat for extended periods throughout the day.
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