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Program Integrity Director Jobs in Columbus, OH (NOW HIRING)

Integratedservice

IHBT Program Manager

Logan, OH · On-site

$73 - $93/hr

Provide clinical leadership and consultation to supervisors and direct service staff * Monitor ... Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to ...

New

Integrity Marketing

Administrative Assistant

Powell, OH · On-site

$17.25 - $23/hr

Integrity-paid HSA contributions for eligible health plans * Employee ownership program, which ... Serves visitors by greeting, welcoming, and directing them appropriately * Answering and ...

Integrity Marketing

Administrative Assistant

Powell, OH · On-site

$17.25 - $23/hr

Integrity-paid HSA contributions for eligible health plans * Employee ownership program, which ... Serves visitors by greeting, welcoming, and directing them appropriately * Answering and ...

Integratedservice

IHBT Program Manager

Columbus, OH · On-site

$73 - $93/hr

Provide clinical leadership and consultation to supervisors and direct service staff * Monitor ... Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to ...

New

Air Evac Lifeteam

Program Manager

Lancaster, OH · On-site

Takes responsibility for the overall integrity of the team and team building as well as providing ... Direct reporting relationship with the base clinical crew (Flight Nurse, Flight Paramedic, and ...

Air Evac Lifeteam

Program Manager

Lancaster, OH

Takes responsibility for the overall integrity of the team and team building as well as providing ... Direct reporting relationship with the base clinical crew (Flight Nurse, Flight Paramedic, and ...

Newark Rehab

Director of Nursing (DON)

Newark, OH · On-site

$70 - $100/hr

Participate in QAPI programs and drive initiatives to improve quality metrics and clinical outcomes ... Demonstrated ability to lead a clinical team with integrity, accountability, and professionalism.

Rural Metro Fire Department

Program Manager

Lancaster, OH · On-site

$90 - $120/hr

Takes responsibility for the overall integrity of the team and team building as well as providing ... Direct reporting relationship with the base clinical crew (Flight Nurse, Flight Paramedic, and ...

New

OPOC.us

Sales Director

Worthington, OH · On-site +1

We are seeking a dynamic and results-driven Sales Director to lead and scale our growing team of ... incentive programs.Utilize CRM tools to ensure data integrity and actionable insights.

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All JobsProgram Integrity JobsProgram Integrity Director JobsProgram Integrity Director Jobs in Columbus, OH

Program Integrity Director information

See Columbus, OH salary details

$28.5K

$75.5K

$132.3K

How much do program integrity director jobs pay per year?

As of Sep 4, 2026, the average yearly pay for program integrity director in Columbus, OH is $75,529.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,200.00 and $89,300.00 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 Columbus, OH?

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

What job categories do people searching Program Integrity Director jobs in Columbus, OH look for?

The top searched job categories for Program Integrity Director jobs in Columbus, OH are:

What cities near Columbus, OH are hiring for Program Integrity Director jobs?

Cities near Columbus, OH with the most Program Integrity Director job openings:

Program Integrity Director jobs near you

IHBT Program Manager

Integrated Services for Behavioral Health

Logan, OH • On-site

$73K - $93K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 9 days ago

Job description

We are seeking an IHBT Program Manager!
Southeastern, OH
Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communities and help connect them to the resources they need. We serve Southeastern and Central Ohio with a comprehensive array of behavioral health and other services, working with local partners to promote healthy people and strong communities. All of our services are intended to be collaborative and personalized for the individual.
The Program Manager, Intensive Home-Based Treatment, is responsible for providing leadership, coordination, and oversight related to the organization's intensive service offerings.
The program manager will work in close collaboration with behavioral health operations, human resources, and in alignment with the behavioral health performance team.
The salary for this position is $73,000.00 to $93,000.00 annually, based on experience, licensure and/or education.
Essential Functions:
  • Ensure delivery of high-quality, family-centered IHBT services aligned with Ohio fidelity standards and OhioRISE expectations
  • Provide clinical leadership and consultation to supervisors and direct service staff
  • Monitor treatment quality, documentation standards, and crisis response practices
  • Review cases for appropriateness, acuity, and service intensity
  • Support collaborative treatment planning focused on reducing hospitalization, residential placement, and system involvement
  • Ensure IHBT model fidelity, staffing ratios, supervision structures, and training expectations are maintained
  • Monitor compliance with Medicaid, OhioMHAS, OhioRISE, CME, and payer requirements
  • Oversee documentation audits, utilization management, and billing integrity
  • Maintain adherence to contractual, regulatory, and licensing standards
  • Support IHBT Supervisors and leadership staff
  • Assist in the IHBT hiring, onboarding, coaching, performance evaluations, corrective action, and professional development
  • Coordinates with the program supervisors in program-related hiring, onboarding, coaching, performance evaluations, corrective action, and professional development
  • Facilitate team meetings, consultation structures, and clinical case discussions
  • Develop internal training and promote evidence-informed practice implementation
  • Assist the county managers with program operations across multiple counties and service areas
  • Assist with monitoring fidelity, staffing capacity, referral flow, authorizations, and service access
  • Oversee workflows related to payer assignment, prior authorizations, end-dating, and care coordination
  • Assist with budget oversight, fiscal sustainability, and program expansion planning
  • Track program effectiveness using Ohio Scales, hospitalization data, school outcomes, and other performance indicators
  • Develop quality assurance procedures and improvement initiatives
  • Analyze data trends to improve access, engagement, retention, and outcomes for youth and families
  • Assist IHBT supervisors with building and maintaining partnerships with schools, courts, juvenile probation, hospitals, OhioRISE Care Management Entities, residential providers, and county leadership
  • Represent IHBT in community meetings, provider collaborations, and statewide initiatives when appropriate
  • Support referral development and cross-system coordination for high-acuity youth and families
  • Lead implementation and expansion of intensive behavioral health programming
  • Assist with the development of new service lines and operational frameworks
  • Support organizational strategic planning related to youth and family services
  • Promote innovative, community-based approaches aligned with Ohio's evolving behavioral health system
  • Ensure timely completion of reports, staffing updates, audits, and program metrics
  • Maintain communication with executive leadership regarding performance, barriers, and growth opportunities
  • Participate in on-call leadership support and crisis escalation processes as needed
  • Utilizes databases and Electronic Health Record systems for accurate client documentation
  • Maintain compliance with HIPAA, mandated reporting requirements, and professional ethical guidelines
  • Travel throughout assigned service regions to support teams, partners, and program operations. Travel requirement up to 50% for this position. With occasional overnight travel
  • Other duties as assigned

Minimum Requirements:
Education/Licensure:
  • A high school degree or GED equivalent is required
  • A bachelor's degree in healthcare, behavioral health or a related field is required
  • A master's degree in social work, Counseling, Psychology, Behavioral Sciences, or a related field is required
  • An active licensure as an independent LISW/LPCC/IMFT in the state of Ohio is required

Experience:
  • 3-4 years of experience in healthcare, behavioral health, or related fields is required
  • 3-4 years of experience in delivering or managing intensive programming is preferred
  • Experience working in the behavioral health field and/or working with multi-system youth and families is required
  • Experience with wraparound services is preferred
  • Experience working within Electronic Health Record systems is preferred
  • Experience with grant writing and the approval process is preferred

Knowledge, Skills, and Abilities:
  • Advanced communication skills, both oral and written is required
  • Advanced organizational skills are required
  • The ability to bill Medicaid without restrictions is required
  • Knowledge of trauma-informed care is preferred
  • Knowledge of local, state, and federal regulations is required
  • Knowledge of Medicaid regulations and compliance requirements is required
  • Knowledge of community service systems is required
  • The ability to maintain confidential information is required
  • Ability to adhere to all safety rules, regulations, and requirements
  • A valid driver's license and the ability to operate a motor vehicle is required
  • An appropriate level of auto insurance coverage is required
  • Access to reliable transportation is required
  • Ability to manage deadlines within a fast-paced, high-volume environment is required
  • The ability to operate in an Internet-based, automated office environment is required
  • The ability to maintain a high-speed internet connection is required

Physical Requirements:
  • Prolonged periods of sitting at a desk and working on a computer is required
  • Must be able to lift up to 15 pounds at times is required

Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package.
Benefits include:
  • Medical
  • Dental
  • Vision
  • Short-term Disability
  • Long-term Disability
  • 401K w/ Employer Match
  • Employee Assistance Program (EAP) provides support and resources to help you and your family with a range of issues.

To learn more about our organization: https://ISBH.org/
OUR MISSION
Delivering exceptional care through connection
OUR VALUES
Dignity - We meet people where they are on their journey with respect and hope
Collaboration - We listen to understand and ask how we can best support the people and communities we serve
Wellbeing - We celebrate one another's strengths, and we support one another in being well
Excellence - We demand high-quality care for those we serve, and are a leader in how we care for one another as a team
Innovation - We deeply value a range of perspectives and experiences, knowing it is what inspires us to stretch past where we are and reach towards what we know is possible
The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this position. It is not to be construed as an exhaustive list of duties performed by the individuals in this role, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

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