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Program Integrity Director Jobs in Decatur, TX (NOW HIRING)

Camp Fire First Texas

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Program Specialist--Teens in Action Program

Fort Worth, TX · On-site

$20 - $22/hr

... High moral character and integrity · Must be able to pass a criminal background check · ... Direct Service & Youth Development · Conduct lunch and afterschool small group sessions that ...

EasyCare

Automotive Service Manager

Denton, TX · On-site

Always project an attitude of honesty and integrity * Direct, coordinate, and participate in ... Graduation from an industry recognized service training program also preferred by not required.

EasyCare

Automotive Service Manager

Gainesville, TX · On-site

Always project an attitude of honesty and integrity * Direct, coordinate, and participate in ... Graduation from an industry recognized service training program also preferred by not required.

Kyo

Program Supervisor

Fort Worth, TX

$27/hr

Pay Rate for direct therapy: $23.00 per hour Pay Rate for supervision duties: $27.00 per hour Kyo ... integrity and support skill development. * Collaborate with a BCBA on assessments, treatment ...

Kyo

Program Supervisor

Fort Worth, TX · On-site

$27/hr

Pay Rate for direct therapy: $23.00 per hour Pay Rate for supervision duties: $27.00 per hour Kyo ... integrity and support skill development. * Collaborate with a BCBA on assessments, treatment ...

Kyo

Program Supervisor

Fort Worth, TX · On-site

$27/hr

Pay Rate for direct therapy: $23.00 per hour Pay Rate for supervision duties: $27.00 per hour Kyo ... integrity and support skill development. * Collaborate with a BCBA on assessments, treatment ...

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Program Integrity Director information

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$26.4K

$69.9K

$122.5K

How much do program integrity director jobs pay per year?

As of May 28, 2026, the average yearly pay for program integrity director in Decatur, TX is $69,901.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,400.00 and $82,700.00 per year, depending on experience, location, and employer.

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 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 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 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 job categories do people searching Program Integrity Director jobs in Decatur, TX look for? The top searched job categories for Program Integrity Director jobs in Decatur, TX are:
What cities near Decatur, TX are hiring for Program Integrity Director jobs? Cities near Decatur, TX with the most Program Integrity Director job openings:
Program Integrity Director jobs near you
EXEC DIR REVENUE INTEGRITY

EXEC DIR REVENUE INTEGRITY

JPS Health Network

Fort Worth, TX • On-site

Full-time

Posted 13 days ago

JPS Health Network rating

7.9

Company rating: 7.9 out of 10

Based on 42 frontline employees who took The Breakroom Quiz

101st of 864 rated healthcare providers

Job description

Who We AreJPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people.
Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance
outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.
Why JPS?We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road:
1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence.
2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.
3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS.
When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you!
For more information, visit www.jpshealthnet.org.
To view all job vacancies, visit www.jpshealthnet.org, www.jpshealthnet.org/careers, or www.teamacclaim.org.
Job Title:
EXEC DIR REVENUE INTEGRITY
Requisition Number:
req29494
Employment Type:
Full Time
Division:
REVENUE CYCLE
Compensation Type:
Salaried
Job Category:
Director / Management Level
Hours Worked:
Location:
JPOC 1400
Shift Worked:
Job Description:
Job Summary: The Executive Director of Revenue Integrity leads the enterprise Revenue Integrity program, ensuring accurate charge capture, compliant documentation, optimal reimbursement, and denial prevention across the health system. This role partners across Revenue Cycle, Clinical Operations, Finance, Compliance, HIM, and IT to optimize revenue performance from point-of-care through final claim adjudication. The leader has executive oversight of charging strategy, compliance, and revenue leakage prevention, with accountability for financial performance, audit readiness, and operational efficiency.
Essential Job Functions & Accountabilities:
  1. Leads the system-wide Revenue Integrity strategy and roadmap aligned with financial and operational objectives.
  2. Establishes governance structures, performance standards, and reporting frameworks for Revenue Integrity programs.
  3. Drives initiatives to reduce revenue leakage and optimize reimbursement yield.
  4. Partners with Finance to analyze expected vs. actual reimbursement and identify variance drivers.
  5. Oversees Charge Description Master (CDM) integrity, pricing alignment, and regulatory compliance.
  6. Ensures accurate and compliant charge capture across Hospital (HB) and Professional (PB) services.
  7. Leads departmental charge capture audits and implement reconciliation and late charge recovery processes.
  8. Advances charge automation through Epic and ancillary systems to improve efficiency and accuracy.
  9. Identifies root causes of denials and implement pre-bill and post-bill edit strategies to prevent revenue loss.
  10. Collaborates with HIM, Coding, and CDI teams to ensure alignment between documentation, coding, and billing requirements.
  11. Ensures compliance with CMS, OIG, NCCI, and payer regulations and lead audit readiness and response efforts.
  12. Oversees Epic Revenue Integrity build, including charge routing, work queues, and rule-based automation, in partnership with IT.
  13. Monitors and drives performance against key KPIs such as charge capture rate, charge lag, denial avoidance, and net revenue improvement.
  14. Develops executive dashboards and financial impact reporting to support strategic decision-making.
  15. Leads cross-functional governance committees and provide education on charging compliance and revenue stewardship.
  16. Prepares department operating budgets on an annual basis and monitors areas of responsibility for compliance within the current budget; develops cost estimates, forecasts, and expenditures to optimize rewards mix and ensures good governance and compliance processes.
  17. Oversees the development and implementation of organizational policies and procedures.
  18. Establishes departmental productivity and quality standards and measures performance against industry best practice benchmarks.
  19. Participates in leadership development activities; implements strategies and processes to improve employee morale and performance.
  20. Develops direct reports by defining roles/responsibilities and expectations, assigning and communicating performance and promoting professional growth and accountability.
  21. Performs annual performance reviews; develops goals and objectives. Provides coaching and development counseling. Provides input into the hiring decisions and recommendations for team members.
  22. Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.

Qualifications:
Required Qualifications:
  • Bachelor's degree in Healthcare Administration, Finance, HIM, Nursing, or related field of study from an accredited college or University.
  • If applicable, associated licensure/certification to education (i.e. RN).
  • 10 plus years of experience in Revenue Cycle or related field.
  • 5 plus years of experience in progressive Revenue Integrity and Charging Compliance leadership.
Preferred Qualifications:
  • Master's degree in Healthcare Administration, Finance, HIM, Nursing, or related field of study from an accredited college or University.
  • System-level experience.
  • CRCR, CHRI, CCS/CCS-P, CPC, or RN (preferred for clinical-facing RI models).

Location Address:
1400 S. Main Street
Fort Worth, Texas, 76104
United States

What JPS Health Network employees say

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About JPS Health Network

Sourced by ZipRecruiter

Who We AreJPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people. We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. Also, to provide high quality, compassionate clinical care for every patient, every time.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1877

Social media

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