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Program Integrity Director Jobs in Lexington, KY

Shrinerschildrens

Director of Nursing

Lexington, KY · On-site

Our compassion, integrity, accountability, and resilience define us as leaders in pediatric ... Participates in community educational programs and meetings as the site's representative.

Kroger

PHARMACY LEADER METRO LEXINGTON

Lexington, KY

$113K - $149K/yr

Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and ... P articipation in clinical programs following company sponsored training * A bility and willingness ...

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Program Integrity Director information

See Lexington, KY salary details

$29.3K

$77.7K

$136.2K

How much do program integrity director jobs pay per year?

As of Aug 18, 2026, the average yearly pay for program integrity director in Lexington, KY is $77,720.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,700.00 and $91,900.00 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 Lexington, KY?

For Program Integrity Director jobs in Lexington, KY, the most frequently searched job titles are:

What job categories do people searching Program Integrity Director jobs in Lexington, KY look for?

The top searched job categories for Program Integrity Director jobs in Lexington, KY are:

What cities near Lexington, KY are hiring for Program Integrity Director jobs?

Cities near Lexington, KY with the most Program Integrity Director job openings:

Program Integrity Director jobs near you
Infographic showing various Program Integrity Director job openings in Lexington, KY as of June 2026, with employment types broken down into 71% Full Time, and 29% Contract. Highlights an 100% In-person job distribution, with an average salary of $77,720 per year, or $37.4 per hour.

Director of Nursing

Shriners Children's

Lexington, KY • On-site

Full-time

Re-posted 9 hours ago

Shriners Children's rating

8.0

Company rating: 8.0 out of 10

Based on 45 frontline employees who took The Breakroom Quiz

137th of 1,060 rated hospitals

Job description

Company Overview
Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.
With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family's ability to pay or insurance status. Please click here to learn more about our locations.
Job Description
The Ambulatory Surgery Center Director of Nursing has administrative authority and responsibility for patient care services, policies and procedures, evidence-based nursing standards of patient care, and compliance with the Nurse Practice Act. Reports directly to the site administrator and has indirect reporting relationship to the Regional Nurse Executive and the System Chief Nursing Officer. Maintains sound organizational relationships and shared decision making with the Board of Governors, Site leadership, (Administrator, Chief of Staff and Director Fiscal Services), physicians, department leaders, and all stakeholders. Develops, implements, and evaluates long and short-term goals for nursing as well as for assigned departments; responsible for directing, planning, and facilitating process improvements in patient care in a safe, consistent environment that promotes quality care and optimal patient outcomes within the constraints of available resources. On an ongoing basis, evaluates and initiates revisions as necessary to ensure nursing care is implemented via the Nursing Process and Nursing Philosophy which is derived from FOCUSED the Shriners Hospitals for Children (SHC) Professional Practice Model.
Maintains effective communication with all nursing, patient care services, and other personnel; physicians, board members, and stakeholders; strives for the advancement of the nursing profession within the community and on the local, state, and national level. Maintains awareness of legislation affecting nursing practice and implements practice or process changes as needed; acts as a resource person for the ambulatory center related to nursing standards and practices.
Key Responsibilities:
  • As a member of the Senior Leadership team, participates in the development, monitoring and execution of the site's strategic plan demonstrating systems thinking and change management skills. In collaboration with unit/department leaders, contributes to planning, decision making, and policy formulation.
  • Attends/holds membership on site and medical staff committees as appropriate. Attends Board of Governors and physician meetings to report on activities of nursing and assigned departments. Provides administrative coverage in the absence of the administrator. Participates in community educational programs and meetings as the site's representative.
  • Demonstrates ability to lead/direct Patient Care Services (PCS) team by providing leadership, mentoring and guidance to patient care leaders and staff using principles of management. Identifies needed changes, facilitates/directs the change and role models positive attitude toward change. Role models professional nursing practice and behaviors. Coaches (PCS) leadership team in leadership principles. Collaborate with members of the site's leadership team.
  • Identifies, develops, and facilitates patient safety initiatives, quality improvement strategies, nursing and employee satisfaction initiatives and other programs to maintain and improve the patient-focused culture of assigned departments and services. Embraces shared decision making by energizing staff and others in decision making that is patient and family centered in an environment that is conducive to discussion and opinion sharing.
  • Makes unit/department and patient rounds frequently to keep channels of communication open. Gives appropriate feedback in a timely manner to questions and Promotes and facilitates harmonious relationships among assigned personnel, the Medical Staff, patient and public, and acts as liaison between assigned departments and other departments of the ambulatory surgery center.
  • Responsible for oversight, development, allocation, and administration of the budget for assigned departments, based on past requirements, forecasted patient care needs, best practice, available resources and for quality management Read, analyze, and interpret the most complex data documents.
  • Develops, implements, and assures the organization's plan for providing nursing care and other assigned patient care services in accordance with the mission / vision of the Evaluates problems and concerns in the patient care services areas and overall site in terms of ensuring safe, effective, quality patient care, and staffing.
  • Manages human resources via workforce planning, employment decisions, reward & recognition for exemplary performance, performance issue management, identification of current/future needs and skill sets. Participates in the interview process of key leadership positions. Assists in the selection, implementation and evaluation of information technology assuring optimal support of patient care function in collaboration with system and other site leaders.

Required Qualifications:
  • Master's Degree in Related Field
  • RN Licensure in state of practice
  • Certified Administrator Surgery Center (CASC) within two years of hire
  • 5+ years of experience in a Pediatric/Ambulatory Care/Surgery Center
  • 4+ years of nursing leadership experience

Preferred Qualifications:
  • Nursing Leadership Certification(s)
The pay range for this position is $141,935.04 - $212,883.84. Compensation is determined based on years of relevant experience and departmental equity.

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