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Program Integrity Director Jobs in Louisville, KY

Community Pharmacist - PRN Float

Louisville, KY · On-site

$56 - $67.25/hr

The Community Staff Pharmacist provides direct patient care services including but not limited to ... 340B program integrity as applicable to practice site. Baptist Health is looking for a Community ...

Community Pharmacist - PRN Float

Louisville, KY · On-site

$56 - $67.25/hr

The Community Staff Pharmacist provides direct patient care services including but not limited to ... 340B program integrity as applicable to practice site. Baptist Health is looking for a Community ...

Community Pharmacist - PRN Float

La Grange, KY · On-site

$55 - $66.25/hr

The Community Staff Pharmacist provides direct patient care services including but not limited to ... 340B program integrity as applicable to practice site. Baptist Health is looking for a Community ...

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Program Integrity Director information

See Louisville, KY salary details

$28.3K

$75.1K

$131.6K

How much do program integrity director jobs pay per year?

As of Sep 7, 2026, the average yearly pay for program integrity director in Louisville, KY is $75,133.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,900.00 and $88,900.00 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 Louisville, KY?

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

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

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

System Director, Revenue Integrity

Norton Healthcare

Louisville, KY • On-site

Other

Re-posted 11 days ago


Norton Healthcare rating

7.4

Company rating: 7.4 out of 10

Based on 191 frontline employees who took The Breakroom Quiz

264th of 898 rated healthcare providers


Job description

Job Description
Job Description

System Director, Revenue Integrity
Responsibilities

The System Director, Revenue Integrity, is responsible for ensuring the integrity of the hospital and physician practice revenue cycle, assuring documentation reflecting registration, clinical service delivery, charging, coding, billing and remittance are accurate, complete, comprehensive and in compliance with regulatory and payor requirements.

Key Accountabilities:

  • Directs ongoing programs for education of physicians and ancillary staff regarding documentation and regulatory compliance. Monitors CMS regulatory environment and integrates these requirements into facility/practice processes.
  • Provides support to Patient Financial Services to ensure accurate billing and payment compliance. Assists in compliance issues and reviews billing edit issues including APC grouper edits, Emdeon and LMRP reviews. Serves as a member of the Billing and Documentation Committee for both the hospital and physicians to ensure compliance.
  • Provides support and education to Norton Healthcare coders to improve accurate coding for appropriate reimbursement. This will include Hospital, Physician Services and Norton Cancer Institute. Plans the coding audits to assess compliance with applicable coding guidelines.
  • Monitors the CDM to ensure proper charge capture and reimbursement. Interacts with various clinical and support departments and systems influencing charge propriety. Maintains mechanisms to ensure accurate charge capture.
  • Performs financial analysis of revenue and reimbursement performance. Functions as an integral link between clinical and financial departments. Provides support to evaluate future service line development regarding reimbursement potential.

Qualifications

Required:

  • Five years management in a healthcare setting
  • Bachelor Degree

Desired:

  • One year working with Epic
  • Master Degree
  • Certified Coding Specialist OR Certified Professional Coder

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What Norton Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Norton Healthcare logo

About Norton Healthcare

Sourced by ZipRecruiter

Norton Healthcare is a not-for-profit hospital and health care system and is Louisville's second largest employer, with more than 18,000 employees, over 1,700 employed medical providers and approximately 2,000 total physicians on its medical staff. The system includes six hospitals (five in Louisville and one in Madison, Indiana) with 1,993 licensed beds, eight outpatient centers, 18 Norton Immediate Care Centers, eight Norton Prompt Care at Walgreens clinics and an expanded telehealth program. It provides care at more than 340 locations throughout Kentucky and Southern Indiana.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1988