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Program Integrity Director Jobs in Maple Grove, MN

Payment Integrity Manager

Bloomington, MN ยท On-site

$51.85 - $77.77/hr

Experience building or formalizing a payment policy governance program. Experience managing ... Directing medical coding review team with multi-disciplinary operational efficiency. * Lead medical ...

Showing results 21-40

Program Integrity Director information

See Maple Grove, MN salary details

$30.2K

$80.1K

$140.3K

How much do program integrity director jobs pay per year?

As of Aug 7, 2026, the average yearly pay for program integrity director in Maple Grove, MN is $80,068.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,300.00 and $94,700.00 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 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 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 job categories do people searching Program Integrity Director jobs in Maple Grove, MN look for? The top searched job categories for Program Integrity Director jobs in Maple Grove, MN are:
What cities near Maple Grove, MN are hiring for Program Integrity Director jobs? Cities near Maple Grove, MN with the most Program Integrity Director job openings:
Infographic showing various Program Integrity Director job openings in Maple Grove, MN as of June 2026, with employment types broken down into 67% Full Time, and 33% Contract. Highlights an 100% In-person job distribution, with an average salary of $80,068 per year, or $38.5 per hour.

Assistant Program Director - ICF/Waiver Homes

The Phoenix Residence

Saint Paul, MN โ€ข On-site

$56K - $66K/yr

Full-time

This job post hasย expired today.ย Applications are no longer accepted.


Job description

MAKE A DIFFERENCE IN THE LIVES OF ADULTS WITH DISABILITIES!We have an opening for an Assistant Program Director. In this position you are responsible for oversight of ICF/Waiver sites in coordination with the Program Manager of that site, to ensure the overall functioning of the sites in terms of programmatic and individual services.Management: Responsible to hire, train, supervise, evaluate and manage the Program Managers.When Program Manager positions are unfilled, assumes all management responsibilities until a replacement is trained.Assure 24 hour staff in conjunction with the Program Manager. Maintains staffing levels according to budgetary, quality and safety guidelines per policies.Assures that the appearance of the house and grounds is always well maintained and meets standards for sanitation and infection control.Develops and maintains quality service standards with Program Director, and evaluates overall functioning of individual services.Participates in the development and implementation of organization goals and objectives.Coordinates and facilitates Manager Team Meetings.Plans, develops and provides in-service education and orientation to staff.Responsible for coordinating the pre-admission, admission and discharge of all individuals, working with the Program Director.Individual Services:Advocates for the needs of the individuals residing in Phoenix homes.Leads the development, implementation and monitoring of Active Treatment and Person Centered Program Plans.Works one Direct Care shift per pay period as one of the scheduled staff. Will maintain training on all aspects of direct care and the ability to work with all individuals they supervise. During the absence of a Program Manager or a shortage at one particular program, it is acceptable to flex these shifts to one program as needed. One shift per program is the minimum. At times more will be required to meet the needs of the program.Completes observations in programs under one's direction while working directly with the Support Professional staff in observing systems and evaluating work areas.Develops, implements, and monitors individualized Program Plans in conjunction with the Program Manager. Coordinates and facilitates individual meetings with the Program Manager.Completes QIDP duties according to regulatory requirements. Provides QIDP oversight to all sights per established guidelines.Participates in responding to Vulnerable Adult Reports in accordance with established regulations and policy.Monitors individuals' finances and completes audits per established procedures.Provides training and direction to Program Manager in all areas of individual services.Performs direct care duties as necessary, including assisting individuals with activities of daily livings, transfers, community integration and passing medications. Performs tasks which fall within Category II of infection control; which may include exposure to blood, body fluids or tissue.Response to individual needs in emotional and social areas. However, intervention in these areas does not fall within the meaning of psychotherapy.Safety:Adheres to all safety policies and procedures, fosters awareness and actions that promote a safe living and working environment.Maintains an injury free workplace by identifying and reporting unsafe conditions. Initiates problem-solving to develop correction plan and injury prevention.Regulation Compliance:Understands, implements, and complies with all policies, procedures, and philosophy of PRI; as well as all rules and regulations of licensing agencies.Assures regulation adherence by managers and staff by developing systems to ensure continual regulation compliance and quality services. Homes are regulation and inspection ready as a performance expectation.Has working knowledge of rules and regulations including but not limited to ICF/ID Federal Regulations, Rule 245D, Rule 10, 185, Positive Support Rule, Supervised Living Facility Regulations, Life Safety Code, Food and Beverage, funding rules and employment laws.Fiscal Integrity: Participates in fundraising efforts in order to assure fiscal integrity of the entire organization to include: annual fundraising events, mass mailings, capital campaigns, planned giving, and grants writing.Development of Position: Develops and provides in-service training to team members through orientation, leadership classes, Manager Team and All Leader meetings, and household meetings.Attends all mandatory in-services and meets annual training requirements.Participates in several committees as necessary, proposes new ideas for growth.Takes on extra projects as appropriate.Customer/Human Relations:Communicates effectively with individuals, staff, supervisors, families, interdisciplinary team members, and other customers verbally and in writing.Responds to communication in a timely manner, responding to emails, s-comms and phone messages daily.Responds to customer complaints in a timely and professional manner, while assessing for necessary system changes, training and monitoring of programs.Displays cooperative, supportive and positive conduct and presents self as an effective role model in representing The Phoenix Residence.The Assistant Program Director will assume additional responsibilities as requested. QUALIFICATIONS:Bachelor's Degree in Human Services related field (social services, sociology, psychology, or human services) required.3 or more years Supervisory/Management experience in long-term and/or residential settings.Qualified Intellectual Disabilities Professional (QIDP).CPR, First Aid, and Trained Medication Passer certified within first sixty (60) days of employment.Holds valid driver's license and maintains a safe driving record in order to drive company vehicles. Trained to drive Phoenix owned vehicles within first sixty (60) days of employment.Ability to maintain a flexible schedule, which includes working weekends and holidays.Ability to be responsible for 24 hour on-call coverage, and respond to issues as necessary.Excellent problem solving, decision making, and organizational skills.Ability to read, write, and speak the English language adequately to respond to individual's needs.Communicates effectively both verbally and in writing; listens accurately and responsively. Responds to communication in timely manner and reviews e-mail daily.Ability to see and hear in order to make assessments.Holds a valid driver's license and maintains a safe driving record. Ability to travel between multiple sites.Ability to occasionally lift up to 75 pounds, which includes lifting objects and/or transferring individuals. Ability to sit, stand, stoop, bend, reach, and push/pull wheelchairs.Ability to respond to emergencies in accordance with procedures and guidelines.Proficient in Microsoft Office (Word, Excel, Outlook, etc.) and have the ability to use a computer for required documentation, communication, time keeping and other assessments.Ability to operate and maintain household, office, and facility equipment.Ability to be employed full time.