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Program Integrity Director Jobs in Rio Rancho, NM

Chicanos Por La Causa

Clinical Program Manager

Albuquerque, NM · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... integrity across programs while supporting staff development, coaching, and adherence to service delivery standards. In partnership with the Regional Director and executive leadership, you'll drive ...

CACI

Program Manager with Security Clearance

Albuquerque, NM · On-site

  • Medical

  • Retirement

  • PTO

Direct integrated teams across engineering, sustainment, software, cybersecurity, and logistics to ... A culture of integrity. At CACI, we place character and innovation at the center of everything we ...

Porch Light Health

Medical Director

Albuquerque, NM · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... for our MAT programs. This role is ideal for a current Porch Light Health provider who is ... Model company values of compassion, integrity, collaboration, and accountability in all ...

Porch Light Health

Medical Director

Albuquerque, NM · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... for our MAT programs. This role is ideal for a current Porch Light Health provider who is ... Model company values of compassion, integrity, collaboration, and accountability in all ...

Front Range Clinic

Medical Director

Albuquerque, NM · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... for our MAT programs. This role is ideal for a current Porch Light Health provider who is ... Model company values of compassion, integrity, collaboration, and accountability in all ...

Front Range Clinic

Medical Director

Albuquerque, NM

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... for our MAT programs. This role is ideal for a current Porch Light Health provider who is ... Model company values of compassion, integrity, collaboration, and accountability in all ...

The Arc of New Mexico

Trust Director

Albuquerque, NM · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Trust Director also leads community outreach and education efforts regarding special needs ... integrity of trust operations and records management Leadership, Outreach & Program Development:

The Arc of New Mexico

Trust Director

Albuquerque, NM · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The purpose of the Trust Director position is to oversee the administration, compliance, and ... integrity of trust operations and records management Leadership, Outreach & Program Development:

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Showing results 21-40

All JobsProgram Integrity JobsProgram Integrity Director JobsProgram Integrity Director Jobs in Rio Rancho, NM

Program Integrity Director information

See Rio Rancho, NM salary details

$27.7K

$73.6K

$128.9K

How much do program integrity director jobs pay per year?

As of Aug 13, 2026, the average yearly pay for program integrity director in Rio Rancho, NM is $73,551.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,900.00 and $87,000.00 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 Rio Rancho, NM look for? The top searched job categories for Program Integrity Director jobs in Rio Rancho, NM are:
What cities near Rio Rancho, NM are hiring for Program Integrity Director jobs? Cities near Rio Rancho, NM with the most Program Integrity Director job openings:
Program Integrity Director jobs near you

Clinical Program Manager

Chicanos Por La Causa

Albuquerque, NM • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Chicanos Por La Causa rating

8.5

Company rating: 8.5 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

Our Supportive Housing team is hiring for a LCSW, LMFT, or LPCC to be our new Clinical Program Manager in New Mexico!!
ABOUT
CPLC's supportive housing services are grounded on the principle that permanent, stable housing is the foundation for success. We provide housing stability to individuals experiencing homelessness from populations which experience increased barriers to housing."
HOW WILL YOU MAKE AN IMPACT?
As the Clinical Program Manager, you will provide strategic and clinical leadership for Medicaid-funded behavioral health services within the Supportive Housing and Homelessness Response pillar. You'll oversee the implementation, quality, and compliance of Certified Peer Support Services (CPSS) across key programs, including the Women's Housing Navigation Center, Gateway West Shelter, and additional supportive housing initiatives as they are developed.
The Clinical Program Manager ensures that all services align with New Mexico Medicaid (MAD) requirements, behavioral health best practices, and organizational standards. You'll drive clinical oversight, program development, quality assurance, and regulatory compliance, ensuring that peer support services are recovery-oriented, trauma-informed, and effectively documented to support Medicaid reimbursement.
This role provides supervision and guidance to CPSW Leads and Certified Peer Support Workers (CPSWs), fostering a high-performing team that delivers person-centered, culturally responsive care. The Clinical Program Manager ensures clinical integrity across programs while supporting staff development, coaching, and adherence to service delivery standards.
In partnership with the Regional Director and executive leadership, you'll drive program strategy, continuous quality improvement, and expansion of Medicaid billable services across shelter-based and housing-focused programs. This includes building and strengthening program infrastructure-such as policies, procedures, workflows, and documentation systems-to support scalable, compliant, and sustainable services.
You will collaborate closely with the Integrated Health and Human Services (IHHS) pillar and shared services teams-including compliance, quality, human resources, finance, and billing-to ensure operational alignment, regulatory adherence, and excellence in service delivery.
Your efforts will be critical in advancing innovative service models within homelessness response systems, supporting the integration of behavioral health services into supportive housing environments, and preparing for future program growth across the organization.
AREAS OF IMPACT:
  • Clinical Oversight & Supervision
  • Medicaid Compliance & Regulatory Oversight
  • Program Development, Infrastructure & Design
  • Leadership Collaboration & Organizational Alignment
  • Budget & Operational Oversight
  • Team Leadership & Training
  • Collaboration & Coordination
  • Direct Services as needed
  • Administrative Responsibilities

SUPERVISORY RESPONSIBILITIES
  • Provides clinical and administrative supervision to CPSW Leads and CPSWs in accordance with New Mexico Medicaid (MAD), licensing board requirements, and organizational standards.
  • Oversees day-to-day clinical operations of Medicaid billable peer support services across programs including Women's Housing Navigation Center, Gateway West Shelter, and future supportive housing initiatives.
  • Reviews and approves clinical documentation to ensure compliance with Medicaid standards, medical necessity, and billing requirements.
  • Provides individual and group supervision, coaching, and performance feedback to ensure high-quality, recovery-oriented service delivery.
  • Leads hiring, onboarding, training, and evaluation of CPSW Leads and CPSWs.
  • Develops staff competencies in clinical documentation, ethical practice, and trauma-informed, housing-focused service delivery.
  • Addresses performance issues and implements corrective action plans when necessary.
  • Serves as the clinical authority and subject matter expert for peer support services across the Supportive Housing and Homelessness Response pillar.
WHAT MAKES YOU A GREAT CLINICAL PROGRAM MANAGER?
  • Expertise in Medicaid behavioral health services, documentation, billing compliance, and program design (New Mexico MAD strongly preferred).
  • Strong knowledge of Certified Peer Support Services and recovery-oriented systems of care within housing and shelter settings.
  • Experience designing and scaling clinical programs across multiple sites, including shelters and supportive housing environments.
  • Strong leadership experience supervising multidisciplinary, peer-based, or housing-focused teams
  • Deep understanding of trauma-informed care, harm reduction, and housing-first models.
  • Experience working with individuals experiencing homelessness, substance use, and/or mental health challenges.
  • Strong knowledge of clinical documentation standards, service authorization, and alignment with medical necessity.
  • Ability to integrate clinical services within a broader organizational and cross-system care framework.

MINIMUM QUALIFICATIONS AND COMPETENCIES
Education / Background:
  • Master's degree in social work, Counseling, Marriage and Family Therapy, or related behavioral health field
  • Independently licensed in the State of New Mexico as one of the following:
    • LCSW (Licensed Clinical Social Worker)
    • LPCC (Licensed Professional Clinical Counselor)
    • LMFT (Licensed Marriage and Family Therapist)
      (Must meet NM requirements for independent practice and Medicaid reimbursement eligibility)
  • Must be eligible to provide clinical supervision per New Mexico licensing board requirements
  • Supervisory board-approved clinical supervisor credential required (or ability to obtain)
  • Minimum of 2-3 years of post-licensure clinical experience.
  • Minimum of 2-3 years of supervisory or leadership experience.
  • Experience with Medicaid billing, documentation, and compliance strongly preferred.
  • Experience working with vulnerable populations, including individuals experiencing homelessness, mental health, or substance use challenges.
  • This position requires driving on behalf of the company. Candidates must hold a valid driver's license, meet the company's motor vehicle record (MVR) standards, meet company's insurance eligibility, and comply with all state and federal driving requirements. Ongoing employment is contingent upon maintaining an acceptable driving record.
  • Criminal history background check meeting applicable state, federal, licensing, or program standards.
Knowledge, Skills, and Abilities:
  • Strong knowledge of Medicaid (MAD) behavioral health requirements in New Mexico
  • Excellent clinical documentation and auditing skills
  • Strong leadership, supervision, and team development skills
  • Ability to interpret and apply policies, regulations, and clinical standards
  • Excellent communication, problem-solving, and organizational skills
  • Ability to manage multiple priorities in a fast-paced environment
  • High level of professionalism, ethics, and confidentiality
Other Requirements:
  • Proficiency in Microsoft Office and electronic health record systems
  • Commitment to working with diverse, multicultural, and low-income populations
  • Ability to pass all required background checks
  • Experience and commitment to working with multiethnic, multicultural, low-income populations.
  • Excellent attention to detail, analytical, and problem-solving skills.
  • Demonstrated interpersonal and verbal and written communication skills.
  • Proficient with Microsoft Office (Word, Excel, PowerPoint, Outlook, especially Microsoft teams).
  • Proven supervisory and effective leadership skills.
  • Excellent documentation and clinical skills.
  • Proven ability to follow-up and meet deadlines.
  • Excellent initiative, flexibility, and stress-management in handling the demands of leadership.
  • Ability to multi-task, prioritize, and delegate to balance the many responsibilities, and address the various issues, that a leader faces during the workday.

BENEFITS
We recognize that our success is driven by great talent, and that's why we provide a comprehensive and competitive suite of benefits:
  • Generous Paid Holiday
  • Employee Recognition Program
  • Paid Time Off & Paid Sick Days
  • Free Preventative Services & Wellness Rewards
  • Medical, Dental, and Vision for Spouse/Domestic Partner & Children to age 26
  • Health Savings Account & Flexible Spending Account
  • Life + Disability options
  • Employee Assistance Program
  • Telemedicine & Concierge Services
  • 401(k) Retirement Plan
  • Pet Care, Life Mart Purchase Discounts
  • Tuition Reimbursement for qualifying degrees
  • Mileage & Cell Reimbursement for qualifying roles
  • Identity Theft Protection& Voluntary Benefits

The choice is now. The impact is forever. Apply today!
Chicanos Por La Causa, Inc. is an Equal Opportunity Employer
CPLC knows it takes variety of thought, culture, background, and perspective to create a truly impactful workforce. As CPLC grows, we are seeking talented employees with varying backgrounds, cultures, perspectives, and experiences to support our innovation and creativity. CPLC commits to a continued focus on fair and just hiring, training, promotional practices, and policies. We work for real change and progress in equal opportunity recruitment, hiring, and advancement. Learn more by visiting https://www.eeoc.gov/poster
California Residents: Chicanos Por La Causa, Inc and its subsidiaries will consider qualified applicants with a criminal history pursuant to the California Fair Chance Act. Find out more about the Fair Chance Act by visiting the Civil Right's Department Fair Chance Act webpage.

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