1

Program Integrity Director Jobs in Rio Rancho, NM

SENIOR PROGRAM COOK

Bernalillo, NM · On-site

$18.17 - $21.24/hr

Position Summary Under direct supervision of the Senior Program Manager, prepares and serves fresh ... Our philosophy is built on the principles of integrity, fairness, collaboration, communication, and ...

Guided by our core values of Integrity, Compassion, Accountability, and Collaboration , we empower ... active construction programs * Drive a solutions-first culture, ensuring projects continue ...

Director of Admissions

Albuquerque, NM · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Must have high integrity, solid business acumen including numerical and analytical ability * Must ... Tuition assistance and Forgiveness for you and your family up to 100% depending on program All your ...

Director of Admissions

Albuquerque, NM

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Must have high integrity, solid business acumen including numerical and analytical ability * Must ... Tuition assistance and Forgiveness for you and your family up to 100% depending on program All your ...

Director of Admissions

Albuquerque, NM · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Must have high integrity, solid business acumen including numerical and analytical ability * Must ... Tuition assistance and Forgiveness for you and your family up to 100% depending on program All your ...

New

Showing results 41-60

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:

SENIOR COMPANION PROGRAM NURSE MANAGER

Sandia Resort and Casino

Bernalillo, NM • On-site

$37.08 - $44.12/hr

Full-time

Re-posted 15 days ago


Sandia Resort & Casino rating

8.4

Company rating: 8.4 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

14th of 163 rated casinos


Job description

Position Summary
Manages the homecare program which provides supportive services for families of the frail, physically and/or medically compromised members of the community of the Pueblo of Sandia.
Our philosophy is built on the principles of integrity, fairness, collaboration, communication, and recognition for performance excellence. Meeting all performance standards leads to attracting and retaining a qualified workforce, provides opportunities for qualified team members, and contributes towards the ongoing success of the Pueblo of Sandia today and in the future.
Essential Duties and Responsibilities
  1. Provides comprehensive case management services for all patients served by the homecare program.
  2. Develops and provides comprehensive new employee orientation and education training to all staff.
  3. Maintains employee files and ensures that all mandatory competencies are current.
  4. Maintains, updates, and manages all policies and procedures for the homecare program including presenting changes/updates to the Tribal Council.
  5. Collaborates with the Program Assistant to develop staffing schedules for homecare attendants.
  6. Shares after hours on call phone calls if calls are medically related.
  7. Ensures that patients have supplies and medications that they need. This includes monitoring the need, ordering, and oversight of medication delivery.
  8. Supervises medication management: Fills weekly medication boxes as needed. Instructs Homecare Attendants about responsibilities for reminding patients to take medications. Monitors documentation for accuracy.
  9. Makes regular home visits to all patients to assess physical and psychological status and to evaluate the quality of in-home care.
  10. Provides direct care for treatments or procedures that exceed Homecare Attendant scope of practice.
  11. Acts as a liaison between patient and family and medical, dental and other health service providers.
  12. Punctual and regular attendance is an essential responsibility for all team members and are expected to report to work based upon the assigned schedule each day in accordance with the Attendance Policy for Pueblo of Sandia.

Additional Responsibilities
  1. Creates an environment of teamwork though strong communication, mentoring, and providing guidance, support, and appreciation for team members contributions.
  2. Performs special projects and other job-related duties as assigned.

Key Performance Indicators
This position has Key Performance Indicators (KPI's) identified as a measurement of success. KPI's will be shared with all team members who work in this job title and feedback will be provided regarding the successful completion of the KPI's as part of the performance review process.
Knowledge, Skills, and Abilities
1. Excellent management skills.
2. Ability to communicate both verbally and in writing.
3. Ability to be highly organized.
4. Ability to accurately assess patient status and provide direct care based on strong clinical knowledge and experience.
5. Ability to work independently with minimal supervision.
6. Ability to learn tribal policies and procedures.
7. Ability to interact effectively with the patients served, their families, and Homecare Program Assistant as well as the immediate supervisor.
8. Ability to act as an advocate for patients and their families with health care and community agencies.
9. Ability to revise/create application process forms, policies and procedures as rules, regulations and technology advances.
10. Ability to train employees effectively.
Education and Experience
Required:
  1. High School Diploma, GED certification or equivalent
  2. Associates or Bachelor's Degree in Nursing from an accredited college or university.
  3. Three (3) years' experience in homecare, chronic diseases, geriatrics or related field i
  4. Two (2) years of supervisory experience.

Note: Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling eight (8) years may substitute for the required education and experience.
License/Certifications/Registrations
  1. The following license and/or certifications are required prior to employment start date:
  • Current New Mexico RN license
  • CPR/1st Aid certifications.
  1. Must possess and maintain a valid, unrestricted New Mexico Driver's License.
  2. Must be able to successfully pass a stringent background investigation and character investigation in compliance with PL 101.630.
  3. Will require a pre-employment and random drug screening.

Physical Requirements/Working Conditions
The following selected physical activities are required to perform the essential functions of this position
Physical Requirement
Description
Balancing
Maintaining body equilibrium to prevent falling and walking, standing, or crouching on narrow, slippery, or erratically moving surfaces. This factor is important if the amount of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium.
Crouching
Bending the body downward and forward by bending leg and spine.
Feeling
Perceiving attributes of objects, such as size, shape, temperature, or texture by touching with skin, particularly that of fingertips.
Finger Dexterity
Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand as in handling.
Grasping
Applying pressure to an object with the fingers and palm.
Hearing
Perceiving the nature of sounds at normal speaking levels with or without correction. Ability to receive detailed information through oral communication, and to make the discriminations in sound.
Kneeling
Bending legs at knee to come to a rest on knee or knees.
Lifting
Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires substantial use of upper extremities and back muscles. (Up to 10 lbs.)
Pulling
Using upper extremities to exert force to draw, haul, or tug objects in a sustained motion. (Up to 10 lbs.)
Pushing
Using upper extremities to press against something with steady force to thrust forward, downward, or outward. (Up to 10 lbs.)
Reaching
Extending hand(s) and arm(s) in any direction.
Seeing
The ability to perceive the nature of objects by the eye.
Walking
Job requirements include, in the performance of duties, walking throughout the work area, on various work surfaces throughout internal or external locations.
Sitting
Particularly for sustained periods of time.
Standing
Particularly for sustained periods of time.
Stooping
Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full motion of the lower extremities and back muscles.
Talking
Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.
List Working Conditions Required:
1. Work is performed indoors.
2. May work extended hours and evening or weekend hours.
3. Subject to hazardous materials which may cause bodily harm: smoke, common colds, influenza, dust, odors and elevated noise levels.
4. Tasks may be performed on uneven, inclined, challenging, soft carpeted floors, cement structures, and surfaces.

What Sandia Resort & Casino employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom