... respect and integrity to meet business and organizational goals, regulatory standards, and ... Provides hands-on leadership for a hospice program with growth opportunity, accountable for ...
... respect and integrity to meet business and organizational goals, regulatory standards, and ... Provides hands-on leadership for a hospice program with growth opportunity, accountable for ...
... respect and integrity to meet business and organizational goals, regulatory standards, and ... Provides hands-on leadership for a hospice program with growth opportunity, accountable for ...
... respect and integrity to meet business and organizational goals, regulatory standards, and ... Provides hands-on leadership for a hospice program with growth opportunity, accountable for ...
... respect and integrity to meet business and organizational goals, regulatory standards, and ... Provides hands-on leadership for a hospice program with growth opportunity, accountable for ...
... respect and integrity to meet business and organizational goals, regulatory standards, and ... Provides hands-on leadership for a hospice program with growth opportunity, accountable for ...
... respect and integrity to meet business and organizational goals, regulatory standards, and ... Provides hands-on leadership for a hospice program with growth opportunity, accountable for ...
... respect and integrity to meet business and organizational goals, regulatory standards, and ... Provides hands-on leadership for a hospice program with growth opportunity, accountable for ...
... respect and integrity to meet business and organizational goals, regulatory standards, and ... Provides hands-on leadership for a hospice program with growth opportunity, accountable for ...
... respect and integrity to meet business and organizational goals, regulatory standards, and ... Provides hands-on leadership for a hospice program with growth opportunity, accountable for ...
... respect and integrity to meet business and organizational goals, regulatory standards, and ... Provides hands-on leadership for a hospice program with growth opportunity, accountable for ...
... respect and integrity to meet business and organizational goals, regulatory standards, and ... Provides hands-on leadership for a hospice program with growth opportunity, accountable for ...
Lead systems, processes, and KPI program integrations that enable and measure commercial and ... Ensure consistent definitions, data integrity, and cross-functional alignment of KPIs across Sales ...
Lead systems, processes, and KPI program integrations that enable and measure commercial and ... Ensure consistent definitions, data integrity, and cross-functional alignment of KPIs across Sales ...
Lead systems, processes, and KPI program integrations that enable and measure commercial and ... Ensure consistent definitions, data integrity, and cross-functional alignment of KPIs across Sales ...
Lead systems, processes, and KPI program integrations that enable and measure commercial and ... Ensure consistent definitions, data integrity, and cross-functional alignment of KPIs across Sales ...
Director, University Talent Acquisition Leader
$100K - $138K/yr
Ensure operational excellence at scale, including process consistency, data integrity, compliance ... Lead cross-functional initiatives that enhance the effectiveness of university recruiting programs ...
Director, University Talent Acquisition Leader
$100K - $138K/yr
Ensure operational excellence at scale, including process consistency, data integrity, compliance ... Lead cross-functional initiatives that enhance the effectiveness of university recruiting programs ...
Director, University Talent Acquisition Leader
$100K - $138K/yr
Ensure operational excellence at scale, including process consistency, data integrity, compliance ... Lead cross-functional initiatives that enhance the effectiveness of university recruiting programs ...
Director, University Talent Acquisition Leader
$100K - $138K/yr
Ensure operational excellence at scale, including process consistency, data integrity, compliance ... Lead cross-functional initiatives that enhance the effectiveness of university recruiting programs ...
... and program execution. This role blends strategic vision, operational rigor, and external ... Drive operational excellence through process design, standardization, data integrity, compliance ...
... and program execution. This role blends strategic vision, operational rigor, and external ... Drive operational excellence through process design, standardization, data integrity, compliance ...
Associate Director, MSAT
Durham, NC · On-site
The company maintains a portfolio of clinical programs across a range of neuromuscular, central ... Act with Uncompromising Integrity. Be honest, transparent, and committed to doing what's right in ...
Associate Director, MSAT
Durham, NC · On-site
The company maintains a portfolio of clinical programs across a range of neuromuscular, central ... Act with Uncompromising Integrity. Be honest, transparent, and committed to doing what's right in ...
The company maintains a portfolio of clinical programs across a range of neuromuscular, central ... Act with Uncompromising Integrity. Be honest, transparent, and committed to doing what's right in ...
The company maintains a portfolio of clinical programs across a range of neuromuscular, central ... Act with Uncompromising Integrity. Be honest, transparent, and committed to doing what's right in ...
Oversee the USMA external funding program, ensuring alignment with medical affairs objectives ... Integrity and transparency: you manage funds ethically and document decisions clearly. How to apply ...
Oversee the USMA external funding program, ensuring alignment with medical affairs objectives ... Integrity and transparency: you manage funds ethically and document decisions clearly. How to apply ...
Job Overview Direct and manage project(s) and/or multi-project programs ensuring the quality of ... IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for ...
Job Overview Direct and manage project(s) and/or multi-project programs ensuring the quality of ... IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for ...
Job Overview Direct and manage project(s) and/or multi-project programs ensuring the quality of ... IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for ...
Job Overview Direct and manage project(s) and/or multi-project programs ensuring the quality of ... IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for ...
Associate Director Regional Clinical Operations (Oncology- Southeast)
Durham, NC · On-site
$82K - $229K/yr
Job Overview Direct and manage project(s) and/or multi-project programs ensuring the quality of ... IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for ...
Associate Director Regional Clinical Operations (Oncology- Southeast)
Durham, NC · On-site
$82K - $229K/yr
Job Overview Direct and manage project(s) and/or multi-project programs ensuring the quality of ... IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for ...
... data integrity, compliance with protocol standards, and timely delivery of study outputs to the ... Although it does not include formal direct reports, the majority of the responsibilities involve ...
... data integrity, compliance with protocol standards, and timely delivery of study outputs to the ... Although it does not include formal direct reports, the majority of the responsibilities involve ...
... data integrity, compliance with protocol standards, and timely delivery of study outputs to the ... While this role coordinates and oversees project-assigned staff, direct supervisory authority does ...
... data integrity, compliance with protocol standards, and timely delivery of study outputs to the ... While this role coordinates and oversees project-assigned staff, direct supervisory authority does ...
Sr Dir, Business Development
Durham, NC · On-site
$125K - $349K/yr
Job Overview * Establish and manage an effective business development program to maximize ... IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for ...
Sr Dir, Business Development
Durham, NC · On-site
$125K - $349K/yr
Job Overview * Establish and manage an effective business development program to maximize ... IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for ...
Program Integrity Director information
See Roxboro, NC salary details
$26K - $34.5K
5% of jobs
$34.5K - $43.1K
13% of jobs
$46.4K is the 25th percentile. Wages below this are outliers.
$43.1K - $51.7K
19% of jobs
The median wage is $59.4K / yr.
$51.7K - $60.3K
15% of jobs
$60.3K - $68.9K
11% of jobs
$77K is the 75th percentile. Wages above this are outliers.
$68.9K - $77.5K
14% of jobs
$77.5K - $86.1K
9% of jobs
$86.1K - $94.7K
5% of jobs
$94.7K - $103.3K
2% of jobs
$103.3K - $111.9K
2% of jobs
$111.9K - $120.5K
5% of jobs
$26K
$68.8K
$120.5K
How much do program integrity director jobs pay per year?
What are the key skills and qualifications needed to thrive as a Program Integrity Director, and why are they important?
What is the difference between Program Integrity Director vs Claims Manager?
| Aspect | Program Integrity Director | Claims Manager |
|---|---|---|
| Required Credentials | Bachelor's degree, certifications in healthcare compliance or auditing | Bachelor's degree, experience in claims processing or insurance |
| Work Environment | Healthcare or insurance organizations, compliance departments | Insurance companies, healthcare payers, claims processing units |
| Employer & Industry Usage | Used in healthcare, government programs, insurance sectors | Primarily 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 Program Integrity Directors?
What are some typical challenges faced by a Program Integrity Director, and how can they be addressed?
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 25 days ago
Gentiva Health Services rating
7.2
Based on 102 frontline employees who took The Breakroom Quiz
30th of 228 rated social care providers
Job description
Lead with Compassion. Serve with Purpose. Transform Hospice.
We are opening a new branch in Hillsborough!
We have an exciting and rewarding opportunity for a RN Hospice Executive Director to join our leadership team. This role is ideal for a licensed Registered Nurse (RN) with strong leadership experience in hospice care, home health, or clinical operations management.
If you’re a natural leader who is passionate about patient-centered care, team development, and clinical excellence, we invite you to bring your talent to a place where you can truly make a difference.
The Executive Director RN I provides strategic leadership and operational oversight for assigned Hospice location with a developing census. This role will oversee and lead the day-to-day operations, including managing and directing interdisciplinary teams, ensuring the delivery of high-quality and patient-centered care, fostering a culture of compassion, respect and integrity to meet business and organizational goals, regulatory standards, and community needs. Responsibilities include leadership and development, financial performance, community outreach, human resources, office operations and communication and relationship building with the Governing Body, referral partners, the community. In this role, the Administrator ensures assigned Hospice location delivers outstanding service, while upholding the company’s mission, vision and values.
Essential Functions:- Provides hands-on leadership for a hospice program with growth opportunity, accountable for clinical quality, operational performance, and sustainable census expansion.
- Demonstrates a commitment to excellence through focusing on quality care and/or service.
- Incorporates continuous quality improvement principles in day-to-day activities.
- Uses statistical and qualitative information to manage quality.
- Requires employees to exhibit technical knowledge and effective skill education related to their job.
- Promotes and monitors compliance with requirements and standards established by accrediting or licensing agencies, regulatory agencies and state or federal law relevant to areas of responsibility.
- Ensures that policies and procedures are followed.
- Accepts responsibility for remaining current in the latest trends, developments and technologies relative to area of work by: Actively pursuing self-development, attending in- services, and circulating relevant information to appropriate employees.
- Recommends and implements policies and procedures, which have been developed by the Administrator and Governing Body that guide and support the provision of services.
- Manages Human Resources effectively.
- Shows consistency between words and actions.
- Promotes positive communications and keeps employees informed of changes by ensuring meetings with appropriate staff are conducted and documented. Is available to employees when issues arise.
- Promotes/provides for core orientation, at the direction of the Administrator, plus location and job specific orientation, in service training and continuing education for employees, volunteers and contract personnel.
- Conducts educational programs for outside agencies as deemed necessary.
- Recommends a sufficient number of qualified and competent persons to provide services. Responsible for the selection, supervision, and evaluation of interdisciplinary team members in collaboration with the Administrator.
- Collaborates with the Administrator, Corporate leadership and employees to establish goals and standards for performance; reviews and monitors progress regularly and redirects efforts where goals are not being met.
- Determines qualifications and competence of employees, in collaboration with the Administrator.
- Completes all performance evaluations in collaboration with the Administrator prior to due date.
- Takes appropriate and timely action in disciplinary situations in collaboration with the Administrator; documents actions taken in accordance with policy.
- Makes appropriate assignments among employees in accordance with their personal abilities and limitations; ensures fair and consistent workload distribution.
- Manages Office Operations effectively
- Directs the multiple teams of the assigned location, if applicable.
- Plans and organizes tasks and resources to achieve strategic goals and objectives.
- Consistently demonstrates the ability to recognize, establish and deal with priorities.
- Measures progress towards set goals; takes corrective action on projects, as appropriate. Considers the impact of department/location decisions on the overall functioning of the provider, the company and its hospice affiliates.
- Reviews and analyzes facts of a situation when developing a plan of action; considers all relevant information to make the most informed decision possible.
- Achieves predetermined objectives and goals.
- Participates in selecting outside sources for needed services in collaboration with the Administrator.
- Ensures contract management is maintained for services from outside vendors/providers in collaboration with the Administrator.
- Assesses and improves branch/department performance as well as individual team's performance.
- Ensures documentation of services is accurate and timely.
- Monitors and supervises quality of patients' care of assigned location(s). Processes emergency calls and requests for assistance.
- Assists with problem solving for patients in all settings
Prepares, monitors, and reviews monthly bills, supply costs, expense requests, mileage reimbursement, payroll and other expenses. - Makes recommendations for service area regarding market opportunities for new programs or service.
- Ensures accuracy of marketing materials, public information materials and activities in collaboration with the Administrator.
- May be asked to perform routine visits to patient homes or institutional setting and/or participate in on-call schedule (only if a Registered Nurse).
- Provides a safe environment for patients, visitors, customers and employees.
- Investigates and completes detailed reports of any incidents/accidents, grievances, complaints, medication errors and other problems within the time frames established by policy, and implements corrective and/or preventive action immediately in collaboration with the Administrator.
- Works with physicians, patients, families, staff and others regarding problems, needs and concerns.
- Responsible for supervision and evaluation of family satisfaction surveys in collaboration with the Administrator.
- Incorporates safety topics into staff meetings.
- Regularly reviews safety policies and procedures (to include the Emergency Preparedness Plan); ensures that all employees are oriented to and understand their role in safety policies and procedures.
- Manages financial resources prudently and effectively.
- Completes financial reviews in collaboration with the Administrator on recommended schedule.
- Budget worksheets are completed and submitted by scheduled deadlines.
- Annual expenditures are within annual budget except where variances are volume driven and have been approved.
- Resource needs are anticipated and budgets are planned to meet those needs within known parameters.
- Budget variances are justified on a regularly scheduled basis. Continually seeks ways to reduce costs without affecting quality.
- Controls use of overtime and temporary personnel, in collaboration with the Administrator, except when justified by increased volume or decreased staffing levels.
- Recommends space and other resources for needed services.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Education:
- Registered Nurse with minimum of associate’s degree in nursing required
- Bachelor’s degree in Nursing (BSN) from an accredited school of nursing preferred.
- Experience:
- Minimum one year management/supervisory experience required.
- Two or more years’ experience in hospice/home care required
- Meets all state-specific requirements for the Administrator role (if functioning as the Alternate or Interim Administrator).
- Three years’ experience in direct patient care in a clinical setting preferred.
- Three to five years healthcare sales/ management experience preferred.
- Strong understanding of hospice regulations, compliance, and Medicare conditions of participation
- Proven ability to manage teams, budgets, and interdisciplinary operations
- Exceptional communication, organizational, and leadership skills
- Commitment to high-quality, compassionate care for patients and families
- Licenses, Certifications and/or Registration:
- Current license to practice nursing in the state of requested employment, if applicable
- CPR Certification
- Current automobile insurance and valid driver’s license
Benefits for All Associates (Full-Time, Part-Time & Per Diem):
- Competitive Pay
- 401(k) with Company Match
- Career Advancement Opportunities
- National & Local Recognition Programs
- Teammate Assistance Fund
Additional Full-Time Benefits:
- Medical, Dental, Vision Insurance
- Mileage Reimbursement or Fleet Vehicle Program
- Generous Paid Time Off + 7 Paid Holidays
- Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
- Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
- Free Continuing Education Units (CEUs)
- Company-paid Life & Long-Term Disability Insurance
- Voluntary Benefits (Pet, Critical Illness, Accident, LTC)
Apply Now:
If you’re an experienced Hospice RN leader looking for your next challenge, we want to hear from you. Join a team that values compassion, leadership, and meaningful work—when life matters most.
Legalese:- This is a safety-sensitive position
- Employee must meet minimum requirements to be eligible for benefits
- Where applicable, employee must meet state specific requirements
- We are proud to be an EEO employer
- We maintain a drug-free workplace
At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.
Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.
Our nationwide reach is powered by a family of trusted brands that include:
- Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
- Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
- Home health care: Heartland Home Health
- Advanced illness management: Illumia Health
With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.
What Gentiva Health Services employees say
Pay
Benefits
Hours and flexibility
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Get the full story on Breakroom
About Gentiva
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Atlanta, GA, US
Year founded
2010