The Coordinator plays a critical role in safeguarding program integrity through audits, monitoring ... Under the direction of the EAS Director, solicits and manages customer testimonials for exemplary ...
The Coordinator plays a critical role in safeguarding program integrity through audits, monitoring ... Under the direction of the EAS Director, solicits and manages customer testimonials for exemplary ...
Program Director- Vocational Nursing Program
$140K - $150K/yr
Direct and oversee all daily operations of the Vocational Nursing Program, ensuring the highest standards of academic excellence, program integrity, and student success * Design, develop, and ...
Quick apply
Program Director- Vocational Nursing Program
$140K - $150K/yr
Direct and oversee all daily operations of the Vocational Nursing Program, ensuring the highest standards of academic excellence, program integrity, and student success * Design, develop, and ...
Non-Congregate Meal Program Cooks-1 still needed
Hamlin, WV ยท On-site
$20/hr
Ability to maintain compliance records and support program integrity Additional Duties Performs other duties as assigned by the Director of Child Nutrition or designee to support successful ...
Non-Congregate Meal Program Cooks-1 still needed
Hamlin, WV ยท On-site
$20/hr
Ability to maintain compliance records and support program integrity Additional Duties Performs other duties as assigned by the Director of Child Nutrition or designee to support successful ...
Program Director
New York, NY ยท On-site
Program Director needed in Brooklyn Full time-Shelter setting Responsibilities: * Main professional ... Ensure staff utilization of electronic database and conduct oversight to ensure data integrity.
Quick apply
Program Director
New York, NY ยท On-site
Program Director needed in Brooklyn Full time-Shelter setting Responsibilities: * Main professional ... Ensure staff utilization of electronic database and conduct oversight to ensure data integrity.
The position will support the Data Integrity Governance program through assessment/remediation ... Demonstrate the ability to influence areas not under direct control to achieve objectives and ...
The position will support the Data Integrity Governance program through assessment/remediation ... Demonstrate the ability to influence areas not under direct control to achieve objectives and ...
The Program Director will have full responsibility for the program's overall direction, including ... integrity and reputation. * Collaborate with faculty and the Clinical Coordinator to ensure ...
The Program Director will have full responsibility for the program's overall direction, including ... integrity and reputation. * Collaborate with faculty and the Clinical Coordinator to ensure ...
Program Director - Radiologic
$160K - $162K/yr
The Program Director will have full responsibility for the program's overall direction, including ... integrity and reputation. * Collaborate with faculty and the Clinical Coordinator to ensure ...
New
Program Director - Radiologic
$160K - $162K/yr
The Program Director will have full responsibility for the program's overall direction, including ... integrity and reputation. * Collaborate with faculty and the Clinical Coordinator to ensure ...
New
Director, CC Risk & Integrity
Manhattan, NY ยท On-site
$125K - $150K/yr
In juvenile justice, ACS oversees detention, placement, and programs for youth in the community ... Reporting to the Executive Director for Child Care Risk and Integrity, the Director of Eligibility ...
Director, CC Risk & Integrity
Manhattan, NY ยท On-site
$125K - $150K/yr
In juvenile justice, ACS oversees detention, placement, and programs for youth in the community ... Reporting to the Executive Director for Child Care Risk and Integrity, the Director of Eligibility ...
The position will support the Data Integrity Governance program through assessment/remediation ... Demonstrate the ability to influence areas not under direct control to achieve objectives and ...
The position will support the Data Integrity Governance program through assessment/remediation ... Demonstrate the ability to influence areas not under direct control to achieve objectives and ...
Program Director - Radiologic
Vallejo, CA ยท On-site
$162K/yr
The Program Director will have full responsibility for the program's overall direction, including ... integrity and reputation. * Collaborate with faculty and the Clinical Coordinator to ensure ...
New
Program Director - Radiologic
Vallejo, CA ยท On-site
$162K/yr
The Program Director will have full responsibility for the program's overall direction, including ... integrity and reputation. * Collaborate with faculty and the Clinical Coordinator to ensure ...
New
The position will support the Data Integrity Governance program through assessment/remediation ... Demonstrate the ability to influence areas not under direct control to achieve objectives and ...
The position will support the Data Integrity Governance program through assessment/remediation ... Demonstrate the ability to influence areas not under direct control to achieve objectives and ...
Director, CC Risk & Integrity
$109K - $126K/yr
In juvenile justice, ACS oversees detention, placement, and programs for youth in the community ... Reporting to the Executive Director for Child Care Risk and Integrity, the Director of Eligibility ...
Director, CC Risk & Integrity
$109K - $126K/yr
In juvenile justice, ACS oversees detention, placement, and programs for youth in the community ... Reporting to the Executive Director for Child Care Risk and Integrity, the Director of Eligibility ...
Federal Audit Contract Coordinator / Human Services Program Consultant
Saint Paul, MN ยท On-site
$35.96 - $53.32/hr
This position will direct and coordinate federally mandated contractors, such as the Recovery Audit Contractor (RAC), the Unified Program Integrity Contractor (UPIC), and other contractors engaged by ...
New
Federal Audit Contract Coordinator / Human Services Program Consultant
Saint Paul, MN ยท On-site
$35.96 - $53.32/hr
This position will direct and coordinate federally mandated contractors, such as the Recovery Audit Contractor (RAC), the Unified Program Integrity Contractor (UPIC), and other contractors engaged by ...
New
Director, CC Risk & Integrity
$109K - $126K/yr
In juvenile justice, ACS oversees detention, placement, and programs for youth in the community ... Reporting to the Executive Director for Child Care Risk and Integrity, the Director of Eligibility ...
Director, CC Risk & Integrity
$109K - $126K/yr
In juvenile justice, ACS oversees detention, placement, and programs for youth in the community ... Reporting to the Executive Director for Child Care Risk and Integrity, the Director of Eligibility ...
Program Director, Clinical Pharmacy Programs About City of Hope, City of Hope's mission is to make ... Practices a high level of integrity and honesty in maintaining confidentiality. Performs other ...
Program Director, Clinical Pharmacy Programs About City of Hope, City of Hope's mission is to make ... Practices a high level of integrity and honesty in maintaining confidentiality. Performs other ...
Professional Pilot Program Director
Williston, VT ยท On-site
$80K - $85K/yr
Professional Pilot Program Director Bargaining Unit: Non-Bargaining Unit FLSA: Exempt GRADE: 16 ... program integrity and collaborate with Ground Training Instructor regarding airport expectations.
Professional Pilot Program Director
Williston, VT ยท On-site
$80K - $85K/yr
Professional Pilot Program Director Bargaining Unit: Non-Bargaining Unit FLSA: Exempt GRADE: 16 ... program integrity and collaborate with Ground Training Instructor regarding airport expectations.
The Program Director plays a key leadership role in ensuring program quality, accreditation ... Ensures ongoing quality assurance and program integrity. * Prepares for and coordinates on-site ...
The Program Director plays a key leadership role in ensuring program quality, accreditation ... Ensures ongoing quality assurance and program integrity. * Prepares for and coordinates on-site ...
shareInfoText
Greenville, NC ยท On-site
Within the Revenue Integrity department, the Director oversees the following functions: charge ... the program. * Work with the Revenue Integrity team to develop meaningful metrics and key ...
shareInfoText
Greenville, NC ยท On-site
Within the Revenue Integrity department, the Director oversees the following functions: charge ... the program. * Work with the Revenue Integrity team to develop meaningful metrics and key ...
Director, Compensation & Benefits
Dallas, TX ยท On-site
$123K - $169K/yr
The Director, Compensation & Benefits, is responsible for leading the strategy, design, and ... Establish governance frameworks, policies, and audit processes to ensure program integrity
Director, Compensation & Benefits
Dallas, TX ยท On-site
$123K - $169K/yr
The Director, Compensation & Benefits, is responsible for leading the strategy, design, and ... Establish governance frameworks, policies, and audit processes to ensure program integrity
Medical Director, Utilization Management
Los Angeles, CA ยท On-site
$278K - $350K/yr
In support of payment and program integrity initiatives, the Medical Director reviews clinical documentation to validate coding accuracy and appropriateness and completion of billed services. This ...
Medical Director, Utilization Management
Los Angeles, CA ยท On-site
$278K - $350K/yr
In support of payment and program integrity initiatives, the Medical Director reviews clinical documentation to validate coding accuracy and appropriateness and completion of billed services. This ...
Program Integrity Director information
See salary details
$29.5K - $39.3K
5% of jobs
$39.3K - $49K
13% of jobs
$52.7K is the 25th percentile. Wages below this are outliers.
$49K - $58.8K
19% of jobs
The median wage is $67.5K / yr.
$58.8K - $68.6K
15% of jobs
$68.6K - $78.4K
11% of jobs
$87.6K is the 75th percentile. Wages above this are outliers.
$78.4K - $88.1K
14% of jobs
$88.1K - $97.9K
9% of jobs
$97.9K - $107.7K
5% of jobs
$107.7K - $117.5K
2% of jobs
$117.5K - $127.2K
2% of jobs
$127.2K - $137K
5% of jobs
$29.5K
$78.2K
$137K
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
Posted 24 days ago
Job description
Purpose of Classification:ย
The purpose of this position is to manage Integrity, Quality and Compliance within the Energy Assistance Services team to ensure the highest standards of integrity, quality, accuracy, and compliance in program operations by developing, implementing, and monitoring quality assurance procedures and compliance protocols to safeguard the integrity and effectiveness of the program.
The Integrity & Compliance Coordinator is responsible for supporting the development, implementation, and monitoring of compliance, reporting and integrity functions within Energy Assistance Services (EAS) and PRC program. This position ensures adherence to federal, state, and local regulations while promoting ethical practices, fraud prevention, and program accountability. The Coordinator plays a critical role in safeguarding program integrity through audits, monitoring, training, and continuous quality improvement efforts.ย
Essential Functions:
The following duties are normal for this position. The omission of specific statements of the duties does not exclude them from the classification if the work is similar, related, or a logical assignment for this classification. Other duties may be required and assigned.ย
Oversee monthly reporting to include, but may not be limited to monthly, quarterly, and annual reports to County, Monthly Internal Managerโsย Reports, Batching(state) and Payment processing (county)
Serve as the lead on audits and file reviews and attend audit meetings
Assume responsibility for Summer Crisis Inventory Reconciliation, client appeals.ย
Provide daily oversight of customer file testing and meeting funding compliance testing requirements on an ongoing basis.
Supervise compliance staff to include Quality Assurance & Integrity teams.
Serve as knowledge leader about program compliance, customer service, best practices, and staff recognition.
Design and implement quality assurance procedures and protocols to ensure accuracy, consistency, and compliance in program operations.
Review customer files for fraud detection.
Establish benchmarks, metrics, and performance indicators to measure and monitor program effectiveness and adherence to regulatory requirements.
Perform regular audits and reviews of program activities, documents, and processes to identify compliance issues, discrepancies, or areas for improvement.
Document findings, assess risks, and develop action plans to address deficiencies and ensure corrective measures are implemented promptly.
Provide guidance, recommend staff training for common or critical processing errors, and support program staff on compliance requirements, procedures, and best practices for customer file and processing notation issues.
Ensure that each EAS employee receives a quarterly notation assessment such that each employee is assessed four times annually; works with theย employeeโs manager if the employee is not in compliance with department notation practices until resolved.
Stay informed about relevant federal, state, and local regulations, policies, and guidelines governing energy assistance programs.
Monitor regulatory changes and updates, assess their impact on program operations, and recommend adjustments or revisions to ensure ongoing compliance.
Prepare and submit compliance reports, assessments, and documentation to program leadership as required.
Identify opportunities for process improvement, efficiency gains, and quality enhancements within the program.
Coordinate responses to compliance investigations, inquiries, or audits conducted by regulatory agencies or external entities, ensuring timely and accurate information is provided.
Review customer complaints and collaborate with the Assistant Director and Director to address the root causes of complaints.
Log employee IT issues and submit IT tickets for the department; maintain logs in a manner that allows employees to track ticket status through to resolution.
Under the direction of the EAS Director, solicits and manages customer testimonials for exemplary customer service.
Work in partnership with Human Resources training staff to ensure new EAS employees receive customer service training on department service standards and practices as part of onboarding.
Foster a positive organizational culture that values diversity, equity, and inclusion, and promotes employee engagement and well-being.
Conduct customer file reviews, audits, and compliance testing to ensure accuracy, completeness, and adherence to funding requirements.
Support fraud detection and prevention efforts, including identification, documentation, and escalation of potential risks or irregularities.
Monitor and evaluate program operations to ensure compliance with ODJFS, LIHEAP/HEAP, PRC, and other regulatory standards.
Assist in the development and implementation of quality assurance and compliance protocols to strengthen program integrity.
Document audit findings, assess risk levels, and support the development of corrective action plans to address deficiencies.
Track and monitor corrective actions to ensure timely resolution and sustained compliance.
Provide guidance and support to staff regarding compliance requirements, documentation standards, and best practices.
Conduct periodic notation and file quality assessments and communicate findings to leadership.
Maintain awareness of regulatory changes and assist in updating policies, procedures, and workflows accordingly.
Prepare and maintain compliance reports, logs, and documentation for internal and external stakeholders.
Assist with responses to audits, monitoring reviews, and investigations conducted by regulatory agencies.
Review and analyze customer complaints and trends to identify systemic issues and recommend improvements.
Support training initiatives in partnership with HR and leadership to address compliance gaps and reinforce standards.
Promote a culture of integrity, accountability, and continuous improvement across the department.
Additional Functions:
Planning and development of projects.
Represent Step Forward at events, conferences, and other forums to promote its work and build relationships with key influencers.
Attends meetings, conferences, and workshops related to the agencyโs program or professional development of administrative/management.ย
Associate degree in a related field or three (3) or more years of experience delivering Energy Assistance services. If experience is in place of education, progress toward degree attainment will be a condition of continued employment. Minimum of 2โ4 years of experience in compliance, auditing, quality assurance, or program operations, preferably within energy assistance or social services. Experience working with regulatory frameworks and compliance standards preferred. Exceptional attention to detail and time management skills.
Additional Requirements/Conditions of Employment:
Successful results of pre and continued employment assessments including fingerprinting, drug testing, medical examinations and background check(s).
Step Forward is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the Agency will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer.ย