Director of Program Integrity

Dallas, IA - USA

Monthly Salary: Not Disclosed

Posted on: 20 hours ago

Vacancies: 1 Vacancy

Job Summary

Director of Program Integrity
Dallas TX 75201
Full-time
$61.06 per hour (estimated)

Our client is seeking a Director of Program Integrity to lead oversight of claims editing fraud prevention initiatives and payment accuracy operations. This position is responsible for ensuring regulatory compliance operational efficiency and continuous improvement across the department.

Key Responsibilities
Identify and analyze job designs work processes and workflows to implement changes that improve efficiency and effectiveness
Stay current on industry developments trends and best practices through seminars workshops and professional literature
Maintain up-to-date knowledge of applicable rules regulations policies laws and guidelines
Develop and manage annual departmental budgets
Create implement and monitor annual goals and objectives for the department
Select train supervise motivate schedule and evaluate departmental staff

Schedule and Shift Details
Onsite presence required at least six days per month

Qualifications
Required
Bachelors degree or higher
Minimum 2 years of managed care experience
At least 1 year of experience in any of the following: ICD-10 medical coding or Medicaid
At least one of the following certifications: Lean Six Sigma or Project Management Professional (PMP)

Benefits
Flexible Spending Account (FSA)
Life insurance
Disability insurance

At Nurchure Staffing Solutions were dedicated to matching you with opportunities that align perfectly with your skills and career aspirations. Nurchure Staffing Solutions is an equal opportunity employer. With our extensive network of top clients and personalized support we make your job search efficient and effective giving you access to roles that can truly elevate your career. Let us be your trusted partner in navigating the path to your next great opportunity.

Director of Program Integrity Dallas TX 75201 Full-time $61.06 per hour (estimated) Our client is seeking a Director of Program Integrity to lead oversight of claims editing fraud prevention initiatives and payment accuracy operations. This position is responsible for ensuring regulatory complianc...