Director of Program Integrity (Dallas)A-Line Staffing Solutions • Dallas, TX, US
Director of Program Integrity (Dallas)
A-Line Staffing Solutions • Dallas, TX, US
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.part_time
job_description.job_card.job_description5+ years management experience. 8+ years experience in Payment Integrity Audit and Recovery, including data mining, clinical record review, and program integrity audits. 2+ years experience in a Managed Care health plan or state agency. Knowledge of ICD-10 and CPT / HCPCS coding guidelines. Strong leadership, strategic thinking, and conflict resolution skills. Proficient in Microsoft Office and other relevant systems. Certification / Registration / Licensure : Project Management or Six Sigma certification preferred. Medical, Dental, Vision Life & Disability Insurance Flexible Spending Accounts Additional benefits and leave programs
Director of Program Integrity
Location : Dallas, TX
Schedule : Monday Friday, 8 : 00AM 5 : 00PM
Compensation : $127,964 $216,008 annually
Position Overview
One of the largest public hospital systems in the country is seeking a Director of Program Integrity to lead the Program Integrity department. This role focuses on claims editing, fraud, waste, and abuse (FWA) prevention, and ensuring payment accuracy. The Director will drive operational excellence, cost containment, and adherence to federal and state Medicaid regulations.
Key Responsibilities
- Lead and oversee all Program Integrity operations.
- Design, analyze, and improve workflows to increase productivity and efficiency.
- Stay current with industry developments, regulations, and best practices.
- Develop and implement internal controls ensuring compliance with laws and guidelines.
- Develop and manage department budgets and goals.
- Hire, train, mentor, and evaluate staff.
- Ensure adherence to Texas Medicaid (STAR, STAR Kids / CHIP) and NCQA standards.
Required Skills & Qualifications
Benefits
serp_jobs.job_alerts.create_a_job
Director Of Program Integrity • Dallas, TX, US
Job_description.internal_linking.related_jobs
This job post focuses on the core content of the position.It has been formatted to ensure a high signal to noise ratio, making the content beautiful and easy to read.
All extraneous metadata, naviga...serp_jobs.internal_linking.show_more
Specialty : Director of Program Integrity.Shift Schedule : 8 hrs per day; 8 : 00 AM - 5 : 00 PM.Five (5) years of management experience.
Eight (8) years of experience in Payment Integrity Audit and Recove...serp_jobs.internal_linking.show_more
Enhabit Home Health & Hospice Regional Program Director.Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Hea...serp_jobs.internal_linking.show_more
Interim Program Director of Behavioral Health - Nationwide Travel (75% or more) - Full-time (Permanent).Interim Program Director of Behavioral Health.
Program Director is hired, and hours of work an...serp_jobs.internal_linking.show_more
The Director Revenue Integrity will serve as a strategic leader and resource for the design, implementation, operation, maintenance, monitoring, and overall quality of the BSWH Revenue Integrity fu...serp_jobs.internal_linking.show_more
Director of Services Integration.Curis Functional Health is a fast-growing, Dallas-based healthcare company revolutionizing care through a multidisciplinary modelthat integrates chiropractic, menta...serp_jobs.internal_linking.show_more
From the edges of space to the bottoms of ocean, our materials are proven to perform and so is our team.We're hiring high performers as proven as our products.
As Director of Transformational Pro...serp_jobs.internal_linking.show_more
A company is looking for a Senior Program Director - Remote.Key Responsibilities Drive execution of operational plans for complex programs and initiatives related to assigned market segments Col...serp_jobs.internal_linking.show_more
Join a leading Texas-based health plan dedicated to advancing quality, compliance, and cost efficiency across Medicaid and managed care programs.
As the Director of Program Integrity, youll lead str...serp_jobs.internal_linking.show_more
Director, Technical Program Management - Card Tech.Are you interested in leading programs that deliver on critical business goals and build large scale products & platforms?.At Capital One, we’re c...serp_jobs.internal_linking.show_more Director, Technical Program Management - AI / ML.Are you interested in leading technical AI and ML programs that deliver on critical business goals and build large scale products & platforms?.At Capi...serp_jobs.internal_linking.show_more A company is looking for a Lead Director, Program Management.Key Responsibilities Collaborate with clinical and operational leaders to identify business needs and strategic objectives Analyze cu...serp_jobs.internal_linking.show_more 
Impact Standardization Program Leader.When you're the best, we're the best.We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents w...serp_jobs.internal_linking.show_more
Intuitive Health is a dynamic and forward-thinking healthcare provider that is actively seeking a proactive and driven individual to join our team as a Program Director.
This is an evergreen positio...serp_jobs.internal_linking.show_more
Lifes too short to not work someplace awesome! If you have tons of energy, love kids, and are looking for a way to give back to your community, you may be the person we are looking for!.Why is The ...serp_jobs.internal_linking.show_more
Our Healthcare Heroes get the Best Opportunities & Treatment”.Mindlance Health is one of the largest and fastest-growing US Staffing firms for healthcare organizations.
Mindful of the opportunity ga...serp_jobs.internal_linking.show_more
When you're the best, we're the best.We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents.
We provide extensive opportunities for ...serp_jobs.internal_linking.show_more
Interim Program Director of Behavioral Health - Nationwide Travel (75% or more) - Full-time (Permanent) Horizon Health is seeking an Interim Program Director of Behavioral Health to travel nationw...serp_jobs.internal_linking.show_more
Perm - Leadership - Director of Program Integrity (Days) Dallas TX
Bestica Healthcare • Dallas, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Perm - Director of Program Integrity #A-LEAD-61142
AdeIphi MedicaI Staffing • Dallas, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_variable_days
Regional Program Director
Enhabit Home Health & Hospice • Dallas, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Interim Program Director
Horizon Health Corporation • Lewisville, TX, United States
serp_jobs.job_card.permanent +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Director Revenue Integrity
Baylor University Medical Center • Dallas, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Director of Services Integration
Curis Functional Health • Dallas, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Director, DT - Transformational Programs
ATI • Dallas, TX, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Senior Program Director
VirtualVocations • Garland, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Director of Program Integrity Lead Fraud, Waste & Abuse Prevention for a Major Health Plan
K.A. Recruiting • Plano, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Director, Technical Program Management - Card Tech
Capital One • PLANO, Texas, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Director, Technical Program Management - AI / ML
Capital One • PLANO, Texas, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Lead Director of Program Management
VirtualVocations • Plano, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Director Program Services
Vizient • Irving, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Program Director - Evergreen Role
Intuitive Health • Plano, TX, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_30
Program Director
The Little Gym of Forney • Forney, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Director of Program Integrity
Mindlance • Dallas, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Director Program Services
Vizient, Inc. • Irving, TX, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Interim Program Director
Horizon Health • Lewisville, TX, United States
serp_jobs.job_card.permanent +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted