Talent.com
Texas Licensed Program Integrity Director

Texas Licensed Program Integrity Director

VirtualVocationsNewark, New Jersey, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Director of Program Integrity to lead the Program Integrity department focusing on claims editing and fraud prevention.

Key Responsibilities

Lead and oversee all Program Integrity operations

Design, analyze, and improve workflows to increase productivity and efficiency

Develop and implement internal controls ensuring compliance with laws and guidelines

Required Qualifications

5+ years management experience

8+ years' experience in Payment Integrity Audit and Recovery

2+ years' experience in a Managed Care health plan or state agency

Knowledge of ICD-10 and CPT / HCPCS coding guidelines

Certification / Registration / Licensure : Project Management or Six Sigma certification preferred

serp_jobs.job_alerts.create_a_job

Program Director • Newark, New Jersey, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Program Director

Program Director

Ocean State Job LotNew York, NY, United States
serp_jobs.job_card.full_time
Born out of the AIDS crisis in New York City, Housing Works is a healing community that fights for inclusive care, social justice, and an end to homelessness. Our integrated healthcare, life-changin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Program Director Aide

Program Director Aide

Commonpoint QueensBronx, New York, United States
serp_jobs.job_card.part_time
serp_jobs.filters_job_card.quick_apply
Program Aide (COMPASS DYCD FUNDED).Position Type : Part-Time l Location : PS 214.Commonpoint (formerly known as the Samuel Field and Central Queens Y) is a 501(c)(3) non-profit community center servi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Program Director

Program Director

Amber KineticsFlorham Park, NJ, United States
serp_jobs.job_card.full_time
As Program Director, you join an exclusive team of leaders responsible for the implementation of the Alzheimer’s Association Portfolio of Community Program Offerings. The Portfolio brings awareness,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Program Director

Program Director

Services for the UnderServed (SUS)Bronx, NY, US
serp_jobs.job_card.full_time
Program Director, Residential Services.Developmental Disabilities Services / Residential Services.Assistant Program Directors, Shift Supervisors, Direct Support Professionals.The Developmental Disabi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Director of TRIO Program

Director of TRIO Program

William Paterson UniversityWayne, NJ, US
serp_jobs.job_card.part_time
TRIO Student Support Services Director.TRIO Student Support Services (SSS) is an academic support program for first-generation students of all backgrounds and / or those who demonstrate a financial n...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Deputy Director, HUD Multifamily Program for the Division of Preservation Finance

Deputy Director, HUD Multifamily Program for the Division of Preservation Finance

City of New YorkNew York, NY, US
serp_jobs.job_card.permanent
Deputy Director, HUD Multifamily Program for the Division of Preservation Finance.The New York City Department of Housing Preservation & Development (HPD) promotes quality and affordability in the ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Program Director - Scatter Site

Program Director - Scatter Site

The Doe Fund The Doe Fund Inc.New York, NY, United States
serp_jobs.job_card.full_time
Program Director - Scatter Site.Are you ready to embark on a new career endeavor?.The Doe Fund is a leading New York City non-profit organization that operates the enormously visible Ready, Willing...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Program Director

Program Director

Acacia NetworkNew York, NY, United States
serp_jobs.job_card.full_time
This range is provided by Acacia Network.Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Are you ready to give back to the community while pursu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Director, Government Pricing

Director, Government Pricing

SanofiMorristown, NJ, US
serp_jobs.job_card.full_time
The Director will lead the team responsible for ensuring timely and accurate calculation, analysis, and reporting of all government pricing programs in compliance with applicable laws and regulatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Program Director, Interim

Program Director, Interim

LHHNew York, NY, US
serp_jobs.job_card.temporary
LHH is seeking a dynamic and strategic leader to serve as the Director of Programs for our client in New York.This pivotal role will shape and oversee a diverse portfolio of educational, behavioral...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Program Director (49563401)

Program Director (49563401)

ICLBrooklyn, NY, US
serp_jobs.job_card.full_time
Institute for Community Living (ICL) is a non-profit organization servicing the NYC-Metro area and for over 35 years, we've provided life-saving care to New Yorkers in need that includes but is not...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Director, Technical Program Management (AI / ML Products)

Director, Technical Program Management (AI / ML Products)

Capital OneNew York, NY, US
serp_jobs.job_card.full_time +1
Director, Technical Program Management (AI / ML Products).Are you interested in leading programs that deliver on critical business goals and build large scale products & platforms?.At Capital One...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Director, TPRM Program Governance

Director, TPRM Program Governance

Webster BankNew York, NY, US
serp_jobs.job_card.full_time
Third-Party Risk Management Program Governance Lead.If you're looking for a meaningful career, you'll find it here at Webster. Founded in 1935, our focus has always been to put people first doing w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Program Director of Regulatory Reporting

Program Director of Regulatory Reporting

RIT SolutionsWayne, NJ, US
serp_jobs.job_card.full_time
Program Director Of Regulatory Reporting.The Program Director will be leading large regulatory reporting projects in for banking organizations in the USA and has preferably led projects related to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Program Director-SH563405

Program Director-SH563405

ICLNew York, NY, United States
serp_jobs.job_card.full_time
This management position exists in several Program Divisions.Under the general supervision of the Associate Vice President of Bronx Supported Housing, the individual is responsible for the oversigh...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Program Director - RSA

Program Director - RSA

Roads to SuccessNew York, NY, US
serp_jobs.job_card.full_time
Our mission is to inspire and empower all young people to take control of their future.We envision a world where everyone has access to an equitable path to success. RTS facilitates a variety of you...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Program Director (Solution-Based Casework)

Program Director (Solution-Based Casework)

Children's AidNew York, NY, United States
serp_jobs.job_card.full_time
Program Director (Solution-Based Casework) – Children’s Aid.Solution Based Casework Program (SBC).The model is based on three theoretical underpinnings : solution-focused family therapy, family life...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Program Director

Program Director

Samaritan Daytop Village, Inc.Blauvelt, NY, United States
serp_jobs.job_card.full_time
Now Hiring : Program Director – Crisis Stabilization Center.Healthcare staff can work anywhere… The BEST work with US!.Health & Human Services agency with over 60 programs across New York City and t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days