IMCS Group ยท 3 months ago
Perm - Leadership - Director of Program Integrity (Days) Dallas, TX
Dallas, TX
Full-time
Onsite
Director/ExecutiveIMCS Group is recruiting for Parkland Health & Hospital System, one of the largest public hospital systems in the country, dedicated to providing valuable health and well-being services. The Director of Program Integrity will provide leadership oversight for the Program Integrity department, focusing on claims editing, fraud, waste, and abuse prevention, while ensuring operational excellence and adherence to regulations.
Staffing & Recruiting
Responsibilities
Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of PCHP
Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices
Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and customer requirements. Seeks advice and guidance as needed to ensure proper understanding
Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department
Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of PCHP
Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge
Qualification
Required
Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms
Demonstrated ability to coach and influence for results
Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization
Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals
Ability to work in challenging situations involving competing interests, and high level interdisciplinary groups
Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities
Strong analytical and problem-solving skills
Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual
Sound business acumen
Proficient Microsoft Office and computer skills
Benefits
Medical
Dental
Vision
Life Insurance
Disability Insurance
Flexible Spending Accounts
And more!
Company
IMCS Group
IMCS Group is an IT, Healthcare, and Professional Staffing Company that helps Enterprises optimize the business value of their Staffing investments and enables them to achieve world-class business performance.
Founded in 2002
201-500 employees
H1B Sponsorship
IMCS Group has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (11)
2024 (16)
2023 (33)
2022 (32)
2021 (47)
2020 (82)
Funding
Current Stage
Growth StageLeadership Team
Satish G Kumar
Founder and CEO
Kathleen Thompson
Diretor Client Partnership
Company data provided by crunchbase