What are the responsibilities and job description for the Director of Program Integrity position at PATTERNS LLC?
Shift: Monday to Friday, 8:00 AM to 5:00 PM
Location: Dallas, TX (Onsite minimum 6 days per month)
Employment Type: Permanent, Leadership
Hourly Range: 61.06 to 96.15
Key Responsibilities:
• Provide strategic leadership and operational oversight for all Program Integrity functions, ensuring strong outcomes in payment accuracy, audit performance, and fraud, waste and abuse mitigation.
• Evaluate and improve work processes, staffing workflows, and departmental structure to enhance productivity and overall effectiveness.
• Remain current with industry regulations, trends, and best practices and integrate relevant updates into daily operations.
• Ensure compliance with federal and state regulations, accreditation standards, and internal controls.
• Develop, manage, and monitor departmental budgets aligned with organizational goals and priorities.
• Establish and execute annual goals, metrics, and objectives that support the organization’s mission.
• Select, mentor, train, and evaluate staff to maintain a high-performing team with strong accountability and measurable results.
• Lead cross-functional collaboration to support major operational initiatives and strategic outcomes.
Education:
• Bachelor’s degree preferred.
• Eight years of Texas Medicaid or Medicaid Managed Care experience may be considered in lieu of a degree.
Preferred Certifications:
• Project Management certification or Six Sigma preferred.
Salary : $61 - $96