An elevated approach to program analysis.
Director, Medicare Program Integrity Operations
Location
Virginia
Posted
87 days ago
Salary
0
Seniority
Lead
No structured requirement data.
Job Description
Director, Medicare Program Integrity Operations
Integrity Management Services, Inc.
Title: Director, Medicare Program Integrity Operations Location: Alexandria, Virginia, United States Workplace: Fully remote Job Description: About Us Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review. At IntegrityM, we offer a culture of opportunity, recognition, collaboration, and supporting our community. We thrive off of these fundamental elements that make IntegrityM a great place to work. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver creative solutions that exceed goals and foster a dynamic, idea-driven environment that nurtures our employees’ professional development. Large company perks…Small company feel! Position Overview IntegrityM is seeking a senior leader to serve as Director, Federal Health Program, supporting a large-scale federal healthcare program focused on oversight, compliance, and performance improvement. This role provides executive leadership for program delivery, stakeholder engagement, and operational governance across complex, multi-disciplinary workstreams. The Director will be responsible for ensuring high-quality execution, regulatory compliance, and effective coordination with government clients and partner organizations. This position is expected to assume senior leadership responsibilities on a major federal healthcare engagement. Key Responsibilities • Provide executive oversight and direction for program operations, ensuring performance aligns with contractual requirements, government guidance, and quality standards. • Serve as a senior interface with government stakeholders, supporting governance, performance reviews, issue resolution, and risk management. • Lead integrated teams and subcontractor partners to deliver efficient, compliant, and timely program outcomes. • Oversee healthcare program integrity activities, including data-driven analysis, audits, oversight activities, and stakeholder communications. • Ensure high-quality delivery of program outputs such as analytic reports, alerts, and external communications. • Provide leadership for audit planning, execution, documentation, and corrective action processes. • Oversee operational workflows for correspondence management, issue tracking, and responsiveness to external stakeholders. • Lead coordination with related federal contractors and oversight entities to support aligned program execution and avoid duplication of effort. • Support transition and implementation activities for new or expanding federal programs, ensuring continuity of operations. • Ensure compliance with federal security, privacy, training, and records management requirements. Requirements Qualifications - Bachelor’s degree required. - 10+ years of experience in healthcare program operations, program integrity, compliance, auditing, or federal health programs. - 3+ years of experience leading complex teams and managing large-scale, time-sensitive program operations. - Strong knowledge of Medicare-related programs (Parts A, B C & D), healthcare compliance, or payment integrity preferred. - Preferred Qualifications - Experience with managed care auditing. - Experience working with federal clients or contractors strongly preferred.
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Faculty, Business
Valencia CollegeValencia College is a public state college based in Orlando, Florida. This school was established in 1967 as “Valencia Junior College” but it changed its na
Title: Part-Time Faculty, Business Location: Orlando, FL, United States Job Description: Position NumberAJ0065.00000 Position TitlePart-Time Faculty, Business Job TypeFaculty FT/PTPart-Time Employee Class DescriptionFaculty Adjunct General Position Description Primarily responsible for teaching in discipline or discipline areas in which he/she has specific training and/or competence. Plans, organizes, teaches, and provides feedback to promote and direct student learning in keeping with Valencia’s learning- ¬centered values and in a manner that meets the essential competencies of a Valencia educator. Responds to students in a timely manner and communicates with the discipline and division via college-provided tools and resources. GradeMA Exemption StatusExempt Posting NumberF1596P Location(s)Orlando, FL 32811 - West Campus, Collegewide Proposed Work Schedule (Please note hours subject to change based on business needs) Number of Vacancies3 Open Until FilledNo Posting Detail Information Temporary Position (Temp or Grant Funded) Details Salary RangeSalary is determined by the total contact hour course assignment & highest earned degree. Essential Job Functions Description of Job Function 1. Prepares and delivers instruction to students in assigned modalities (including classroom, hybrid, online, etc.). Prepares instructional materials. Provides feedback on students’ progress, including evaluation of student mastery of course and program outcomes. Description of Job Function 2. Provides feedback to students in matters related to academic success in a timely manner. Description of Job Function 3. Prepares and submits required documentation including course syllabi, student attendance, final course grades, and other information as requested or required by the college. Description of Job Function 4. Maintains and disseminates current information pertaining to services available to students throughout the college. Description of Job Function 5. Is familiar with and maintains behavior and actions consistent with college policies. Description of Job Function 6. Maintains professional development/growth according to personal needs and requirements for certification. Description of Job Function 7. Performs other duties as assigned. Qualifications Drivers License Requirement Drivers License RequirementPREFERRED: Employee must be able to travel locally on a flexible schedule, as needed. Must have reliable transportation, and proof of liability and property damage insurance on the vehicle used may be required. Required Qualifications Required Minimum EducationFaculty Positions Only - Level of education per Credentials Manual. Required Field of Study Appropriate level of education. See Credentials Procedures Manual at: http://valenciacollege.edu/faculty/forms/credentials/ Other Required Qualifications Teaching experience at the community college level (in some cases, related work experiences in the field, professional licensure and certifications, honors and awards, continuous documented excellence in teaching, or other demonstrated competencies and achievements that contribute to effective teaching and student learning outcomes may be used to support an application in lieu of degree and course work requirements). Required License/Certification Preferred Qualifications Preferred Education & Field of Study Preferred Type of Experience Preferred Licenses/Certification Knowledge, Skills and Abilities Knowledge, Skills and Abilities Knowledge and understanding of learning-centered values. Knowledge of, ability to develop, and commitment to use emerging technologies and alternative delivery methods appropriately, including online delivery, hybrid course options, content software, web-enhancements, etc. Skill in the use of personal computers and general office software. Ability to design learning opportunities that promote student life skills development while enhancing discipline learning. Demonstrated understanding of developmental advising (Valencia’s LifeMap) and competency-based learning (LifeMap). Ability to develop and implement diverse teaching and learning strategies that accommodate the learning styles of students and that promote both acquisition and applications of knowledge and understanding (Learning Centered Teaching Strategies). Ability to use consistent, timely formative and summative assessment measures to enhance learning (Assessment). Ability to design learning opportunities that acknowledge, draw upon and are enriched by student diversity in the learning environment (Inclusion and Diversity). Ability to design and implement curriculum that aligns elements of student learning toward growth in the Student Core Competencies and progression through course sequences (Outcomes-Based Practice). Commitment to stay current and continually improve knowledge and understanding of the discipline (Professional Commitment). Ability to continuously examine the effectiveness of teaching, counseling, librarianship and assessment methodologies in terms of student learning by engaging in the scholarship of teaching and learning (Scholarship of Teaching and Learning). Ability to effectively communicate interpersonally (in group and one-on-one settings), orally, and in writing. Working Conditions General Working Conditions This job primarily operates in a professional office environment. The employee will routinely operate standard office equipment including but not limited to computers, keyboards, mouse, phones, photocopiers, printers, scanners, filing cabinets and fax machines. While performing the duties of this job, the noise level in the work environment is usually quiet to moderate. Typical physical competencies include but are not limited to frequently remaining stationary, moving, reaching, positioning self and occasionally ascending/descending, lifting/moving objects weighing between 5-15 pounds. This job also entails frequently communicating, discerning and exchanging information, detecting and perceiving objects up close, at a distance, and the ability to adjust focus. Cognitive abilities include but are not limited to frequently using discretion, judgment, reasoning, memory, learning, maintaining confidentiality, comprehension, problem solving, and decision-making. The typical work environment, physical and cognitive demands listed above are representative of those that must be met by an employee to successfully perform the essential functions of this job. The College has a process to identify and make available reasonable accommodations to enable individuals with disabilities to perform the essential functions. Job specific working conditions This job also operates in a classroom setting and may use equipment such as microphones and audio/videorecorders. Must be able to work a flexible schedule, including occasional evenings or weekends, as needed. Must be able to travel locally on a flexible schedule, as needed. Must have reliable transportation, and proof of liability and property damage insurance on the vehicle used may be required.
Regional Business Director, TTR - Mid-South
Alnylam PharmaceuticalsWe are the leader in RNAi therapeutics – a revolutionary approach with the potential to transform the lives of people with rare and common diseases. Built on Nobel Prize-winning science, Alnylam has delivered the breakthroughs that made RNAi therapeutics possible and are just at the beginning of what’s possible. Our deep pipeline, late-stage programs, and bold vision reflect our core values: fierce innovation, passion for excellence, purposeful urgency, open culture and commitment to people. We're proud to be a globally recognized top employer, where an authentic, inclusive culture and breakthrough thinking fuel one another.
Overview We are looking for an experienced Regional Business Director (RBDs to support the promotion of AMVUTTRA® (vutrisiran). The U.S. Food and Drug Administration (FDA) recently approved the supplemental New Drug Application (sNDA) for AMVUTTRA® (vutrisiran). The approval expands the indication for AMVUTTRA, which now becomes the first and only therapeutic approved by the FDA for the treatment of ATTR-CM and the polyneuropathy of hereditary transthyretin-mediated amyloidosis (hATTR-PN) in adults. The RBD will be principally responsible for leading and managing a high-performing team of Business Account Executives, focusing on disease awareness and product education among healthcare professionals managing hATTR amyloidosis patients. This is an incredible opportunity to build a team and shape a market in support of patients, caregivers, and the hATTR amyloidosis community. The RBD will provide coaching to help ensure every BAE meets or exceeds target. He/she will be critical in the assessment and improvement of field and selling processes. RBDs will also need to provide insights to inform commercial strategy, given their proximity to the market, and ultimately meet and exceed performance targets. The RBD will also need to embody Alnylam values: our commitment to people, sense of purposeful urgency, passion for excellence, innovation & discovery, and open culture as well as our unwavering commitment to integrity. Additionally, an RBD will be responsible for the creation of a customer-oriented climate that focuses on an understanding of patient and customer needs, value-added services, and seamless execution. Through the building of best-in-class teams, talent development, and regular monitoring and coaching, the RBD will foster a culture of accountability. The position reports to the Executive Sales Lead role. Key Responsibilities - Lead and manage a high-performing team of Business Account Executives, focusing on disease awareness, product education among healthcare professionals managing hATTR amyloidosis patients - Utilize strong sales management, strategic planning skills, financial acumen, and analytical capabilities to align sales execution with overarching product strategies and market needs. - Analyze market and proactively develop a forward-thinking action plan, rather than solely reacting to past events. Capable of clearly conveying the current market situation and proposed plan of action to leadership, while also ensuring the team is aligned to future objectives and expectations. - Coach and develop team members to exceed performance targets, emphasizing compliance and effective local business management through strategic business planning and cross-functional alignment. - Leverage proximity and familiarity of their market to provide insights that help inform the commercial strategy. - Attract, manage, and retain top sales talent with a demonstrated experience in diverse specialties. - Hold the team accountable to sustaining a customer-oriented culture that prioritizes understanding and meeting patient needs, delivering seamless execution and value-added services. - Allocate and manage regional resources effectively that support targeted strategic and operational excellence. - Align people, processes, structure, information, and communication systems within a complex ecosystem – both within and across functions. - Inspire and motivate the team by clearly articulating the strategy and vision for the future. Qualifications - Bachelor’s degree required: science focus strongly preferred; MBA/PhD is a plus. - 7+ years in sales, marketing, commercial operations, and/or account management experience in commercial healthcare organizations (i.e., Biotech, Med Device or Specialty Pharmaceuticals). - 3+ years of experience in leading teams, experience building out field sales teams preferred - Rare/orphan disease experience preferred. - Experience training and managing BAEs to effectively promote multiple specialties. - US product launch experience is helpful. - In-depth reimbursement knowledge of Buy/Bill and expertise of Part B & D, working with in-house patient support services team required. - Hospital / Institution knowledge and expertise with the P&T process. - Deep experience in Neurology and Cardiology is preferred. - Knowledge and experience with “site-of-care” development. - Experience in working in various departments, managing multiple teams (sales, marketing, market access, patient services). - Demonstrated leadership in working in a matrix environment and influencing management decisions. - Effective planning, prioritization, management, and organizational skills. - Must be familiar with relevant legal and regulatory environments in biotech/pharmaceutical industry. - Significant domestic/regional travel is required (approximately 60 – 70%). - Valid Driver’s license required. - Demonstrated commitment to ethics and integrity. #LI-ST1 #LI-Remote U.S. Pay Range $204,000.00 - $276,000.00 The pay range reflects the full-time base salary range we expect to pay for this role at the time of posting. Base pay will be determined based on a number of factors including, but not limited to, relevant experience, skills, and education. This role is eligible for an annual short-term incentive award (e.g., bonus or sales incentive) and an annual long-term incentive award (e.g., equity). Alnylam’s robust Total Rewards package is designed to support your overall health and well-being. We offer comprehensive benefits including medical, dental, and vision coverage, life and disability insurance, a lifestyle reimbursement program, flexible spending and health savings accounts and a 401(k)with a generous company match. Eligible employees enjoy paid time off, wellness days, holidays, and two company-wide recharge breaks. We also offer generous family resources and leave. Our commitment to your well-being reflects our belief that caring for our people fuels the impact we create together. Learn more about these and additional benefits offered by Alnylam by visiting the Benefits section of the Careers website: https://www.alnylam.com/careers About Alnylam We are the leader in RNAi therapeutics – a revolutionary approach with the potential to transform the lives of people with rare and common diseases. Built on Nobel Prize-winning science, Alnylam has delivered the breakthroughs that made RNAi therapeutics possible and are just at the beginning of what’s possible. Our deep pipeline, late-stage programs, and bold vision reflect our core values: fierce innovation, passion for excellence, purposeful urgency, open culture and commitment to people. We're proud to be a globally recognized top employer, where an authentic, inclusive culture and breakthrough thinking fuel one another. At Alnylam, we commit to an inclusive recruitment process and equal employment opportunity. Qualified applicants will receive consideration for employment without regard to their sex, gender or gender identity, sexual orientation, race, color, ethnicity, national origin, ancestry, citizenship, religion, creed, physical or mental disability, pregnancy status or related conditions, genetic information, veteran or military status, marital or familial status, political affiliation, age, or any other factor protected by federal, state, or local law. Alnylam is an E-Verify Employer.
Director, Foundation Relations Chobanian and Avedisian School of Medicine
Boston UniversityBoston University is a vibrant university with over 32,000 students enrolled in undergraduate, graduate, professional, and non-degree programs. Boston University is comprised of 17
Title: Director, Foundation Relations Chobanian & Avedisian School of Medicine Location: Boston United States Job Description: Our Mission We in Boston University Advancement harness the power of philanthropy to make an excellent education accessible and welcoming to all, and to advance BU's global leadership in research, scholarship, artistic creation, and professional practice. To support our work, we have built - and are continuing to build - an outstanding team of dynamic, mission-driven advancement professionals who constantly strive to create an environment where everyone belongs. Where it's not just a job, but a career and a community. The Chobanian & Avedisian School of Medicine at Boston University, with teaching affiliate Boston Medical Center, is at the forefront of innovation, pushing the boundaries of research and conducting clinical training with empathy and humanity. Our students are the world's future physicians, scientists, and healthcare providers, offering treatments, cures, and care-where it really matters. The school receives from $40-50 million annually, with one third to one half from private foundations, corporations and associations and the remainder from individuals including alumni, parents, faculty/staff, and friends. Private foundations primarily support the scientific research initiatives of our faculty researchers, with an emphasis on providing funding for our junior researchers, postdocs and PhD students DIRECTOR, FOUNDATION RELATIONS, CHOBANIAN & AVEDISIAN SCHOOL OF MEDICINE Reporting to the Associate Dean for Advancement, the Director of Foundation Relations is a senior member of the School of Medicine's advancement team. Primary responsibilities include identifying and cultivating private organizational funders (foundations, associations, trusts, etc.); working collaboratively with the dean, department chairs and faculty members to develop and submit written solicitations (letters of inquiry, concept papers, proposals, etc.) focusing on 6- and 7-figure gifts; reporting and stewarding gifts as appropriate; and coordinating foundation fundraising with central Foundation Relations and administrative colleagues. Limited travel is required. Responsibilities Build and manage a portfolio of top foundation relationships for the School of Medicine. Work closely with school leaders, faculty and Advancement colleagues to implement creative cultivation and solicitation strategies. Formulate and communicate the annual foundation plan/goals/metrics with a variety of internal stakeholders. Expand and sustain foundation relationships across the School of Medicine and pinpoint areas of synergy, including support for early career faculty, PhD students and postdocs. Alert faculty and school leaders to RFP and other opportunities to seek foundation support. Draft and manage grant applications, proposals, reports, project descriptions, etc. for the School of Medicine. Initiate, coordinate, and participate in meetings with senior leadership, faculty and foundation partners, both in-person and over zoom. Keep current with trends in the foundation community by using the web, e-distributions and other database listings noting grant opportunities. The start date for this position is July 1. This role follows a hybrid work schedule, with employees working 3 days per week in the office and 2 days remotely. Required Skills Qualifications - Bachelor's degree, Master's preferred - 8- 10 years of relevant experience - Prior experience in fund-raising, ideally in foundation relations - Advanced organizational, analytical, communication (verbal and written), and problem-solving skills But that's not all we're looking for; we want someone who embodies our values: - Teamwork, transparency, and mutual respect, because we value every member's contribution and know that leadership can come from anywhere. - Diversity, equity, inclusion, and a commitment to ensuring that each of us knows we belong here. Boston University (BU) typically receives about $70 million annually from private philanthropic organizations (i.e., foundations, organizations, associations, and societies). These funds support the University's scholarly and scientific research, educational initiatives, and community outreach. The Foundation Relations (FR) team plays a central role in soliciting these donations - Integrity in how we work and how we treat one another. - Strategic thinking and curiosity in the relentless pursuit of fresh approaches and measurable results. - Continuous growth and improvement, both as individuals and as a team. - Joy and shared appreciation for working hard toward goals that matter. If this resonates with you and you want to help us in our ambitious next campaign-and maybe do some of your best work as an advancement professional- we encourage you to apply. If you are hesitant to apply because you have not previously performed every responsibility listed in the description, but you do possess transferable skills, our values, and the defined qualifications, we still want to hear from you and welcome your application as well. #LI-Hybrid
• Revenue Growth: Growing revenue through upselling, cross-selling, and renewals. • Relationship Building: Establishing trust and building strong relationships with key stakeholders. • Customer Advocacy: Representing the customer's interests and ensuring their needs are communicated effectively. • Strategic Planning: Collaborating with customers to understand their long-term goals. • Contract Management: Handling contract negotiations, renewals, and any changes. • Customer Feedback: Gathering customer feedback and insights to drive product improvements.


