LanceSoft, Inc. · 3 months ago
Director of Program Integrity
Dallas, TX, US
Full-time
Onsite
Lead/Staff, Director/Executive
$61.06/hr - $103.85/hr
5+ years expLanceSoft, Inc. is rated as one of the largest staffing firms in the US by SIA, and they are seeking a Director of Program Integrity to provide leadership oversight and direct the operations for the Program Integrity department. This role focuses on claims editing, fraud, waste, and abuse prevention, and payment accuracy while ensuring adherence to operational excellence and regulatory requirements.
Information Technology
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
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
Qualification
Required
Five (5) years of management experience
2 years of experience in a Managed Care health plan or state agency
Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology
Preferred
Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience
5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience
Project management or Six Sigma certification
Benefits
Medical
Dental
Vision
Life Insurance
Disability Insurance
Flexible Spending Accounts
And more!
Company
LanceSoft, Inc.
Established in 2000, LanceSoft is a pioneer in delivering top-notch Global Workforce Solutions and IT Services to a diverse clientele.
5001-10000 employees
H1B Sponsorship
LanceSoft, Inc. 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 (55)
2024 (32)
2023 (23)
2022 (25)
2021 (60)
2020 (80)
Funding
Current Stage
Late StageLeadership Team
Ram Karuppusamy
Chairman & CEO
Simon Dealy
Chief Financial Officer
Company data provided by crunchbase