Integration program manager job description

A core member of the collaborative FQHC care team, including the behavioral health team, medical team and dental team. This position is responsible for supporting and coordinating FHLC’s multidisciplinary pain management program and coordinating and supporting integrated treatment for FHLC patients.

• Leads the development of group therapy sessions for Behavioral Health and mind-body modalities including meditation, guided imagery, biofeedback, autogenic training, exercise and yoga, and cognitive behavioral techniques.

• Leads and coordinates the development of community education classes to support Mind-Body Medicine services.
• Participates on the FHLC External Complementary Medical Services Advisory Committee.
• Assists FLHC Marketing staff in developing marketing and community education materials for Mind-Body Medicine group therapy services, related community education classes and other complementary medical services provided at FHLC or through community partners.
• Leads the assessment of and maintains a resource database of complementary medical services providers in the FHLC service area that offer pain management services. (this could be maintained by benefit navigators and referral specialists
• Assists in developing referral agreements and Memorandums of Understanding (MOUs) with providers of complementary medical services in the region.
• Assists in developing relationships and formal agreements with wellness services providers in the regions, and area businesses that have wellness or exercise facilities on-site and collaboratively works to develop wellness access and programs that can benefit all patients with an emphasis on pain management patients.
• Manage operational and administrative functions to ensure services are delivered efficiently.
• Works with Benefit Navigators to help remove barriers to access to integrative services
• Works with FHLC Records & Referral Representatives to coordinate pain management services for patients in need of services not delivered on-site at FHLC.
• Works with dental and medical providers to establish pain management goals and care plans where non-pharmacologic therapies are used alone or in combination with pharmacologic methods.
• Gauge the overall outcome and impact of the program and prepare reports on findings and recommendations for improvement on an ongoing basis.
• Works closely with dental and medical providers to provide integrated behavioral health consultations as needed.
• Provides and/or ensures the provision of clinical Mind-Body Medicine Group Sessions.
• Other duties as assigned.


• Demonstrated ability to collaborate and communicate effectively in a team setting.
• Ability to maintain effective and professional relationships with patient and other members of the care team.
• Experience with screening for common mental health and/or substance abuse disorders.
• Ability to effectively engage patients in a therapeutic relationship, when appropriate.
• Ability to work with patients by telephone, audio/visual as well as in person.
• Working knowledge of evidence-based psychosocial treatments and brief behavioral interventions for common mental health disorders, when appropriate (e.g., motivational interviewing, problem-solving treatment, behavioral activation).
• Basic knowledge of psychopharmacology for common mental health disorders that is within appropriate scope of practice for type of provider filling role.
• To carry out the vision of integrated medicine, this person in this position must be someone who is both passionate about FHLC mission and experienced working in diverse settings. Needs to be creative, willing to bring new ideas, and ready to learn in a fast-paced environment. Self-motivated, self-managing, problem solver with the capacity to successfully work on multiple projects simultaneously. Ability to work independently while coordinating work efforts with multiple stakeholders.




Family Health La Clinica is proud to be an Equal Opportunity Affirmative Action employer.


At least (three) years program management experience, and education and experience in mind body medicine modalities and case management experience is preferred.
An advanced degree with licensure in one the following areas : Current Wisconsin licensure as a LCSW, LPC, LMFT, Psychologist, Chiropractor, licensed acupuncturist, RN-MSN or a related credential demonstrating capacity to carry out this multidisciplinary practice model.
This person in this position must complete training in mind-body medicine through the Center for Mind Body Medicine within six months of hire.


Bilingual in English and Spanish is preferred but not required.




Family Health La Clinica(FHLC) requires employees to be vaccinated against COVID-19, or hold a legally recognized exemption as a condition of employment. Where permitted by law, candidates who are offered a position will be asked about their vaccination status, which must meet minimum business requirements. All religious, medical, or other legally recognized exemptions regarding vaccination status will be considered.

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Safeguard against the potential for fraud, waste and abuse and coordinate with, the Special Investigations Unit and state agencies to promptly investigate reports of, suspected fraud and abuse by employees, subcontractors, providers, and others with whom the health plan does business
Serve as the health plan's primary fraud, waste and abuse subject matter expert

Coordinate audit documentation, develop internal and state required reports and internal policies and procedures

Arrange, conduct and attend the health plan's fraud, waste and abuse work groups and participate in other various committees

Act as the primary liaison with the State to ensure assure coordination efforts with state agencies concerning program integrity issues

Position Purpose:

Manage compliance with all Federal and State Laws and Regulations related to program integrity and disclosure requirements. Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends and schemes.

Knowledge/Experience:

Bachelor's degree in Business, Healthcare, Criminal Justice, related field, or equivalent experience. 4+ years of combined medical claim investigation, financial impact analysis, business analysis, compliance or fraud and abuse experience. Thorough knowledge of medical terminology. Previous experience in managed care environment and as a lead or supervisor of staff, including hiring, training, assigning work and managing performance preferred. Knowledge of Microsoft Excel, medical coding, claims processing, and data mining preferred.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

**TITLE:** SIU Program Integrity Manager

**LOCATION:** Newark, Delaware

**REQNUMBER:** 1332712

Lumileds is the leading global light engine company serving customers in automotive lighting, general illumination, and consumer market segments. Lumileds operates in over 30 countries and has approximately 7,000 employees, Lumileds is shaping the future of light with the most innovative technology in the illumination and automotive sectors, and helping our customers deliver differentiated solutions to the world. Lumileds is headquartered in San Jose, California, with operations in Singapore, Malaysia and the Netherlands and sales offices throughout the world.

Together with its customers, Lumileds is making the world better, safer, more beautiful-with light.

The Lumileds environment is fast-paced, cutting-edge, intelligent and fun! We are looking for exceptional talent to join our team! To learn more, visit Lumileds.com

Who You Are:

You are passionate about hardware technology and product development. You are organized and take pride in facilitating collaboration between people and teams. You keep an open mind, enjoy learning, and are driven to succeed. You write and communicate clearly and concisely. You can lead teams and establish mutual respect with people of different personalities and backgrounds. You think critically about problems and are confident enough to ask “dumb” questions, which often are important. You can differentiate between small issues and showstoppers and escalate accordingly in terms of priority and visibility.

Position Summary:

You will coordinate the successful development and launch into production of LED products and/or technologies, working with a cross-functional team. You will define, track, and communicate the overall program plan, including design down-selection paths, material and tool qualifications, prototype build schedules, and manufacturing readiness.

What You Will Do:

• Manage product/technology programs encompassing internal functional groups, suppliers & supply chain partners, and customer(s) on an international scope
• Engage closely with customers and internal product development, manufacturing, supply chain, and other functional groups to align on schedules and facilitate issue comprehension and resolution.
• Define, document, and communicate the critical path, timeline, issues lists
• Drive progress towards milestones by chairing cross-functional meetings, which typically spanning multiple locations / geographic regions
• Publish program status weekly, including risk assessment, risk mitigation, path forward
• Train, mentor, and coach of peer and junior program manager team members

What You Will Bring (REQUIRED Qualifications):

• Minimum 6 years'