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Payment Integrity Program Manager Jobs in Virginia

XLA

Program Manager

Merrifield, VA · On-site

Program Manager Location: Merrifield, VA Position Summary XLA is seeking a highly accomplished ... integrity in the workplace, professional development and education, and an entrepreneurial ...

KBR

Program Manager

Mclean, VA · On-site

$182K - $223K/yr

Program Manager Belong. Connect. Grow. with KBR! KBR's National Security Solutions team provides ... or discretionary payments for exceptional performance. Ready to Make a Difference? If you're ...

KSA Integration

Program Manager

Arlington, VA

... integrity. * Support organizational leadership through the development of strategic documents ... Experience with program management tools, including ETMS2, SharePoint, and MS Office Suite.

KSA Integration

Program Manager

Arlington, VA · On-site

... integrity. * Support organizational leadership through the development of strategic documents ... Experience with program management tools, including ETMS2, SharePoint, and MS Office Suite.

KSA Integration

Program Manager

Arlington, VA · On-site

... integrity. * Support organizational leadership through the development of strategic documents ... Experience with program management tools, including ETMS2, SharePoint, and MS Office Suite.

CACI International, Inc.

Program Manager

Arlington, VA · On-site

$113K - $237K/yr

Job Title: Program Manager Job Category: Project and Program Management Time Type: Full time ... A culture of integrity. At CACI, we place character and innovation at the center of everything we ...

KBR, Inc.

Program Manager

Chantilly, VA · On-site

$209K - $232K/yr

Program Manager Belong. Connect. Grow. with KBR! KBR's National Security Solutions team provides ... or discretionary payments for exceptional performance. Ready to Make a Difference? If you're ...

Aery Aviation LLC

Program Manager

Newport News, VA · On-site

$125K - $150K/yr

The Program Manager will own overall program execution-from award through delivery and sustainment ... scope integrity. 3) Stakeholder Communication & Customer Leadership * Act as the primary point of ...

Zantech

Program Manger

Ashburn, VA · On-site +1

Program Manager (PM) The Contractor shall provide a Program Manager (PM) who will serve as the ... integrity of all analytical products and reports delivered to the Government. Stakeholder ...

Zantech

Program Manger

Ashburn, VA · On-site +1

Program Manager (PM) The Contractor shall provide a Program Manager (PM) who will serve as the ... integrity of all analytical products and reports delivered to the Government. • Stakeholder ...

KBR

Program Manager

Chantilly, VA

$209K - $232K/yr

Program Manager Belong. Connect. Grow. with KBR! KBR's National Security Solutions team provides ... or discretionary payments for exceptional performance. Ready to Make a Difference? If you're ...

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All JobsPayment Integrity Program JobsPayment Integrity Program Manager JobsPayment Integrity Program Manager Jobs in Virginia

Payment Integrity Program Manager information

What is the difference between Payment Integrity Program Manager vs Payment Recovery Specialist?

AspectPayment Integrity Program ManagerPayment Recovery Specialist
CredentialsTypically requires a bachelor’s degree in healthcare, finance, or related fields; certifications like CPC or CPAT are commonOften requires similar healthcare or finance background; certifications like CPC or CPT may be preferred
Work EnvironmentWorks within healthcare organizations or insurance companies, focusing on program oversight and complianceOperates in claims departments or recovery units, focusing on identifying and recovering overpayments
Employer & IndustryHealthcare payers, insurance companies, government programsInsurance companies, healthcare providers, third-party recovery firms

The Payment Integrity Program Manager oversees programs to prevent improper payments, ensuring compliance and efficiency. In contrast, the Payment Recovery Specialist focuses on identifying and recovering overpaid claims. While both roles require healthcare and finance knowledge, the Program Manager has broader responsibilities related to program management, whereas the Recovery Specialist concentrates on claims recovery activities.

What are popular job titles related to Payment Integrity Program Manager jobs in Virginia?

For Payment Integrity Program Manager jobs in Virginia, the most frequently searched job titles are:

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The top searched job categories for Payment Integrity Program Manager jobs in Virginia are:

What cities in Virginia are hiring for Payment Integrity Program Manager jobs?

Cities in Virginia with the most Payment Integrity Program Manager job openings:

Payment Integrity Program Manager jobs near you

Provider Payment Integrity Coordinator

Virginia Department of Human Resource Management

Richmond, VA • On-site

$78K - $95K/yr

Full-time

Posted 3 days ago

New

Virginia Alcoholic Beverage Control Authority rating

5.2

Company rating: 5.2 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

822nd of 846 rated public administrative organizations

Job description

Provider Payment Integrity Coordinator
Job no: 5109399
Work type: Restricted Full-Time
Location: Richmond (City), Virginia
Categories: Educational and Media Services
Title: Provider Payment Integrity Coordinator
State Role Title: Prog Admin Specialist II
Hiring Range: $78,000-$95,000
Pay Band: 5
Agency: Dept of Ed Central Operations
Location: JAMES MONROE BUILDING
Agency Website: doe.virginia.gov
Recruitment Type: General Public - G
Job Duties
The Virginia Department of Human Education (VDOE) is recruiting for a Provider Payment Integrity Coordinator to serve as the Office of Early Childhood Public-Private Provider Services' lead for researching, analyzing, and resolving complex Child Care Subsidy Program (CCSP) provider payment inquiries.
The position seeks to improve the provider payment experience and ensure program integrity by investigating potential payment errors, identifying root causes of payment issues, coordinating resolution across program, fiscal, and technology partners, and translating provider feedback into system, process, policy, and technical assistance improvements. Through data analysis, cross-functional collaboration, and continuous quality improvement, this position enhances provider supports, deepens the field's understanding of how payments are calculated and issued, strengthens payment accuracy, and informs statewide program improvements.
The Provider Payment Integrity Coordinator would be responsible for the following duties:
  • Review payment transactions, attendance records, provider accounts, banking information, and system data to determine root causes and coordinate timely resolution.
  • Support the PASS Correction Request process, including trend analysis and payment-related follow-up activities in partnership with the Subsidy Provider Services Manager.
  • Collect, analyze, and synthesize provider payment inquiry data to identify trends, recurring issues, systemic barriers, and opportunities for operational improvement.
  • Use provider feedback to recommend improvements to business processes, provider supports, system functionality, and payment operations.
  • Serve as a primary business liaison between Provider Services and internal and external partners responsible for payment operations and technology.
  • Coordinate with program, fiscal, policy, and technical teams to resolve system issues, prioritize enhancements, and improve provider payment processes.
  • Use provider feedback and inquiry trends to strengthen statewide technical assistance, written guidance, training materials, and knowledge resources related to subsidy payments.
  • Provide leadership for payment inquiry processes through documentation, standardization, knowledge sharing, and continuous process improvement.
  • Support consistent statewide practices without direct supervisory responsibility.

Minimum Qualifications
  • Demonstrated ability to research, interpret, and resolve complex issues using multiple information sources.
  • Demonstrated ability to identify trends, determine root causes, and recommend practical solutions.
  • Demonstrated ability to synthesize qualitative and quantitative information to inform decision making and continuous improvement.
  • Demonstrated ability to identify opportunities to improve business processes, customer experience, operational efficiency, and program effectiveness.
  • Demonstrated experience developing workflows, documentation, standard operating procedures, or business processes.
  • Proven ability to build collaborative relationships across organizational boundaries.
  • Demonstrated commitment to exceptional customer service.
  • Proficiency with Microsoft Office applications, especially Excel (or other data analysis software).
  • Demonstrated ability to collect, organize, analyze, and present data.
  • Demonstrated ability to learn multiple data systems and technology platforms.

Additional Considerations
  • Experience in a customer-service or customer-facing role and/or case management.
  • Experience working with child care providers or other human service partners.
  • Experience interpreting policy or program guidance.
  • Experience using data to improve business processes or customer experience.
  • Experience developing training materials, guidance documents, or technical assistance resources.
  • Spanish language proficiency

Special Instructions
You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to "Your Application" in your account to check the status of your application for this position.
A résumé will be accepted in lieu of a completed state application. Applications submitted via e-mail, postal service, fax or hand-delivered will not be considered. Successful candidates must pass a criminal background check. Commonwealth of Virginia employees may have teleworking options available. Final teleworking agreements will be reviewed and approved upon hire.
This role will require completion of a Statement of Economic Interests (SOEI), which is filed annual with the General Assembly.
Reasonable accommodations are available to persons with disabilities during the application and/or interview process. For assistance call: (804) 225-2021, [TTY: 786-8389]
Minorities, Individuals with disabilities, Veterans, and people with National Service experience are encouraged to apply. The Virginia Department of Education is an Equal Opportunity Employer and encourages diversity within its workforce.
Contact Information
Name: Human Resources
Email: humanresources@doe.virginia.gov
In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.
Advertised: 12 Aug 2026 Eastern Daylight Time
Applications close: 22 Aug 2026 Eastern Daylight Time
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