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Program Integrity Jobs (NOW HIRING)

Crystal Springs Inc.

Program Integrity Manager

Assonet, MA · On-site

$68K - $71K/yr

Crystal Springs in Assonet, MA is seeking a full-time Program Integrity Manager to support and strengthen our commitment to high-quality services and regulatory excellence. If you are detail-oriented ...

USMax

Medicare/Medicaid Program Integrity Advisor

USmax is seeking a Medicare/Medicaid Program Integrity Advisor for the U.S. Department of Health and Human Services (HHS), the Centers for Medicare & Medicaid Services (CMS), and the Center for ...

Son

Program Integrity Resource Developer

Omaha, NE · On-site

$19.47/hr

JR2026-00027481 Program Integrity Resource Developer (Open) Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed): 07-08-2026 Are you a compassionate ...

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Program Integrity information

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$25K

$52.4K

$90.5K

How much do program integrity jobs pay per year?

As of Jul 8, 2026, the average yearly pay for program integrity in the United States is $52,360.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $59,500.00 per year, depending on experience, location, and employer.

What are some common challenges faced in a Program Integrity role, and how can they be effectively managed?

Program Integrity professionals often encounter challenges such as ensuring regulatory compliance, detecting and preventing fraud, and navigating complex data systems. Managing these challenges typically involves staying current with evolving policies, collaborating closely with compliance, audit, and legal teams, and leveraging advanced analytics tools to monitor program performance. Effective communication and proactive problem-solving are crucial, as the role often requires balancing the organization's objectives with strict adherence to external regulations.

What is the difference between Program Integrity vs Claims Analyst?

AspectProgram IntegrityClaims Analyst
Required CredentialsTypically requires a bachelor’s degree in healthcare, public health, or related fields; certifications like Certified Professional Coder (CPC) may be beneficialUsually requires a bachelor’s degree in finance, healthcare administration, or related fields; certifications like Certified Claims Professional (CCP) are common
Work EnvironmentGovernment agencies, insurance companies, healthcare organizations focusing on compliance and fraud detectionInsurance companies, healthcare providers, or third-party administrators analyzing claims data
Employer & Industry UsagePrimarily in healthcare, insurance, and government sectors for compliance and fraud preventionIn insurance and healthcare sectors for processing and analyzing claims

Program Integrity professionals focus on preventing fraud, waste, and abuse in healthcare programs, ensuring compliance with regulations. Claims Analysts primarily review and process insurance claims, verifying accuracy and eligibility. While both roles work within healthcare and insurance industries, Program Integrity emphasizes compliance and fraud detection, whereas Claims Analysts concentrate on claims processing and data analysis.

What are program integrity jobs?

Program integrity jobs focus on ensuring that government or organizational programs operate effectively, efficiently, and in compliance with laws and regulations. Professionals in these roles are responsible for identifying and preventing fraud, waste, and abuse, often through audits, investigations, and data analysis. They ensure program funds are used as intended, maintain accountability, and help organizations meet regulatory and ethical standards. These positions are commonly found in healthcare, social services, and government agencies.

What are the key skills and qualifications needed to thrive in a Program Integrity role, and why are they important?

To thrive in a Program Integrity role, you need strong analytical skills, attention to detail, and a solid understanding of compliance or regulatory frameworks, usually backed by a relevant degree such as public administration, law, or accounting. Familiarity with data analysis tools, case management systems, and auditing software is often required, along with certifications like Certified Fraud Examiner (CFE) being advantageous. Excellent problem-solving, ethical judgment, and effective communication are vital soft skills for investigating issues and collaborating with stakeholders. These competencies help ensure organizational compliance, prevent fraud, and safeguard resources in regulated environments.
More about Program Integrity jobs
What cities are hiring for Program Integrity jobs? Cities with the most Program Integrity job openings:
What are the most commonly searched types of Program Integrity jobs? The most popular types of Program Integrity jobs are:
What states have the most Program Integrity jobs? States with the most job openings for Program Integrity jobs include:
Program Integrity jobs near you
Infographic showing various Program Integrity job openings in the United States as of July 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $52,360 per year, or $25.2 per hour.
Program Integrity Manager

Program Integrity Manager

Crystal Springs Inc.

Assonet, MA • On-site

$68K - $71K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Job description

Crystal Springs in Assonet, MA is seeking a full-time Program Integrity Manager to support and strengthen our commitment to high-quality services and regulatory excellence. If you are detail-oriented, dependable, and motivated by work that upholds safety and accountability, this role offers an opportunity to make a meaningful impact. Apply today to join a team focused on integrity and strong program operations.
PAY: $68,000-$71,000 per year
BENEFITS:
  • Health, dental, vision, and life insurance
  • Health savings account
  • Paid time off
  • Employee assistance program
  • Employee discounts
  • Flexible spending account
  • Referral program
  • Retirement plan

QUALIFICATIONS
  • Valid driver's license in good standing and reliable transportation
  • Bachelor's degree in human services, education, social work, psychology, or a related field
  • 5+ years of progressive experience in quality assurance, compliance, investigations, or program oversight in human services or special education
  • CPR and First Aid certification, or able to obtain within 3 months
  • Proficiency with Microsoft Office Suite

Experience in children's residential or educational programs, adult residential or day habilitation services, or similar regulated human services with licensing, accreditation, and external oversight is preferred.
SCHEDULE: This position follows a full-time, 1st-shift schedule.
Keep reading to learn more about this position as our Program Integrity Manager!
WHAT TO EXPECT AS A PROGRAM INTEGRITY MANAGER
In this role, you'll conduct fact-finding reviews, assess incidents, support program teams, and coordinate with regulatory partners such as DCF, DDS, DPPC, DPH, CARF, and others. You'll ensure compliance with organizational policies, lead internal audits, and assist in preparing for licensing, certification, and accreditation reviews. Your work will help maintain program integrity, promote safety, and support consistent, high-quality service delivery every day.
ABOUT OUR COMPANY
Crystal Springs is a residential facility for individuals with disabilities, dedicated to creating a supportive community for over seventy years. Our mission is to empower individuals on their paths to independence through specialized educational, therapeutic, and residential services.
We prioritize attracting and retaining skilled staff by offering competitive compensation, great benefits, and opportunities for personal and professional growth. Join us in making a positive impact every day!
HOW TO APPLY
Take the next step in your professional journey and join an organization committed to integrity and high-quality services. Apply today! Our initial application process is quick, simple, and fully mobile-friendly, making it easy to get started.
Due to the nature of this position, potential employees will need to pass a background check, drug screening, and tuberculosis (TB) test.
Statement of Nondiscrimination
Crystal Springs, Inc. does not discriminate in any of its programs, procedures, or practices against any person on the basis of age, citizenship, color, disability, national origin, political affiliation, race, religion, sex, sexual orientation, sexual preference, veteran status, or any other characteristic protected under the law.
Employees will be expected and required to perform all essential functions with or without accommodation. Crystal Springs will make reasonable accommodation in compliance with state and federal disability laws.

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