1

Program Integrity Analyst Jobs (NOW HIRING)

Sr. Program Integrity Analyst

Charleston, WV · Remote

$118K - $119K/yr

The Sr Program Integrity Analyst is a key member of HHAeXchange's growing Program Integrity function, responsible for identifying fraud, waste, and abuse patterns in Medicaid home and community-based ...

Sr. Program Integrity Analyst

$118K - $119K/yr

The Sr Program Integrity Analyst is a key member of HHAeXchange's growing Program Integrity function, responsible for identifying fraud, waste, and abuse patterns in Medicaid home and community-based ...

Analyze claims data, audit results, program integrity reports, recovery information, and related documentation to identify risks, trends, findings, and improvement opportunities. * Develop or update ...

Analyze claims data, audit results, program integrity reports, recovery information, and related documentation to identify risks, trends, findings, and improvement opportunities. * Develop or update ...

Position Summary The Program Integrity Manager serves as a key leader supporting Medicaid Program ... Strong analytical, organizational, communication, and problem-solving skills. * Demonstrated ...

Program Integrity Manager

New York, NY · On-site

$54K - $145K/yr

Position Summary The Program Integrity Manager serves as a key leader supporting Medicaid Program ... Strong analytical, organizational, communication, and problem-solving skills. * Demonstrated ...

The Payment Integrity Analyst is responsible for reviewing non-emergency medical transportation ... Experience working with Medicaid managed care programs preferred. * Knowledge of NEMT provider ...

Data Integrity Analyst

Tampa, FL · On-site

$85 - $110/hr

Travel 25% The Opportunity The Data Integrity Analyst supports a government contract by evaluating ... Operating in a collaborative environment, the analyst works closely with program leadership ...

New

You will work as part of the BerryDunn Program Integrity team, and work closely with MQD Program Integrity staff, audit and TPL specialists, data analysts, compliance staff, vendor partners, and ...

Revenue Integrity Analyst

Ventura, CA · On-site

$91K - $128K/yr

Under the general direction of the Revenue Integrity Manager, the incumbent performs advanced analytical, consultative, and project leadership work to support the County's Revenue Integrity Program.

Payment Integrity Analyst

Denver, CO · On-site

$77K - $116K/yr

Responsibilities The Payment Integrity Analyst provides quality and operational support for PACE program administration, including claims auditing support, testing, data analysis, issue resolution ...

next page

Showing results 1-20

Program Integrity Analyst information

See salary details

$37K

$89.2K

$131.5K

How much do program integrity analyst jobs pay per year?

As of Aug 25, 2026, the average yearly pay for program integrity analyst in the United States is $89,153.00, according to ZipRecruiter salary data. Most workers in this role earn between $69,000.00 and $116,000.00 per year, depending on experience, location, and employer.

What is a program integrity analyst?

Program Integrity Analysts are professionals who evaluate and monitor programs, typically within government agencies or healthcare organizations, to ensure compliance with laws, regulations, and internal policies. Their main goal is to detect, prevent, and address fraud, waste, and abuse within these programs. They analyze data, conduct audits, investigate anomalies, and recommend improvements to enhance program efficiency and integrity. These analysts play a crucial role in safeguarding public resources and maintaining trust in institutional processes.

What are the key skills and qualifications needed to thrive as a program integrity analyst?

To thrive as a Program Integrity Analyst, you need strong analytical abilities, attention to detail, and a background in auditing, compliance, or data analysis, often supported by a relevant bachelor’s degree. Familiarity with data analysis tools like Excel, SQL, and specialized compliance software, as well as knowledge of regulations such as HIPAA or Medicaid/Medicare policies, is typically required. Strong problem-solving, communication, and critical thinking skills help you identify discrepancies, interpret complex data, and collaborate with stakeholders. These competencies are essential for accurately detecting fraud or errors, ensuring regulatory compliance, and protecting organizational resources.

What are some common challenges faced by program integrity analysts, and how can they be addressed?

Program Integrity Analysts often encounter challenges such as detecting complex fraud patterns, managing large datasets, and staying updated with changing regulations. To address these issues, analysts typically use advanced data analytics tools and participate in ongoing training to remain current with industry standards. Building strong cross-functional relationships with compliance, legal, and IT teams also helps to streamline investigations and implement effective corrective actions.

What is the difference between Program Integrity Analyst vs Claims Analyst?

AspectProgram Integrity AnalystClaims Analyst
Required CredentialsBachelor's degree, certifications in healthcare or compliance often preferredBachelor's degree, knowledge of insurance policies and claims processing
Work EnvironmentHealthcare or government agencies, compliance departmentsInsurance companies, healthcare providers, or third-party administrators
Employer & Industry UsageUsed in healthcare, government programs, Medicaid/MedicareCommon in insurance, healthcare billing, and claims processing

Program Integrity Analysts focus on ensuring compliance, detecting fraud, and maintaining program integrity within healthcare and government programs. Claims Analysts primarily handle processing, reviewing, and managing insurance claims. While both roles require understanding of healthcare policies and compliance, Program Integrity Analysts emphasize fraud detection and regulatory adherence, whereas Claims Analysts concentrate on claims processing and customer service.

More about Program Integrity Analyst jobs
Infographic showing various Program Integrity Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $89,153 per year, or $42.9 per hour.

Program Integrity Analyst - HCV

Sacramento, CA • Hybrid

Sacramento Housing and Redevelopment Agency
Public Administration • 201 - 500 employees

$54K - $84K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago


Job description

Description The Program Integrity Analyst, under direct supervision of the assigned Supervisor or Program Manager, the incumbent performs a variety of professional, technical, analytical, and specialized duties in support of the Agency's program integrity, risk management, and operational oversight functions. The position is responsible for safeguarding the integrity of the Housing Choice Voucher (HCV) Program and other assigned housing programs by identifying and preventing fraud, waste, abuse, and program misuse; conducting investigations and data analysis; monitoring compliance with federal, state, and local regulations; and recommending corrective actions and process improvements. The incumbent collaborates with internal departments and external partners, provides technical guidance on program integrity matters, supports quality assurance and internal control initiatives, and promotes the effective, ethical, and accountable administration of Agency programs.

Why Join SHRA. SHRA's mission is to revitalize communities, provide affordable housing opportunities, and to serve as the Housing Authority for the City and County of Sacramento. In addition to being a part of an influential organization in the Sacramento community, employees in this classification are eligible for many great benefits.

SHRA's great benefits include: Alternate 9/80 Work Schedule: Enjoy a two-week schedule of nine 9-hour days with every other Friday off, giving you longer weekends to relax and maintain work-life balance. CalPERS Pension Retirement: Secure your future with a robust retirement plan. CalPERS is the largest public pension fund in the US.

Comprehensive Health Benefits: Free Medical and Dental insurance for full family (through CalPERS) and free vision insurance for up to Employee +1 Generous Paid Time Off Package: 12 paid holidays, 2 floating holidays, 2 weeks of vacation, plus 80 hours of Supplemental Leave per year Tuition Reimbursement up to $5,250/year: SHRA is also a qualified employer for the Public Service Loan Forgiveness (PSLF) program. Free Downtown Parking subsidy for eligible employees Professional Development opportunities This position is Full-Time - In Office in Sacramento, CA. Essential Areas of Responsibility Participate in the development, implementation, and administration of program integrity initiatives, policies, procedures, and operational activities for the Housing Choice Voucher (HCV) Program and other assigned housing programs.

Conduct investigations involving allegations of fraud, waste, abuse, program misuse, and regulatory non-compliance; gather, analyze, and document evidence and recommend appropriate corrective actions. Conduct home visits to evaluate and support reasonable accommodation requests in accordance with applicable laws and Agency policies. Review complex participant and owner cases, analyze documentation, and provide recommendations regarding program eligibility, continued assistance, and compliance with applicable regulations.

Research, interpret, and apply federal, state, and local laws, HUD regulations, PIH Notices, and Agency policies related to program integrity and housing assistance programs. Analyze operational data, trends, and program activities to identify compliance risks, improper payments, systemic issues, and opportunities for process improvement. Prepare investigative reports, memoranda, case summaries, statistical reports, and recommendations for management.

Maintain confidential case files, investigative records, reasonable accommodation documentation, and tracking systems in accordance with Agency policies and applicable privacy laws. Serve as a technical resource to Agency staff regarding program integrity, fraud prevention, reasonable accommodations, and complex program requirements. Coordinate with internal departments, HUD, law enforcement agencies, service providers, and community partners, as appropriate, to support investigations, reasonable accommodation requests, and program administration.

Assist in developing and delivering staff training related to program integrity, fraud prevention, reasonable accommodations, and regulatory requirements. Participate in special projects, policy development, quality improvement initiatives, and implementation of new regulations, procedures, and technology solutions. Serve as a liaison to participants, property owners, contractors, public agencies, and community organizations regarding assigned program activities.

Establish, maintain, and monitor case management, tracking, and reporting systems to support program oversight and operational effectiveness. Perform other related duties as assigned. Education & Experience EXPERIENCE AND EDUCATION GUIDELINES: Any combination of experience and education that would be likely to provide the required knowledge and abilities could be qualifying, as determined by the Agency.

A typical way to obtain the knowledge and abilities would be: Education: Bachelor's degree in Public Administration, Business Administration, Criminal Justice, Finance, Accounting, Housing, Social Sciences, or a related field is preferred. Experience: A minimum of three (3) years of progressively responsible professional experience in Housing Choice Voucher (HCV) administration, affordable housing, program integrity, compliance, quality assurance, investigations, auditing, or program analysis involving the interpretation and application of federal, state, and local regulations. Experience conducting investigations, reviewing complex cases, coordinating reasonable accommodation requests, conducting home visits, analyzing data, and developing recommendations for corrective action is highly desirable.

Experience with HUD regulations, the Housing Choice Voucher Program, Special Purpose Voucher programs, EIV, Yardi, and other housing management systems is preferred. Licenses and Certificates: Must possess and maintain an applicable California Driver License and a driving record acceptable to the Agency's insurance carrier. Physical Abilities and Work Environment: Position may require prolonged sitting, standing, walking, reaching, twisting, turning, kneeling, bending, squatting and stooping in the performance of daily office activities.

Drive during inclement weather conditions. The position also requires frequent grasping, repetitive hand movement and coordination in preparing statistical reports and data using a computer keyboard. Additionally, the position requires near and far vision in reading correspondence, statistical data, and using a computer.

Acute hearing is required when providing phone and face-to-face client, staff customer service. The need to lift, drag and push files, paper and documents weighing up to 25 pounds also is required. Job Duties & Responsibilities REQUIREMENTS TO PERFORM ESSENTIAL JOB FUNCTIONS: Knowledge of: Housing Choice Voucher (HCV) Program regulations, HUD requirements, Agency policies, and Administrative Plan.

Federal, state, and local laws governing fair housing, including the Fair Housing Act, Section 504 of the Rehabilitation Act, and the Americans with Disabilities Act (ADA). Program integrity principles, fraud prevention, investigations, risk assessment, and internal controls. Eligibility determination, income verification, occupancy requirements, and Housing Assistance Payment (HAP) regulations.

Reasonable accommodation processes, documentation requirements, and interactive review procedures. Research methods, data analysis, report preparation, and case management practices. Microsoft Office Suite, Yardi, Enterprise Income Verification (EIV), and other housing management systems.

Ability to: Conduct investigations involving allegations of fraud, waste, abuse, and program misuse. Conduct home visits and field verification activities in accordance with Agency policies and applicable regulations. Coordinate and manage the reasonable accommodation process while maintaining compliance with fair housing and disability laws.

Analyze complex participant and owner cases, identify issues, and recommend appropriate resolutions. Interpret and apply complex federal, state, and local laws, HUD regulations, and Agency policies. Gather, evaluate, and document evidence; prepare investigative reports, recommendations, and case summaries.

Exercise sound judgment, maintain confidentiality, and handle sensitive information with professionalism and discretion. Build effective working relationships with participants, property owners, service providers, community partners, and Agency staff. Communicate effectively, both verbally and in writing, with diverse audiences and explain complex program requirements.

Manage multiple priorities, organize work effectively, meet deadlines, and work independently with minimal supervision. Analyze data, identify trends, and recommend process improvements to strengthen program integrity and operational effectiveness. Provide timely, professional, and customer-focused service while balancing program integrity with fair and equitable treatment of participants.

Other Duties All employees may be assigned, and required to carry out, additional duties at any time. An employee with a known disability will only be assigned additional duties when the duty being added is an essential function of the position, or can be carried out with reasonable accommodation. Every employee is expected to participate in discussions of individual, department and Agency performance and work on problem-solving teams as assigned.

Any employee serving on a problem-solving team may be asked to carry out the role of team leader. Any person driving for Sacramento Housing and Redevelopment Agency must maintain a valid driver's license on his/her person, and demonstrate compliance with the motor vehicle law, standards of courtesy on the road and attention to safety. All drivers must maintain their insurability.

SHRA is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or any other characteristic protected by applicable law.

Applicants must be authorized to work in the United States. We do not offer visa sponsorship at this time. Employment is contingent upon successful completion of a background check, in accordance with applicable laws including the California Fair Chance Act.