ZipRecruiter

Log In

1

Program Integrity Analyst Jobs (NOW HIRING)

Lee Health

Revenue Integrity Analyst

Cape Coral, FL · On-site

$22.78 - $29.62/hr

... Integrity Analyst position for Professional Billing will be involved in assisting the newly ... Requirements Educational Requirements Degree/Diploma Obtained Program of Study Required/ Preferred ...

BLH Technologies

Be Seen First

Program Integrity Specialist (Fraud, Waste, and Abuse)

Rockville, MD · On-site

$110K - $135K/yr

This is a strategic and analytical role supporting emerging federal priorities around accountability and program integrity. Duties include but are not limited to: • Develop and implement program ...

Lee Health

Revenue Integrity Analyst

Cape Coral, FL · On-site

$22.78 - $29.62/hr

... Integrity Analyst position for Professional Billing will be involved in assisting the newly ... Requirements Educational Requirements Degree/Diploma Obtained Program of Study Required/ Preferred ...

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 ... data and analyze for trends; prepare written case histories and reports. If you're currently ...

Northwestern Medicine Corporate

... Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Revenue Integrity Analyst will work directly with the Revenue ...

New

next page

Showing results 1-20

People also search for

All JobsProgram Integrity Analyst Jobs

Program Integrity Analyst information

See salary details

$37K

$89.2K

$131.5K

How much do program integrity analyst jobs pay per year?

As of Jul 8, 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 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.

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 are the key skills and qualifications needed to thrive as a Program Integrity Analyst, and why are they important?

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 Program Integrity Analysts?

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.
More about Program Integrity Analyst jobs
What job categories do people searching Program Integrity Analyst jobs look for? The top searched job categories for Program Integrity Analyst jobs are:
Program Integrity Analyst jobs near you
Program Integrity Specialist (Fraud, Waste, and Abuse)

Program Integrity Specialist (Fraud, Waste, and Abuse)

BLH Technologies, Inc.

Rockville, MD • On-site

$110K - $135K/yr

Full-time

Re-posted 15 hours ago

Job description

BLH Technologies, Inc., is seeking a Program Integrity Specialist to support a federal contract with the U.S. Department of Health and Human Services (HHS). This role will HHS by strengthening oversight of grant-funded programs and ensuring responsible stewardship of federal funds.
The Program Integrity Specialist will focus on identifying, preventing, and mitigating risks related to fraud, waste, and abuse (FWA). This position will work closely with program staff, analysts, and leadership to enhance monitoring processes, improve data-driven risk identification, and support compliance with federal requirements. This is a strategic and analytical role supporting emerging federal priorities around accountability and program integrity.
Duties include but are not limited to:
• Develop and implement program integrity and risk management frameworks for grant programs.
• Analyze grant recipient data and performance reports to identify potential indicators of fraud, waste, or abuse.
• Support risk assessments and prioritization reviews of grant recipients to inform monitoring and oversight activities.
• Collaborate with program staff to strengthen grant monitoring processes, controls, and compliance procedures.
• Review financial, programmatic, and performance data to detect anomalies, inconsistencies, or potential misuse of funds.
• Support development of policies, guidance, and tools to improve program integrity and accountability.
• Assist in conducting program reviews and assessments, including identifying recipients requiring additional oversight or monitoring.
• Coordinate with data analysts and grant specialists to integrate data analytics into program integrity efforts.
• Develop and deliver training and technical assistance to staff and recipients on compliance, reporting, and risk mitigation.
• Prepare reports, briefings, and documentation related to program integrity findings, risks, and recommendations.
• Support compliance with federal regulations, reporting requirements, and internal controls standards.
Requirements:
• Masters degree in a related field
• Experience with federal grant programs, preferably including discretionary or demonstration programs
• Experience conducting risk assessments, audits, compliance reviews, or program integrity activities
• Experience analyzing programmatic and/or financial data to identify risks or irregularities
• Knowledge of FWA prevention principles and internal controls
• Experience supporting program monitoring, evaluation, or oversight activities
• Strong analytical skills, including ability to identify trends, anomalies, and risk indicators
• Experience developing policies, guidance, or training materials related to compliance or program integrity
• Strong written and verbal communication skills, including ability to brief senior stakeholders
• Ability to collaborate with cross-functional teams and federal stakeholders
This position is contingent upon contract award and funding. Candidates may be interviewed and selected prior to award; start dates are dependent on contract execution.
Work Location: Washington, DC Metro area. May require occasional travel.

Apply