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Program Integrity Analyst Jobs (NOW HIRING)

BLH Technologies

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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 ...

LHH US

Temp Data Integrity Analyst

Edmond, OK · Remote

$21.44 - $28/hr

Data Integrity Analyst (Contract) Remote (OK preferred) | ⏳ 5-6 Month Assignment - Strong excel ... EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the ...

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Program Integrity Analyst information

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$37K

$89.2K

$131.5K

How much do program integrity analyst jobs pay per year?

As of Jun 9, 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
Infographic showing various Program Integrity Analyst job openings in the United States as of May 2026, with employment types broken down into 5% As Needed, 93% Full Time, 1% Part Time, and 1% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $89,153 per year, or $42.9 per hour.

Revenue Integrity Analyst

Ray County Hospital and Healthcare

Richmond, MO • On-site

$24.44 - $38.13/hr

Full-time

Posted 15 days ago

Job description

Job Type
Full-time
Description
Responsible for performing daily activities that will provide and maintain revenue integrity. The person in this role will work closely with the Revenue Cycle Manager assisting with the management and improvement of revenue cycle coding, billing and related processes. Position requires constant analysis and review of data assuring appropriate charge related activity and maximization of corresponding payments. This position will report to the Controller.
Principal Duties and Responsibilities:
• Provide daily maintenance of the charge description master (CDM) file within EPIC
• Work with revenue producing departments to ensure the ongoing consistency of the CDM including accurate descriptions, coding, additions, deletions, pricing, RVUs and any other changes
• Partner with department leaders to ensure clear accountability for daily charge capture and revenue monitoring, to include consultation on eliminating late/lost charges
• Support departments in analyzing and resolving issues related to charge capture
• Perform revenue integrity reviews including analysis of reports and working EPIC work queues allowing for the presentation of findings and determination of corrective action
• Responsible for charge reconciliation and analysis of financial data as it relates to regulatory compliant charging and billing guidelines
• Serve as a resource for organizational and operational matters related to revenue integrity issues as well as revenue integrity education and training programs
• Review, develop, implement, evaluate and revise charge guidelines to optimize revenue management
• Assist with audits, reporting and licensing as needed
• Other projects as assigned and needed
Requirements
• Ability to create, analyze, interpret and report on outcomes and variances relating to coding, charge capture and revenue recognition
• Must be able to act independently with only general supervision
• 3 to 5 years of healthcare experience required
• Coding credential or equivalent revenue cycle experience required
• General knowledge of reimbursement regulations a plus
BS/BA degree or equivalent combination of education and experience preferred
Salary Description
$24.44 - $38.13/hour

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