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Program Integrity Analyst Jobs (NOW HIRING)

Good math, analytical and problem solving skills. Data entry and 10-key by touch. 2-3 years of ... Benefits are subject to change and may be subject to specific elections, plan, or program terms. If ...

As a Game Integrity Analyst on the Battlefield Positive Play team, you will monitor, investigate ... We adopt a holistic approach to our benefits programs, emphasizing physical, emotional, financial ...

... planning and analysis; clearing revenue integrity related work queues in EPIC and identiyfing ... programs. * Ensures CDM updates occur on a regular basis, synchronize financial systems with CDM ...

The available plans and programs include: * Comprehensive medical coverage that covers many common ... We are looking for a dedicated Billing Integrity Analyst RN like you to be a part of our team. Job ...

The available plans and programs include: * Comprehensive medical coverage that covers many common ... We are looking for a dedicated Billing Integrity Analyst RN like you to be a part of our team. Job ...

The available plans and programs include: * Comprehensive medical coverage that covers many common ... We are looking for a dedicated Billing Integrity Analyst RN like you to be a part of our team. Job ...

The available plans and programs include: * Comprehensive medical coverage that covers many common ... We are looking for a dedicated Billing Integrity Analyst RN like you to be a part of our team. Job ...

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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 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
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.
HIM Data Integrity Analyst

HIM Data Integrity Analyst

Mount Sinai Medical Center

Miami Beach, FL • On-site

Full-time

Medical, Life, Retirement, PTO

Posted yesterday


Job description

Data Integrity Analyst - Health Information Management
This is entry level medical records analyst
As Mount Sinai grows, so does our legacy in high-quality health care.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
The HIM Data Integrity Analyst evaluates the authenticity of data within the electronic health record system to facilitate accurate patient matching and the synchronization of information flow to systems that support patient care, treatment, and services. Analysts are responsible for managing health information systems, ensuring data integrity, compliance, and supporting decision-making within healthcare organizations.
Position Responsibilities
  • Troubleshoots and triages chart corrections requests. Makes corrections or triage the error to appropriate analyst(s), end users.
  • Review, validate and merges confirmed duplicate patient health records by appropriately and accurately verifying the information in the patient records.
  • Identify corrective action to decrease the number of duplicate medical record numbers created.
  • Monitors data integrity, merges duplicate medical records to ensure the integrity of the patient record and the status of duplicate creation and validate all potential patient matches.
  • Merges patients timely and accurately following the established procedures. If patient are evaluated as two different patients they will remain separate and make Known-Non-Duplicate (KND).
  • Provides feedback on inappropriate patient creation and trends which cause duplicates within Epic system.
  • Completes chart correction s on a daily basis and when necessary updates the EMR system when notification of death certificates are received by scanning supporting documentation in OneContent.
  • Have knowledge of work queues in the EMR and knowledge of the duplicate reconciliation process.
  • Excellent verbal and written communication skills. Able to communicate effectively with clerical, technical, and managerial level staff.
  • Detail oriented, analytical and computer skills. Able to determine root cause for data integrity issues.
  • Follows confidentially and HIPAA guidelines.
  • Knowledge of general MS office programs, e.g. Excel, Access, Word.

Qualifications
  • Associates Degree or Bachelor Degree in Health Information, Healthcare field or a combination of education and experience or experience that provides the knowledge, skills and ability to perform the job.
  • 1-2 years experience in hospital medical records department and some knowledge of electronic medical records and Epic Identity and Chart Correction process preferred.

Benefits
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs. Our robust employee benefits package includes:
  • Health benefits
  • Life insurance
  • Long-term disability coverage
  • Healthcare spending accounts
  • Retirement plan
  • Paid time off
  • Pet Insurance
  • Tuition reimbursement
  • Employee assistance program
  • Wellness program
  • On-site housing for select positions and more!