ZipRecruiter

Log In

1

Program Integrity Director Jobs in Massachusetts

Randstad

Enterprise 340B Program Director

Somerville, MA · Hybrid

$124K - $180K/yr

Enterprise 340B Program Director (Hybrid) A premier, world-class non-profit health system is ... integrity, and unlocking cost-savings that directly support our mission of providing care to ...

next page

Showing results 1-20

All JobsProgram Integrity Director JobsProgram Integrity Director Jobs in Massachusetts

Program Integrity Director information

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

To thrive as a Program Integrity Director, you need expertise in compliance, risk management, regulatory analysis, and a relevant degree such as in business administration, public policy, or law. Familiarity with data analytics tools, case management systems, and certifications like Certified Fraud Examiner (CFE) or Certified Internal Auditor (CIA) are often important. Strong leadership, ethical judgment, and effective communication skills are crucial for building trust and guiding teams through complex investigations. These skills ensure the organization maintains regulatory compliance, prevents fraud, and promotes operational transparency.

What is the difference between Program Integrity Director vs Claims Manager?

AspectProgram Integrity DirectorClaims Manager
Required CredentialsBachelor's degree, certifications in healthcare compliance or auditingBachelor's degree, experience in claims processing or insurance
Work EnvironmentHealthcare or insurance organizations, compliance departmentsInsurance companies, healthcare payers, claims processing units
Employer & Industry UsageUsed in healthcare, government programs, insurance sectorsPrimarily in insurance companies and healthcare payers

The Program Integrity Director focuses on ensuring compliance, preventing fraud, and maintaining program integrity within healthcare or insurance organizations. In contrast, Claims Managers oversee the processing and adjudication of insurance claims. While both roles require knowledge of healthcare or insurance operations, the Program Integrity Director emphasizes compliance and fraud prevention, whereas the Claims Manager concentrates on claims processing efficiency and accuracy.

What are Program Integrity Directors?

Program Integrity Directors are responsible for overseeing and ensuring the compliance, effectiveness, and accountability of organizational programs, often within government agencies or large organizations. They develop and implement policies to prevent fraud, waste, and abuse, and they monitor program operations to ensure adherence to regulations and standards. Program Integrity Directors often lead teams, conduct audits, and collaborate with other departments to promote transparency and ethical practices. Their work is crucial for maintaining public trust and ensuring resources are used appropriately.

What are some typical challenges faced by a Program Integrity Director, and how can they be addressed?

Program Integrity Directors often face challenges such as navigating complex regulatory requirements, detecting and preventing fraud, and ensuring compliance across multiple departments or partners. Addressing these requires strong analytical skills, clear communication, and effective collaboration with legal, compliance, and operational teams. Staying updated on industry best practices and fostering a culture of transparency can also help mitigate risks and support program goals.
What are popular job titles related to Program Integrity Director jobs in Massachusetts? For Program Integrity Director jobs in Massachusetts, the most frequently searched job titles are:
What job categories do people searching Program Integrity Director jobs in Massachusetts look for? The top searched job categories for Program Integrity Director jobs in Massachusetts are:
What cities in Massachusetts are hiring for Program Integrity Director jobs? Cities in Massachusetts with the most Program Integrity Director job openings:
Program Integrity Director jobs near you
Infographic showing various Program Integrity Director job openings in Massachusetts as of June 2026, with employment types broken down into 70% Full Time, and 30% Contract. Highlights an 100% In-person job distribution.

Director, Bureau of Program Integrity

General Court of the Commonwealth of Massachusetts

Boston, MA • On-site

Full-time

Medical, Retirement

Posted 18 days ago

Job description

WELCOME  

Inspector General Jeffrey Shapiro invites you to consider joining the Office of the Inspector (OIG) team. The OIG has retained the services of the Edward J. Collins Jr. Center for Public Management to assist in the recruitment of a Director, Bureau of Program Integrity.  This Position Profile was developed to inform candidates about the OIG agency, the Bureau of Program Integrity (BPI), and the opportunity to serve as the BPI Director.  

OIG'S VISION AND MISSION  

Vision.  The OIG makes government work better tomorrow than it works today through engagement, education, and oversight. 

Mission.  The Office of the Inspector General (OIG) is an independent, nonpartisan oversight agency mandated to prevent and detect fraud, waste, and abuse of public resources at the state and municipal level across the Commonwealth of Massachusetts.  The OIG accomplishes its mission in three broad ways: 

  • Engages government leaders and employees on best governance and business practices to promote quality, integrity, and efficiency in public spending and programs 

  • Educates public employees on public procurement, fraud prevention, and program integrity 

  • Investigates complaints of fraud, waste, and abuse from public employees, vendors, and private individuals 

THE ROLE OF THE DIRECTOR, BUREAU OF PROGRAM INTEGRITY POSITION  

Working under the vision and direction of the Inspector General, and reporting to the Deputy Inspector General, who has broad oversight of the Specialty and General Government Bureau, the BPI Director has responsibility for the Bureaus of Program Integrity statutory division which monitors the quality, integrity, and efficiency of programs administered by the Executive Office of Health and Human Services (EOHHS) and its agencies.  BPI also conducts reviews and investigations of EOHHS programs to prevent, detect, and correct fraud, waste, and abuse and works with EOHHS and its agencies on data sharing related to program eligibility and program integrity.  

EOHHS Agencies. The agencies within the Executive Office of Health and Human Services are:  

 

  • MassHealth 

  • Massachusetts Department of Public Health  

  • Department of Transitional Assistance  

  • Massachusetts Department of Mental Health  

  • Department of Developmental Services 

  • Massachusetts Department of Children & Families 

  • Department of Youth Services  

  • Massachusetts Commission for the Blind  

  • MassAbility  

  • Massachusetts Commission for the Deaf and Hard of Hearing 

  • Office for Refugees and Immigrants  

  • Executive Office of Aging & Independence  

THE REALITIES OF THE DIRECTOR, BUREAU OF PROGRAM INTEGRITY POSITION 

The OIG seeks a mission-driven individual to lead its Bureau of Program Integrity unit.  Serving as a key member of the OIG team, the BPI Director plays a critical role in carrying out the mission of the OIG by providing leadership and management to the BPI division. The following is intended to illustrate the challenges and opportunities, priorities and key responsibilities.  

Internally 

  • OIG's Vision, Mission and Goals. Carry-out the OIG's commitment to the quality, efficiency, integrity of government programs, and accountability in addressing fraud, waste, and abuse. 

  • Organizational Growth. Build on existing initiatives, expand the division's capabilities, and enable the Bureau to achieve its long-term goals.  

  • Team Capacity. Supervise, manage, mentor, support and develop a team of analysts and investigators to maximize the Bureau's capabilities and effectiveness.  

Externally 

  • Complaint Review Activities. Support the Bureau's response to complaints involving fraud, waste, and abuse, ensuring reviews are handled thoroughly, consistently, and professionally  

  • Partnerships & Effective Oversight. Develop trusting and productive working relationships with EOHHS agencies and stakeholders, balancing collaborative engagement with objective and independent oversight 

  • Oversight & Monitoring. Oversee the Bureau's monitoring activities of EOHHS agencies, identifying high-priority areas for fraud, waste, and abuse reviews. Design and execute projects to monitor the quality, integrity, and operational efficiency. 

  • Process Improvement Initiatives. Work collaboratively with EOHHS agencies to improve intake and eligibility processes, improve data sharing practices, and support the development and delivery of targeted training programs 

  • Communicate Findings & Support Implementation. Prepare clear, accurate reports and recommendations for EOHHS agencies, and help ensure that agreed-upon changes are effectively implemented and sustained across agency operations. 

THE PORTRAIT OF A CANDIDATE 

The next BPI Director is a strong manager and effective communicator who works collaboratively to achieve objectives and has experience conducting program reviews, investigations, or compliance activities. The next BPI Director will possess: 

 

  • Leadership and Management Experience.  Brings a proven record with a minimum of 10 years of experience in public administration, policy, or compliance, and management.  

  • Prior experience related to government EOHHS programs or conducting official public sector investigations is highly preferred. 

"I often say that I want to make government work better tomorrow than it works today. This really happens at the ground level, where public employees make decisions on how to spend, and safeguard, the public's funds."

-Inspector General Shapiro 

  • Ability to Empower Staff. Acts as a dedicated teacher and mentor who provides a strong sense of direction while empowering the team to exercise independence and take ownership of their work.  

  • Confident & Diplomatic Communication Skills. Communicates with confidence and diplomacy. Capable of holding a firm position with EOHHS agencies while maintaining productive, respectful relationships with peers and stakeholders, and is an active listener who seeks and values staff input. 

  • Analytical & Evidence-Based Skills. Exhibits strong analytical skills and has an evidence-based approach to problem-solving. 

  • Exceptional Writing Abilities. Demonstrates outstanding research, writing, and editing abilities. Capable of translating complex, technical information into clear, concise, and highly accurate reports while maintaining meticulous project documentation. 

  • Project Management Experience. Displays time management, logistical and organizational skills, and the ability to confidently move work forward, when balancing multiple projects and deadlines.  

  • Subject Matter Knowledge. Knowledgeable of public benefits programs, including eligibility criteria, intake procedures, case management systems, and controls for fraud prevention and detection.  

  • Education & Technical Proficiency.  Relevant advanced undergraduate or graduate coursework (public administration, public policy, social work, law, public health, or compliance/nonprofit management) is preferred. Proficiency in MS Office 365 (Outlook, Word, SharePoint, PowerPoint) is required. 

SALARY AND BENEFITS 

The salary range is $129,000 - $149,000 and starting salary will depend on qualifications. The OIG has comprehensive health benefits, leave benefits and other insurance benefits. The position is within the Commonwealth's retirement plan, and optional pre-tax health savings account plans are available. Additionally, OIG provides the opportunity to participate in deferred compensation savings, tuition remission, and pre-tax commuter account plans. The position may be eligible for the federal Public Service Loan Forgiveness program.  The position is salaried position and is eligible to work a limited hybrid schedule in accordance with OIG policy. 

APPLICATION PROCEDURES 

Review of resumes will be on a rolling basis beginning June 22, 2026, and applicants are encouraged to apply early. The position will remain open until it is filled. Submit a cover letter and resume to the Collins Center for Public Management at: collinscenterrecruit@umb.edu and include in the subject line "[Your last name] - OIG BPI Director."  Contact Mary Flanders Aicardi, HR Practice Leader at 508-215-8992 with any questions.  

Resources: 

Office of the Inspector General 

https://maoig.gov/ 

Office of the Inspector General 

OIG FY25 Annual Report 

Office of the Inspector General Human Resources (benefits) 

OIG - HR Page 

Edward J. Collins, Jr.  Center for Public Management 

https://www.umb.edu/cpm/ 

DIVERSITY AND INCLUSION 

The OIG is dedicated to creating and maintaining a workplace that welcomes, respects and values people of every race, color, religion or creed, sex, sexual orientation, gender identity, gender expression, ethnicity, ancestry, national origin, age, disability, pregnancy or a pregnancy-related condition, veteran status, military service or genetic information. 

The OIG is committed to fostering a workplace committed to diversity, equity and inclusion-principles we view as essential to a strong, high-performing environment and closely aligned with our mission. We welcome all applicants whose diverse backgrounds and experiences reflect and support this ongoing commitment. For questions regarding the OIG's diversity policies, contact the OIG's Diversity Officer Sarah Hoover at sarah.hoover@mass.gov. 

Apply