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Program Integrity Director Jobs in Massachusetts

Ninjakitchen

Director - Product Integrity (Needham)

Needham, MA · On-site

$253K - $265K/yr

EB0 and Pre-MP VEGA Hacks -- Program Leadership * Set the standard for quality input into EB0 build ... Direct and scale Pre-MP VEGA Hacks across the organization -- establishing the operating model for ...

New

COMMUNITAS, INC.

Program Director (Lynn, MA)

Lynn, MA · On-site

$20.38/hr

The Program Director is responsible for the day-to-day operation of the Residential Program ... Protects and supports the integrity and privacy of the program. * Protects each individual's rights ...

Arthur Lawrence

Program Director - PERM

Somerville, MA · On-site

Arthur Lawrence is looking for a Program Director-PERM one our clients in Someville MA. Please find ... Education, Integrity, Value Creation, Collaboration, Best Client, Best People, and Stewardship.

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Program Integrity Director information

What is a program integrity director?

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 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 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 August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Home Care Program Care Manager- Plymouth

Old Colony Elder Services

Plymouth, MA • On-site

$26.69/hr

Full-time

Life, Retirement, PTO

Posted 3 days ago

New

Job description

OCES is growing! We are expanding to 11 more towns covering the south shore area, including Quincy, Braintree, Weymouth, etc. APPLY NOW during this exciting time! OCES supports older adults and individuals with disabilities by providing vital information and coordination of services. By promoting healthy, safe living for our consumers, we hope to allow them to stay active and engaged in their lives and in their own communities for as long as possible. Our mission: Through the talents of an experienced and diverse workforce, OCES supports the independence and dignity of older adults and individuals with disabilities by providing essential information and services that promote healthy, safe living which positively impacts our community. We are seeking a Home Care Program Manager to work in our Home Care department to plan, organize, manage and evaluate HC Program operations and assigned care management staff. What you'll do:Provide oversight and direction to assigned staffOversee all care management aspects of HC program Contribute to the development and implementation of procedures, standards and guidelines for program/department operations Ensure program integrity and regulatory complianceImplement quality measures' conduct quality reviews to ensure they are met Participate in planning and execution of comprehensive staff development and training programsParticipate in program analysis and evaluation including determination of service needs/gaps and the quality and effectiveness of services deliveredAdvise and consult with other HC management staff from various disciplines on a regular basis As directed, represent OCES at external meetings and participate in public outreach/education activities and events Maintain a detailed knowledge of current OCES policies, and standards, funding source regulations Maintain accurate documentation What you'll bring:Your passion for helping others and desire to make a difference.Adaptability to be able to change as the needs of consumers or/ programs change Minimum of five years of experience in the human services field; including two years in a supervisory capacity ASAP experience preferred, experience in organization, administration and supervisionExcellent written and verbal skills.Excellent computer skills.Proficient with Microsoft Office Suite or related software. What you'll get:The ability to work with an enthusiastic team of like-minded individuals.Opportunity to develop professionally in your chosen career.Great work/life balance: 35-hour work week with some flexibility; standard M-F workweek; hybrid work environment (home, office, and home visits).Exceptional benefits: generous paid time off policies; company paid LTD and life insurances; 401K plan. APPLY TODAY!OCES is an open, welcoming organization that respects our diversity. We encourage all qualified people to apply!