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Program Integrity Director Jobs in Pennsylvania (NOW HIRING)

UPMC Southwestern PA

Director of Emergency Medicine Residency Program - Physician Our organization is on the lookout for ... Integrity, Excellence & Innovation are essential in fostering a cohesive and positive experience ...

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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 Pennsylvania?

For Program Integrity Director jobs in Pennsylvania, the most frequently searched job titles are:

What job categories do people searching Program Integrity Director jobs in Pennsylvania look for?

The top searched job categories for Program Integrity Director jobs in Pennsylvania are:

What cities in Pennsylvania are hiring for Program Integrity Director jobs?

Cities in Pennsylvania with the most Program Integrity Director job openings:

Program Integrity Director jobs near you
Infographic showing various Program Integrity Director job openings in Pennsylvania as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, 4% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Emergency Medicine Residency Program Director

UPMC Southwestern PA

Pittsburgh, PA • On-site

Full-time

Posted 7 days ago

UPMC rating

7.0

Company rating: 7.0 out of 10

Based on 1,274 frontline employees who took The Breakroom Quiz

421st of 898 rated healthcare providers

Job description

Emergency Medicine Residency Program Director - Physician

Our organization is on the lookout for a dynamic and forward-thinking Program Director to oversee our esteemed Emergency Medicine Residency program. The perfect candidate will possess a strong enthusiasm for teaching, research, collaboration, and engaging in fulfilling clinical practice.

We are dedicated to selecting exceptional candidates and transforming them into exemplary clinicians, educators, and leaders. Our program boasts a rich history of graduates who excel in various medical fields. Our faculty members are recognized both locally and globally as experts in emergency and acute care medicine, often consulted for their insights on policy and advancements.

Key Responsibilities:
  • Direct the Emergency Medicine Residency Program, ensuring high standards of quality, outcomes, and adherence to ACGME, institutional, and departmental guidelines. This includes collaboration with a comprehensive range of EM fellowship programs.
  • Oversee the development of the curriculum and educational atmosphere to equip residents for independent practice, scholarship, and leadership roles in emergency medicine.
  • Lead a team dedicated to achieving these critical objectives across a multi-site training framework.
  • Recruit and nurture exceptional residents while promoting professional identity formation, mentorship, and career advancement.
  • Further the department's mission through teaching, research, faculty development, and delivering high-quality clinical care.
Candidate Qualifications:

The ideal applicant must hold board certification in Emergency Medicine and possess at least three years of experience in residency program leadership.

The Program, Department, University, and Health System:

Our Emergency Medicine Residency is a three-year program accredited by ACGME, dedicated to training emergency physicians who will emerge as leaders in clinical practice, research, education, and administration. Our institution is recognized as a top-tier establishment, promoting excellence and innovation while prioritizing the needs of the communities we serve. Our department and residency thrive on this unique foundation.

Residents provide care across various UPMC emergency departments in the region, covering a wide spectrum of specialty, community, and pediatric care.

Pittsburgh offers an affordable living environment with breathtaking landscapes, a rich cultural heritage, and is home to several major sports teams and esteemed universities and research institutions.

About Us

We are a globally recognized, nonprofit healthcare provider and insurer dedicated to delivering outstanding, patient-centered care and community services. Based in Pittsburgh and affiliated with the University of Pittsburgh Schools of the Health Sciences, we are at the forefront of health innovation through clinical and technological advancements, research, and education.

Committed to enhancing the well-being of our diverse communities, we contribute nearly $2 billion annually in community benefits, more than any other health system in Pennsylvania. Our workforce of 100,000 employees, including over 5,000 physicians, serves patients across more than 40 hospitals and 800 outpatient locations in Pennsylvania, New York, Maryland, and internationally.

Our insurance services cover over 4 million members, ensuring access to high-quality care at competitive prices.

Our Values

We are guided by shared values that shape our work and hold us accountable to one another. Our core values of:

  • Quality & Safety
  • Dignity & Respect
  • Caring & Listening
  • Responsibility & Integrity
  • Excellence & Innovation

are essential in fostering a cohesive and positive experience for our employees, patients, health plan members, and the community.

Support for a Diverse Workplace

We recognize that talent and skills are enhanced by the diversity and cultural expertise our staff brings to the workplace. A diverse workforce at all levels enriches our organization, providing the knowledge, critical thinking, agility, and innovation necessary for a leading integrated healthcare system.

If you are interested in this opportunity or would like further details, we encourage you to apply today.

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About UPMC

Sourced by ZipRecruiter

UPMC, a distinguished healthcare provider and insurer headquartered in Pittsburgh, PA, operates with a $23 billion budget. With a vast team of 92,000 employees, including 4,900 physicians, UPMC serves through over 40 academic, community, and specialty hospitals, along with 800+ doctors' offices and outpatient sites. Committed to patient-centered care, UPMC pioneers innovative and cost-effective models of accountable healthcare. The organization maintains a close affiliation with the University of Pittsburgh, a top recipient of National Institutes of Health research funding since 1998.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Pittsburgh, PA, US

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