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Program Integrity Director Jobs in West Virginia

Salem University LLC

Director of Trades

Salem, WV · On-site

... ensure program integrity, relevance, growth, and operational effectiveness. The Director leads the development of workforce-responsive programs that incorporate industry-recognized credentials ...

New

NYC Criminal Justice Agency

... program integrity and staff effectiveness. The Supervising Court Representative serves as the ... Provide direct supervision and leadership to Court Representatives during assigned shifts, ensuring ...

GDIT

Healthcare Claims Data Analyst

WV · Remote

Exposure to fraud, waste and abuse, program integrity, payment integrity or utilization review work ... Direct daily working contact with FWA Subject Matter Experts, Business Intelligence Developers and ...

WHEELING UNIVERSITY

Director of Facilities

Wheeling, WV · On-site

... integrity, and excellence . As an employee, you'll be part of a university that is committed to ... Develop and implement programs to monitor, maintain, and improve University-wide infrastructure ...

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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 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 popular job titles related to Program Integrity Director jobs in West Virginia? For Program Integrity Director jobs in West Virginia, the most frequently searched job titles are:
What job categories do people searching Program Integrity Director jobs in West Virginia look for? The top searched job categories for Program Integrity Director jobs in West Virginia are:
What cities in West Virginia are hiring for Program Integrity Director jobs? Cities in West Virginia with the most Program Integrity Director job openings:
Program Integrity Director jobs near you

Project Director/Marshall for All

Marshall University

Huntington, WV • On-site

$60K - $78K/yr

Full-time

Posted 13 days ago

Marshall University rating

6.3

Company rating: 6.3 out of 10

Based on 23 frontline employees who took The Breakroom Quiz

532nd of 618 rated colleges and universities

Job description

Position Information
Position Title Project Director/Marshall for All Banner Position Number 002707 E-Class NC - Nonclassified - .53 or > Department Marshall For All - MU3302 Job Description
The Project Director provides strategic leadership and accountability for the development, management, and implementation of the Marshall for All (M4A) debt-free bachelor's degree program at Marshall University. The role integrates program direction with data-driven evaluation to ensure M4A evolves sustainably and equitably in alignment with institutional goals. The Project Director leads long-term planning, continuous improvement, and evidence-based decision-making, and oversees the reporting, research, and performance systems needed to optimize program operations and student outcomes. This role operationalizes the program through supervision of program staff and coordinated implementation with partner offices, including convening committees to improve processes and connect students to the resources, mentoring, training, internships, and opportunities that support a successful debt-free degree experience.
Program Strategy, Development & Scaling
  • Guide the long-term vision, sustainability, and strategic direction of Marshall for All (M4A), including ongoing program design, implementation, and scaling over time.
  • Identify emerging challenges and opportunities using data, research, and stakeholder feedback; set strategies that advance the program mission and improve student outcomes, and ensure implementation through program staff and campus partners.
  • Collaborate with peer institutions by sharing Marshall for All program strategy and evaluation findings to support replication and adaptation of debt-free initiatives.

Cross-Functional Collaboration & Stakeholder Engagement
  • Serve as the primary convener of university leadership, campus offices, students, and external partners to support coordinated implementation of Marshall for All.
  • Partner with Financial Aid, Student Success, Institutional Research, and other units-including close coordination with the financial aid operations/packaging and student experience functions-to align program strategy, operational workflows, compliance requirements, and student supports.
  • Facilitate cross-department communication, issue resolution, and escalation pathways to support program integrity and student success.

Data-Driven Evaluation, Reporting & Continuous Improvement
  • Lead the design and oversight of program evaluation and long-term tracking, including interpretation of results to assess effectiveness and inform strategic and operational improvements.
  • Establish and oversee program goals, reporting, analysis, documentation, and dashboards/systems that monitor program performance, service delivery, and student outcomes.
  • Oversee any grant-funded evaluation work, ensuring compliance and alignment with grant goals and reporting requirements.

Program Operations, Resource Stewardship & Representation
  • Direct priorities across program workstreams by establishing operating rhythms and issue-triage/escalation pathways; hire, supervise, and support program staff to ensure role clarity and operational coverage across the end-to-end program.
  • Develop multi-year sustainability and resource plans grounded in data, institutional priorities, and funding realities; recommend adjustments to program structure, staffing, and processes to support long-term viability.
  • Develop and oversee execution of a communications plan in partnership with the Office of Marketing and Communications, leveraging program staff and partner offices to deliver timely, consistent messaging.
  • Represent Marshall for All in institutional meetings, committees, and strategic planning efforts; communicate program performance, insights, and recommendations to senior leadership to champion data-informed decision-making.
Salary Range $60,441-$78,574. Salary is commensurate upon education, experience and internal equity Salary Type Salary Time Type Full-Time Work Location MU - Marshall University
Qualifications
Must be able to perform all essential job duties as outlined in the job description.
Required Qualifications
Education
  • Bachelor's degree in a related field
Experience
  • At least 3 years related professional work
  • Demonstrated project management experience
Preferred Qualifications
Education
  • Master's degree
Experience
  • Experience working in higher education
  • Knowledge and understanding of financial aid or enrollment services and programs
  • Experience using data and reporting to inform program improvement
Posting Detail Information
Posting Number MU1278E Open Date 07/30/2026 Close Date Open Until Filled Yes Special Instructions Summary

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