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Program Integrity Director Jobs in Baltimore, MD

GDR Defense

Program Director

Baltimore, MD · On-site

Join us to make a difference, advance your career, and grow with a company that values integrity, diversity, and continuous improvement. Job Title: Program Director Agency: City of Baltimore Location:

State of Maryland

PROGRAM MANAGER III

Baltimore, MD · On-site

$91.76K - $142.91K/yr

The Director of the Quality Assurance Unit provides executive leadership and strategic oversight ... Ability to exercise sound judgement in matters affecting youth safety and program integrity.

GDR Defense

Deputy Program Director

Baltimore, MD · On-site

$115.80K/yr

Join us to make a difference, advance your career, and grow with a company that values integrity, diversity, and continuous improvement. Job Title: Deputy Program Director Agency: City of Baltimore ...

Peraton

Senior Program Director

Windsor Mill, MD · On-site

$176K - $282K/yr

Responsibilities The Defense Mission and Health Solutions team, Benefits, Claims & Integrity Solutions Operating Unit seeks a Senior Program Director to support our Health and Human Services (HHS ...

Peraton

Senior Program Director

Windsor Mill, MD

$176K - $282K/yr

Responsibilities The Defense Mission and Health Solutions team, Benefits, Claims & Integrity Solutions Operating Unit seeks a Senior Program Director to support our Health and Human Services (HHS ...

Peraton

Senior Program Director

Windsor Mill, MD · On-site

$176K - $282K/yr

Responsibilities The Defense Mission and Health Solutions team, Benefits, Claims & Integrity Solutions Operating Unit seeks a Senior Program Director to support our Health and Human Services (HHS ...

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$29.3K

$77.7K

$136.1K

How much do program integrity director jobs pay per year?

As of May 28, 2026, the average yearly pay for program integrity director in Baltimore, MD is $77,698.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,700.00 and $91,900.00 per year, depending on experience, location, and employer.

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 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 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 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 job categories do people searching Program Integrity Director jobs in Baltimore, MD look for? The top searched job categories for Program Integrity Director jobs in Baltimore, MD are:
What cities near Baltimore, MD are hiring for Program Integrity Director jobs? Cities near Baltimore, MD with the most Program Integrity Director job openings:
Program Integrity Director jobs near you

Supervisory Health Insurance Specialist

Employment Opportunities for Veterans | CMS

Windsor Mill, MD • On-site

$143.91K/yr

Other

Medical, Dental

Posted 10 days ago

Job description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), Audits & Vulnerabilities Group (AVG), Division of Marketplace Oversight (DMO).
As a Supervisory Health Insurance Specialist, GS-0107-14, you will serve as a technical expert and advisor providing guidance and managing the Marketplace Program Integrity (PI) efforts for the Federally Facilitated Marketplace (FFM).Qualifications:ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT.
Your resume (limited to no more than 2 pages) must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from being considered further.
In order to qualify for the GS-14 , you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in either the private or public sector, to include:
1) Leading, planning, or directing Marketplace program integrity operations; and
2) Analyzing Marketplace policies to assess the impact to program integrity operations; and
3) Providing program integrity-related technical analysis, guidance, or recommendations through verbal and written communication to leadership
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills, and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Time-in-Grade: To be eligible, current or former Federal employees and current or former Federal employees applying under the VEOA eligibility who hold or have held a permanent General Schedule position in the previous year must have served at least 52 weeks (one year) at the next lower grade level from the position/grade level(s) to which they are applying.
Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12959433Education:This job does not have an education qualification requirement.Employment Type: OTHER

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