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Program Integrity Director Jobs in Baltimore, MD

Penn-Mar

Program Assistant Manager

Freeland, MD · On-site

$48K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Directly supervising "Sub" (PRN) direct support team members * complete 6-month and annual ... spending integrity * submit credit card receipts and code appropriately * approve credit card ...

Tnpa

Director of Development

Silver Spring, MD · On-site

$80 - $90/hr

  • Medical

  • Vision

  • Retirement

  • PTO

Manages, tracks and submits invoices for the direct mail program. Donor Database * Performs weekly database audits and establishes and refines clear protocols and processes to maintain data integrity.

New

Penn-Mar

Program Assistant Manager

Freeland, MD · On-site

$48K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Directly supervising "Sub" (PRN) direct support team members * complete 6-month and annual ... spending integrity * submit credit card receipts and code appropriately * approve credit card ...

RSC2, Inc.

Program Manager

Fort George G Meade, MD · On-site +1

$110K - $266K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

We uphold the integrity and quality of our work so you can expect only the best from us. RSC2 is ... Ensure the timely recruitment and training of program staff - both direct and indirect. * Review ...

Sbdinc

Lead Program Manager

Towson, MD · Hybrid

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

People with a sense of purpose and integrity. People with a relentless pursuit of excellence ... Direct Program Management: Engineering New Product Development Focus - Leveraging cross-functional ...

Stanley Black & Decker

Lead Program Manager

Towson, MD · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

People with a sense of purpose and integrity. People with a relentless pursuit of excellence ... Direct Program Management: Engineering New Product Development Focus - Leveraging cross-functional ...

Barrow Wise Consulting

Program Manager

Baltimore, MD · On-site

$140K - $165K/yr

Oversee and direct all resources provided under this RFP. * Responsible for overall project ... Our employees stand behind Barrow Wise's core values of integrity, quality, innovation, and ...

Barrow Wise Consulting

Program Manager

Baltimore, MD · On-site

Oversee and direct all resources provided under this RFP. * Responsible for overall project ... Our employees stand behind Barrow Wise's core values of integrity, quality, innovation, and ...

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Showing results 41-60

All JobsProgram Integrity JobsProgram Integrity Director JobsProgram Integrity Director Jobs in Baltimore, MD

Program Integrity Director information

See Baltimore, MD salary details

$29.3K

$77.7K

$136.1K

How much do program integrity director jobs pay per year?

As of Aug 19, 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 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 Baltimore, MD?

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

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

Manager, Care Manager

Maryland Care Management Inc

Linthicum, MD • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago

Job description

Description

Summary/Position Objectives:

This position is responsible for oversight of the planning, development, implementation, and evaluation of Care Management (CM) programs. The Manager of CM is responsible for ensuring staff follow the care management process as defined by improving coordination, continuity, accessibility, and appropriate utilization of healthcare services and community resources for high-risk and special needs members, improving health outcomes and engagement in health seeking behaviors. 


About Maryland Care Management, Inc. (MCMI)

Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.


Why join us?

MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans. 

Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives.


What You'll Do: 

  • Provide oversight of care management programs.
  • Responsible for recruitment and selection of appropriate staff and prepares for timely employee performance evaluations.
  • Promote individual and team development and provide performance management, when necessary.
  • Prepare reports on key indicators and activities for committees and senior management.
  • Collaborate with the Director of CM on development of annual budget and operates within approved budget.
  • Collaborate with interdisciplinary teams to support staff in coordination of care activities.
  • Serves as a resource for health plan information and helps to integrate care management functions throughout the health plan.
  • Assists in the annual development of measurable goals for care management programs based on data from outcomes reports, quality indicators, regulatory agencies, and health plan initiatives and priorities.
  • Implement ongoing development and education of care management staff.
  • Ensures that program integrity and regulatory requirements are met in conjunction with the Director of CM.
  • Other duties as assigned. 

Secondary Functions:

  • Communicates regularly with employees through staff meetings to share company, health plan, and department information appropriate to their job function.
  • Maintains and promotes patient confidentiality and adheres to HIPAA regulations.
  • Responsible for development, implementation, and annual review of care management policies and desktops.

Requirements

Knowledge and Skills:

  • Demonstrated skills for presentations and training before small and large groups.
  • Knowledge of local health care delivery system.
  • Strong problem solving, organizational, and time management skills with the ability to work in a fast-paced environment.
  • The ability to successfully utilize Microsoft Office suite and common computer and office hardware is necessary.

Education and Work Experience:

  • Current state RN license required. 
  • Bachelor of Science in Nursing (BSN) preferred.
  • Minimum of two years of management/supervisory experience required. 
  • Minimum of three years of care management experience required.
  • CCM Certification preferred.
  • Managed Care experience is preferred.

Apply