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Program Integrity Director Jobs in Biddeford, ME

WEX

Risk Operations Program Manager

Portland, ME · On-site

... integrity and fuels our next phase of growth. How You'll Make an Impact STRATEGIC PLANNING ... direct reporting lines. * Excellent writing and verbal communication skills, with the ability to ...

eNett

Risk Operations Program Manager

Portland, ME · On-site

... integrity and fuels our next phase of growth. How You'll Make an Impact STRATEGIC PLANNING ... direct reporting lines. * Excellent writing and verbal communication skills, with the ability to ...

WEX, Inc.

Risk Operations Program Manager

Portland, ME · On-site

... integrity and fuels our next phase of growth. How You'll Make an Impact STRATEGIC PLANNING ... direct reporting lines. * Excellent writing and verbal communication skills, with the ability to ...

Sjcme

Assistant Director of Events

Standish, ME · On-site

$55K - $64K/yr

Evaluating software functions and maintaining data integrity Effectively manages Event employees by ... Must have a valid driver's license, complete a driver training program and have an acceptable Motor ...

New

Saint-Joseph

Assistant Director of Events

Standish, ME · On-site

$55K - $64K/yr

Evaluating software functions and maintaining data integrity Effectively manages Event employees by ... Must have a valid driver's license, complete a driver training program and have an acceptable Motor ...

New

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Program Integrity Director information

See Biddeford, ME salary details

$30.9K

$81.9K

$143.4K

How much do program integrity director jobs pay per year?

As of Sep 13, 2026, the average yearly pay for program integrity director in Biddeford, ME is $81,874.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,500.00 and $96,900.00 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 job categories do people searching Program Integrity Director jobs in Biddeford, ME look for?

The top searched job categories for Program Integrity Director jobs in Biddeford, ME are:

Program Integrity Director jobs near you
Infographic showing various Program Integrity Director job openings in Biddeford, ME as of June 2026, with employment types broken down into 67% Full Time, and 33% Contract. Highlights an 100% In-person job distribution, with an average salary of $81,874 per year, or $39.4 per hour.

Director, Operations & Financial Management

Portland, ME • Remote

Benelynk
Health Care and Social Assistance • 201 - 500 employees
Learn more about Benelynkexternal

$115K - $120K/yr

Full-time

Posted 2 days ago

New

Job description

COMPANY OVERVIEW


BeneLynk is a national leader in providing social care. We serve people throughout the

United States by making complex programs easier to understand. We succeed by centering the experience of the people we work with and by continuously seeking to improve in all that we do.


Here at BeneLynk, our mission is to improve lives and positively impact health barriers by providing our healthcare partners with the information they need and people with the

advocacy they deserve.


WHO WE ARE


BeneLynk is built on compassionate service and innovative improvement. We innovate by bringing new solutions to problems. We show compassion by making human to human

connections, understanding challenges, and building the best possible solution. Every day, we are relentless in helping people who need essential resources to make their lives easier and healthier. The people we serve call us "miracles," "kind," "professional," "human," and "compassionate," and all with "service that gets the job done." We pride ourselves on creating a healthy environment for our employees to thrive and grow.


DIRECTOR, FINANCIAL MANAGEMENT SERVICES (FMS) – SELF-DIRECTED CARE (VDC) POSITION SUMMARY

The Director of Financial Management Services (FMS) – Self-Directed Care (Veteran-Directed Care preferred) is a senior operational leader responsible for building, optimizing, and managing the tactical and administrative infrastructure of an FMS operation. This role

ensures seamless integration across payroll, compliance, onboarding, vendor management, and participant support within self-directed care programs.


The Director translates strategic vision into scalable, compliant, and high-performing operational execution across multi-state or multi-program environments.


This individual must possess deep expertise in FMS/Fiscal Intermediary (FI) models, including Vendor Fiscal/Employer Agent (VF/EA) structures, and a comprehensive

understanding of how all functional components—payroll, tax compliance, budgeting, reporting, and participant services—interconnect to support self-directed care.


KEY RESPONSIBILITIES
  1. Operational Leadership & Execution 
  • Lead the day-to-day operations of FMS functions, including payroll processing, timesheet management, EVV, onboarding, and service delivery workflows.
  • Build and scale operational processes that support self-directed care programs
  • Translate VP-level strategic initiatives into detailed operational plans, workflows, and KPIs.
  • Ensure efficient coordination across intake, customer service, payroll, compliance, and reporting teams.
  1. Compliance & Regulatory Oversight
  • Ensure full compliance with applicable federal, state, and program regulations including:
    • IRS employer-agent (Section 3504) requirements
    • VA Veteran-Directed Care (VDC) guidelines
    • Department of Labor and State Labor Laws
  • Oversee internal audit readiness, documentation standards, and continuous compliance monitoring.
  • Oversee program integrity functions, including timely review and escalation of fraud, waste, abuse, neglect, and exploitation reports.
  • Partner with Legal/Compliance teams to maintain policies, SOPs, and controls.
  1. Financial & Payroll Operations
  • Oversee multi-EIN payroll operations supporting participants as common-law employers.
  • Ensure proper processing of:
    • Payroll, tax withholdings, unemployment insurance
    • Vendor payments and reimbursements
    • Worker eligibility and background checks
  • Maintain integrity of participant-level budgets and financial reporting.
  • Oversee accurate and timely processing of participant budgets, spending plans, authorizations, and direct care worker pay rate changes.
  1. Program & Participant Experience
  • Ensure timely, compliant delivery of a high-quality participant and caregiver experience across onboarding, training, and ongoing support.
  • Implement scalable service models that support participants acting as employers (Employer Authority and/or Budget Authority).
  • Partner with care teams, case managers, and external stakeholders to support person-centered outcomes.
  1. Vendor & Technology Management
  • Manage relationships with payroll providers, EVV systems, and FMS technology platforms.
  • Lead implementation and optimization of systems including: 
  • Timekeeping and EVV
  • Payroll engines
  • Participant portals
  • Ensure seamless integrations and data integrity across systems.
  1. People Leadership
  • Lead and develop cross-functional teams (payroll, compliance, onboarding, customer support).
  • Establish performance metrics, training programs, and accountability standards.
  • Foster a culture of operational excellence, compliance, and continuous improvement.
  1. Strategic Partnership with VP, FMS Operations
  • Serve as the primary operational partner to the VP, contributing to:
    • Growth strategy and new implementation of program
    • RFP responses and program launches
    • Operational scaling across regions or populations
  • Provide data-driven insights on performance, risks, and opportunities.
  • Support transformation initiatives (e.g., startup-to-scale transitions).


REQUIRED QUALIFICATIONS
  • Bachelor's degree in Business Administration, Healthcare Administration, Public Administration, or a related field required; equivalent combination of education and progressive leadership experience will be considered in lieu of degree. 
  • 2-4+ years of progressive leadership experience in one or more of the following:
    • Financial Management Services (FMS)
    • Fiscal Intermediary (FI) operations
    • Self-Directed Care / HCBS / LTSS programs/ VDC
  • Demonstrated experience building and/or scaling FMS operations
  • Deep knowledge of:
    • Medicaid self-direction models and regulations
    • Vendor Fiscal/Employer Agent (VF/EA) models
    • Payroll tax compliance and employer-agent structures
  • Experience managing multi-state or complex program operations
  • Strong leadership, communication, and cross-functional collaboration skills 

      PREFERRED QUALIFICATIONS

  • Experience with Veteran-Directed Care (VDC) programs
  • Familiarity with:
    • ACL guidance and VA program requirements
    • EVV systems and FMS technology platforms
  • Experience supporting RFPs, implementations, or new market entry 
CORE COMPETENCIES
  • Systems thinking (understands how all FMS components interconnect)
  • Operational scaling & process design
  • Regulatory and compliance expertise
  • Financial and payroll acumen
  • Stakeholder management (state agencies, MCOs, VA, partners)
  • Data-driven decision making SUCCESS MEASURES
  • Enrollment and onboarding cycle time (referral to service initiation)
  • Payroll accuracy and timeliness
  • Audit and compliance performance
  • Participant and caregiver satisfaction
  • Operational scalability and efficiency
  • Successful program launches and expansions


PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successful perform the essential functions of this job. Reasonable

accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Physical Activities – Remote
  • Weight Lifted/ Force Exerted – The employee’s job does not require weight to be lifted or force exerted.


WORK ENVIRONMENT

This role is a remote position.


POSITION TYPE/EXPECTED HOURS OF WORK

Full-time/Exempt

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About BeneLynk

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Milford, CT, US

Year founded

2016

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