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Program Integrity Director Jobs in Detroit, MI (NOW HIRING)

Stryker Corporation

Deputy Director

Melvindale, MI · On-site

$85 - $120/hr

... integrity, and innovative problem‑solving skills. MHC converted 199 public housing units through ... MHC also administers a Housing Choice Voucher Program. MHC's mission is to provide quality ...

fng

Electronics Program Manager

Allen Park, MI · On-site

$117K/yr

Ethics and Integrity * Timeliness * Team Work * Project Management * Effort and Budget Estimation ... Provide project leadership in directing a cross-function team from concept to launch * Meet project ...

fng

Electronics Program Manager

Allen Park, MI

$117K/yr

Ethics and Integrity * Timeliness * Team Work * Project Management * Effort and Budget Estimation ... Provide project leadership in directing a cross-function team from concept to launch * Meet project ...

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Program Integrity Director information

See Detroit, MI salary details

$29.2K

$77.4K

$135.6K

How much do program integrity director jobs pay per year?

As of Aug 17, 2026, the average yearly pay for program integrity director in Detroit, MI is $77,411.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $91,600.00 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 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 job categories do people searching Program Integrity Director jobs in Detroit, MI look for?

The top searched job categories for Program Integrity Director jobs in Detroit, MI are:

What cities near Detroit, MI are hiring for Program Integrity Director jobs?

Cities near Detroit, MI with the most Program Integrity Director job openings:

Program Integrity Director jobs near you

Ambulatory Clinical Documentation Integrity Specialist (Remote)

Trinity Health

Livonia, MI • On-site, Remote

$32.50 - $43.75/hr

Full-time

Re-posted 2 days ago

Trinity Health rating

6.6

Company rating: 6.6 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

569th of 887 rated healthcare providers

Job description

Employment Type:
Full timeShift:
Description:
Purpose
Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization's strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge.
Essential Functions
Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
Work Focus:
Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution.
Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
Responsible for distribution of analytical reports.
Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
Data Management & Analysis:
Research & compiles information to support ad-hoc operational projects & initiatives.
Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Functional Role (not inclusive of titles or advancement career progression)
  • Obtain appropriate clinical documentation through extensive interaction with providers and coding staff to ensure documentation reflects level of service rendered to patients is complete and accurate.
  • Validate the accurate assignment of working HCC diagnosis affecting RAF scores within the ambulatory patient population by collaborating with physicians & advanced practice providers.
  • Conduct thorough prospective & sometimes retrospective quality reviews of ambulatory patient records, documenting all relevant findings & tracking key information through the process.
  • Identify areas where documentation requires clarification & engagement with physicians, advanced practice providers & other healthcare professionals to effectively resolve discrepancies.
  • Ensures medical record documentation is accurate, complete, & compliant, supporting acute or chronic conditions & medical necessity.
  • Applies through understanding of payment structures, outpatient reimbursement models, & the impact of provider documentation & HCC risk adjustment, ensuring compliance with reporting standards for claims submission.
  • Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to documentation, coding & billing regulations for assigned service area.
  • pay grade 13 range 75,592.7054-113,389.0581 Actual compensation will fall within the range but may vary based on factors such as experience, qualifications, education, location, licensure, certification requirements, and comparisons to colleagues in similar roles.

Minimum Qualifications
  • Associate's degree in Business, healthcare, Nursing or related field, or equivalent combination of education & experience
  • Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, integrated health care delivery system, revenue cycle or consulting experience.
  • Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation Specialist - Outpatient (CCDS-O), Certified Documentation Expert Outpatient (CDEO), or Certified Documentation Integrity Practitioner (CDIP) credential with coding or clinical documentation integrity experience.

Additional Qualifications (nice to have)
  • Bachelor's degree in nursing, HIM or related healthcare field.

Physical & Mental Requirements & Working Conditions (General Summary)
Direct Healthcare Services / Indirect Healthcare / Support Services:
  • Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell. Occasional
  • Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.). Occasional
  • Exposure to or subject to noise, infectious waste, diseases & conditions. Occasional
  • Exposure to interruptions, shifting priorities & stressful situations. Frequent
  • Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Continuous
  • Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise. Frequent
  • Perform manual dexterity activities & / or grasping / handling. Occasional
  • Ability to climb, kneel, crouch & / or operate foot controls. Occasional
  • Use a computer / other technology. Frequent
  • Sit with the ability to vary / adjust physical position or activity. Continuous
  • Maintain a safe working environment & use available personal protective equipment (PPE). Continuous
  • Comply with applicable Code of Conduct, policies, procedures & guidelines. Continuous
  • Ability to provide assistance in the event of an emergency. Occasional

Direct Healthcare Services:
  • Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Frequent
  • Lift a maximum of 30 pounds unassisted. Occasional
  • Use upper & lower extremities, engage in bending / stooping / reaching & pushing / pulling. Occasional
  • Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
  • Encounter worksites (e.g., patient homes) or travel to worksites that may have variable internal & external environmental conditions. Occasional
  • Perform work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating patients). Occasional

Indirect Healthcare / Support Services:
  • Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional
  • Lift a maximum of 30 pounds unassisted. Occasional
  • Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional
  • Encounter a clinical / patient facing / hands on interactive work environment. Occasional
  • Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
  • Work outdoors with variable external environmental conditions. Occasional

Average Workday Activity: Occasional - O (1% - 33%), Frequent - F (34% - 66%), Continuous - C (67% - 100%)
The above statements provide a representative description of the nature & level of work being performed by persons assigned to positions within this job description. This is not an exhaustive list of essential functions, conditions & duties; other job-related tasks may be required. Additional detail may be provided by policies, procedures, guidelines, protocols, standards & other communications. Requests for reasonable accommodation will be considered in compliance with federal, state & local law.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What Trinity Health employees say

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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US

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