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Program Integrity Director Jobs in Edgewater, NJ

Specific responsibilities of the Executive Director will include but not be limited to: - Design and implement a more expansive program integrity system including fraud deterrence measures ...

Specific responsibilities of the Executive Director will include but not be limited to: - Design and implement a more expansive program integrity system including fraud deterrence measures ...

Executive Director

Manhattan, NY · On-site

$125K - $150K/yr

Specific responsibilities of the Executive Director will include but not be limited to: - Design and implement a more expansive program integrity system including fraud deterrence measures ...

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$31K

$82.1K

$143.9K

How much do program integrity director jobs pay per year?

As of Jun 11, 2026, the average yearly pay for program integrity director in Edgewater, NJ is $82,123.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,700.00 and $97,100.00 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 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 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 Edgewater, NJ look for? The top searched job categories for Program Integrity Director jobs in Edgewater, NJ are:
What cities near Edgewater, NJ are hiring for Program Integrity Director jobs? Cities near Edgewater, NJ with the most Program Integrity Director job openings:

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Job description

Program Director


Summary:
The Program Director is responsible for the overall management and direction of a comprehensive
program of social services for a single men's, women's or family shelter with the goal of expeditious placement
of residents into permanent housing and providing assistance in becoming self-sufficient. Services include
assessments, counseling, service planning, and developing and monitoring linkages with programs that provide
entitlements and medical, educational, substance abuse, employment, and mental health services. educational,
substance abuse, employment, and mental health services. He/she will oversee the day-to-day operation of
social services at the work site. He/she will need to work collaboratively with other on-site departments to
facilitate effective methods of problem-solving and the alignment of strategies.


Responsibilities:
The Program Director is responsible for, but not limited to:
Provide and ensure delivery of quality services to all clients through direct supervision of a team of Case
Managers, Housing Specialists, Recreational Specialist, Social Service Supervisors, Program Coordinator
and Employment Specialists
Coordinate all case management services, including assessments and development and implementation of
service plans
Ensures that staff appropriately identifies the needs of the clients, provides appropriate referrals and ensure
case managers follow up with resources
Ensure assessments, service plans, and interactions with the clients are appropriately documented.
Act as the point person with subcontractors and/or service providers including, but not limited to, medical
providers, mental health providers, substance abuse providers and employment services providers
Identify changing program needs and program gaps and develop new services, service directions, and/or
programs to meet client needs
Ensure all reports are submitted accurately and in a timely manner
Responsible for ensuring monthly housing targets are met
Monitor demographic reports to ensure consistency with ILP compliance
Ensure all employees in Social Services department receive all mandated training and any courses which are
indicated for additional professional growth and development as a department or as individuals
Organize onsite and offsite training opportunities for professional development of staff
Facilitate weekly meetings with social service staff to address client issues and progress
Ensure adherence to all requisite regulations and DHS policies and procedures
Act as a liaison with other department directors
Provide crisis intervention and stabilization as needed

**This job description is not designed to cover or contain a comprehensive listing of activities, duties
or responsibilities that are required of the employee. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice.


Professional & Personal Qualifications:
Master's degree in Social Work, Psychology, Sociology, or related field with 2+ years of direct social service experience
Bachelor's degree in Human Service, or related field with 4+ years of direct social service experience
Associate's degree with 6 plus years of direct social service experience
Ability to work some evenings and occasional weekends as needed
Excellent and demonstrated writing ability
Fluent in English and Spanish a plus
Strong assessment, direct practice, counseling, supervision, community outreach, group leadership and program development experience preferred
Advanced knowledge of MS Word, Excel and database management skills.
Knowledge of community resources
Ability to solve problems, make decisions, resolve conflicts and listen
Ability to deal calmly in crisis situations
Proven ability to work collaboratively well with diverse groups
Proven ability to handle multiple tasks effectively under pressure
Strong organizational skills, detail-oriented, and efficient
Maturity, integrity, and sound judgment