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Program Integrity Director Jobs in Edgewater, NJ

Program Controls Senior Manager

New York, NY

$126K - $127K/yr

Oversee and direct Program Controls for large-scale, strategically significant, and highly complex ... Implement and maintain stringent control measures to safeguard program integrity and ensure optimal ...

Program Controls Senior Manager

New York, NY

$126K - $127K/yr

Oversee and direct Program Controls for large-scale, strategically significant, and highly complex ... Implement and maintain stringent control measures to safeguard program integrity and ensure optimal ...

Program Controls Senior Manager

New York, NY · On-site

$126K - $127K/yr

Oversee and direct Program Controls for large-scale, strategically significant, and highly complex ... Implement and maintain stringent control measures to safeguard program integrity and ensure optimal ...

Program Controls Senior Manager

New York, NY

$126K - $127K/yr

Oversee and direct Program Controls for large-scale, strategically significant, and highly complex ... Implement and maintain stringent control measures to safeguard program integrity and ensure optimal ...

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Program Integrity Director information

See Edgewater, NJ salary details

$31K

$82.1K

$143.9K

How much do program integrity director jobs pay per year?

As of Jun 10, 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:
Assistant Program Director

$70K - $75K/yr

Full-time

Medical, PTO

Posted 9 days ago


Job description

USD $70,000.00/Yr.
USD $75,000.00/Yr.
  1. SCOPE OF ROLE:

The Assistant Program Director will provide supervision of Case Management services to ensure quality care for adults that have experienced Homelessness and Mental Illness. In the absence of the Program Director the Assistant Program Director will supervises all program staff in conjunction with the Program and Regional Director. 

  1. ESSENTIAL DUTIES & RESPONSIBILITIES:
  • Familiar with Federal, State and Local laws and regulations as they apply to the community residence program and agency policies
  • Familiar with OMH regulations
  • Direct supervision of all program staff with regard to Case Management
  • Development and implementation of individual client service plans in conjunction with clinical staff, counseling team and client
  • Responsible for insuring that contracts with clients reflect goals of service plans for assisting counselors to develop intervention goals and activities which support the service plan
  • Coordinate Annual Functional Assessment Review for each client, submitting report and recommendations to Utilization Review Committee.
  • Responsible for maintaining contact with other service agencies and insuring client placement for treatment and program activities (may include volunteer job placement)
  • Responsible for coordination with Intake Coordinator of orientation and transitioning in to program of all new residents
  • Participates in discharge planning
  • Provides emergency and relief coverage as necessary
  • May represent agency with community groups and agencies
  • Prepares report for Regional Director of Behavioral Health Services and VP of Behavioral Health Services, including any problems, and proposals for changes in policies or program design
  • Provides supervisory meetings with all staff and maintains documentation of these meetings
  • Other duties as assigned

REQUIRED EDUCATION AND EXPERIENCE

  • Bachelor’s degree in Human Services or related field required
  • Minimum of two (2) years of supervisory experience
  • Experience with homelessness and mental illness

 

PREFERRED QUALIFICATIONS & SKILLS

  • Master’s degree preferred, professional license LMSW, LCSW, or LMHC preferred
  • Experience working with different populations preferred
  • Bilingual English/Spanish speaking preferred

S:US IS AN EQUAL OPPORTUNITY EMPLOYER 

 

Join a team of employees who cares about the wellbeing of others. We’re proud to offer a comprehensive benefits package designed to support your wellbeing and development. From health and wellness resources to generous PTO, professional development, and more, explore all that we offer on our Benefits Page and see how S:US invests in you. 

We believe in fostering a culture built on our core values: respect, integrity, support, maximizing individual potential and continuous quality improvement. 

S:US is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. S:US is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities, including allowance of the use of services animals. To request reasonable accommodation or if you believe such a request was improperly handled or denied, contactthe Leave Team at MyMedicalLeave@sus.org. 


2026-18291
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