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Program Integrity Director Jobs in Encinitas, CA

Program Director

Vista, CA · On-site

$92K - $166K/yr

Foster a culture of accountability, collaboration, integrity, and execution excellence. * Ensure ... Lead program execution through final customer acceptance and payment milestones. Basic ...

Program Manager

San Diego, CA · On-site

$87K - $93K/yr

Oversee direct services, ensuring quality care, and highest professional standards. * Supervise ... Understand budget and review monthly operating statement to ensure financial integrity.  

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Showing results 1-20

Program Integrity Director information

See Encinitas, CA salary details

$31.7K

$84K

$147.2K

How much do program integrity director jobs pay per year?

As of Jul 14, 2026, the average yearly pay for program integrity director in Encinitas, CA is $83,989.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,900.00 and $99,400.00 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 Encinitas, CA look for? The top searched job categories for Program Integrity Director jobs in Encinitas, CA are:
What cities near Encinitas, CA are hiring for Program Integrity Director jobs? Cities near Encinitas, CA with the most Program Integrity Director job openings:

$90K - $100K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago


Job description

Job Type
Full-time
Description
Position Title: Program Manager
Program: Positive Pathways
Classification: Exempt, Full-time
Salary Range: $90,000-$100,000
Summary and Range of Authority: Under the supervision of the Vice President and/or the Assistant Vice President, the Program Manager is responsible for managing the overall operation of the program including staff management, integrity of the services, administrative oversight, contract compliance, quality assurance, meeting program objectives and other responsibilities.
Essential Duties and Responsibilities:
• Manage overall program operations, including administrative management, quality assurance, implementation of policies and procedures, and contract compliance.
• Effectively lead an interdisciplinary team, including regular supervision of all direct reports, facilitating weekly staff and treatment team meetings, ASAM evaluations, case conference and problem-solving consultations.
• Oversee all recruitment, interviewing, training and performance (including productivity and certification status) of all program staff and interns.
• Ensures fiscal sustainability of the program through effective oversight of expenditures, alignment with the statement of work, staff productivity, and fidelity to service delivery standards.
• Maintain high quality of client care, trauma informed practices, curriculum adherence and evidenced based practices throughout the program.
• Function as key contact person for receiving client referrals and progress inquiries from designated third-party referral sources and responding to them in a timely manner.
• Serve as representative of the program and UPAC within the community, including attending virtual and in-person meetings.
• Ensure accurate data collection, documentation of services, charting and record keeping are aligned with standards of care and with federal, state and county regulations.
• Coordinate, oversee and conduct outreach activities for community awareness and referrals to the program.
• Oversee ongoing quality management activities to ensure program integrity, ensure preparation of program for audits and implementing any post-audit corrective actions and findings as needed.
• Work with and monitor subcontractors, such as other providers, including Medical Director and Nurse Practitioners, if applicable to the program.
• Compile data and prepare various reports as required by various entities in timely manner.
• Other duties and responsibilities as assigned.
• All the duties and responsibilities shall be delivered in compliance with MediCal Transformation/CalAIM, County of San Diego BHS SUDPOH/OPOH, DHCS State Certification Standards and other relevant regulations.
Requirements
Required Education, Certifications/Licenses and Language/Cultural Skills:
• Must be Licensed Clinical Psychologist (LCP), Licensed Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), and Licensed Marriage and Family Therapist (LMFT). OR
• Must be registered with the Board of Behavioral Sciences (e.g. Associate Marriage and Family Therapist [AMFT], Associate Professional Clinical Counselor [APCC] or Associate Clinical Social Worker [ACSW]) OR registered as a Psychological Associate with California Board of Psychology and have three years' experience in supervisory responsibilities in behavioral health field.
Minimum Experience and Qualifications Required:
• Must have successful completion & maintenance of the San Diego County credentialing.
• Excellent leadership and interpersonal skills and ability to work well in a multicultural environment, including tact, diplomacy, patience, and professionalism in dealing with program staff, county staff, community providers and clients from a variety of backgrounds, co-occurring issues, substance use and mental health diagnoses.
• Excellent organizational and time management skills, such as attention to detail, prioritizing, ability to manage multiple tasks and projects simultaneously and successfully see tasks through.
• Ability to maintain strict confidentiality regarding sensitive or proprietary information or materials, abide by confidentiality laws/HIPPA.
  • Proficiency in Microsoft Office Suite.
  • Excellent written and verbal communication skills.
  • Must have flexibility to work some evening and weekend hours as program needs.
  • Must be drug tested prior to hire and drug test results shall be negative for illegal drug use, including marijuana.
  • Must have TB clearance at hire followed by annual clearance.
  • Must have certified First Aid and CPR training (including infant CPR) and biennial
  • Will not be debarred or excluded from participation in Federal programs by the General Services Administration and/or the Department of Health and Human Services of the Inspector General
  • Must pass background check (Live Scan Fingerprint).
  • Must be able to drive (when needed) for business purposes to other program locations in San Diego County. If employee drives his/her personal automobile for UPAC business, employee must have valid California driver's license and comprehensive automobile insurance coverage, as required by law.

Additional Preferred Education or Qualifications:
• Bilingual or bicultural in a County of San Diego threshold language.
• Knowledge and experience of Smartcare and/or Welligent data systems.
• Eligible to be a clinical supervisor for associate level therapists.
• 4 years of direct clinical service experience in County of San Diego contracted program.
Physical Demands and Work Environment:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Spends approximately 70% of work time sitting and meeting with others or working at a desk and/or computer. Spends approximately 30% of work time standing or walking within the work area or outside the office at meetings and events, also bends, twists, stoops and reaches. Ability to communicate in writing and verbally. Regularly required to sit and talk or hear. Frequently is required to use hands to touch, handle or feel and reach with hands and arms. Occasionally lifts and/or moves up to 25 pounds. Working conditions are normal for an office environment and event venues. The noise level is usually moderate.
Benefits:
Health & Wellness
  • Low-cost Aetna HMO plan ($50 monthly employee premium)
  • Employer paid vision, dental, life, AD&D, long-term disability, and Employee Assistance Program (EAP)
  • Pet Insurance, voluntary life, critical illness, and accident insurance
Paid Time Off
  • Up to 160 hours of PTO accrued per year during the first 5 years of employment
  • 80 hours of sick leave available per fiscal year
  • 13 paid holidays (including two days for New Year's and Christmas)
  • 1 floating holiday per fiscal year
  • Bereavement Leave: 5 days off (3 paid)
Workplace Flexibility
  • Hybrid work schedule (available for select programs/positions)
Financial Benefits
  • 403 (b) retirement plan
  • Free access to a financial advisor
  • Bilingual pay differential (available for select programs)
  • Eligibility for student loan reimbursement (varies by program/position)
Professional Development
  • Clinical supervision for registered associates, counselors, and peer support staff
  • Partnerships with numerous universities/schools for internship placements

Salary Description
Salary Range: $90,000-$100,000