ZipRecruiter

Log In

1

Program Integrity Director Jobs in Harrisburg, PA

Centurion

Surgeon (Non-direct care) (73926)

Harrisburg, PA · On-site

$299K - $394K/yr

We are currently seeking a Surgeon to join our team and provide non-direct care to the Bureau of Program Integrity (BPI) within the Office of Medical Assistance Programs (OMAP). This position is up ...

Vertin

Licensed Funeral Director

Carlisle, PA · On-site

If you're passionate about doing this work with integrity and heart, we want to meet you. What You ... Degree in mortuary science from an accredited program. * Minimum of 1-2 years of experience in a ...

Vertin

Licensed Funeral Director

Carlisle, PA · On-site

If you're passionate about doing this work with integrity and heart, we want to meet you. What You ... Degree in mortuary science from an accredited program. * Minimum of 1-2 years of experience in a ...

Vertin

Licensed Funeral Director

Carlisle, PA · On-site

If you're passionate about doing this work with integrity and heart, we want to meet you. What You ... Degree in mortuary science from an accredited program. * Minimum of 1-2 years of experience in a ...

next page

Showing results 1-20

All JobsProgram Integrity JobsProgram Integrity Director JobsProgram Integrity Director Jobs in Harrisburg, PA

Program Integrity Director information

See Harrisburg, PA salary details

$29.1K

$77.2K

$135.2K

How much do program integrity director jobs pay per year?

As of Sep 6, 2026, the average yearly pay for program integrity director in Harrisburg, PA is $77,193.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,300.00 and $91,300.00 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 are popular job titles related to Program Integrity Director jobs in Harrisburg, PA?

For Program Integrity Director jobs in Harrisburg, PA, the most frequently searched job titles are:

What job categories do people searching Program Integrity Director jobs in Harrisburg, PA look for?

The top searched job categories for Program Integrity Director jobs in Harrisburg, PA are:

What cities near Harrisburg, PA are hiring for Program Integrity Director jobs?

Cities near Harrisburg, PA with the most Program Integrity Director job openings:

Program Integrity Director jobs near you
Infographic showing various Program Integrity Director job openings in Harrisburg, PA as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 1% Temporary, and 3% Contract. Highlights an 94% Physical, 3% Hybrid, and 3% Remote job distribution, with an average salary of $77,193 per year, or $37.1 per hour.

Registered Nurse (RN) - Expert Medical Examination Consultant (Hybrid)

The CKHobbie Group

Harrisburg, PA • On-site

Full-time

Re-posted 7 days ago

Job description


Seeking a Registered Nurse (RN) - Expert Medical Examination Consultant to support program integrity and medical review initiatives in a full-time, long-term contract role based in Harrisburg, PA, with a hybrid schedule (three days remote, two days onsite). This position is responsible for performing detailed clinical and administrative reviews to ensure medical necessity, accuracy of care, and compliance with state and federal healthcare regulations.
In this role, the RN will conduct comprehensive medical record reviews, claim evaluations, and clinical assessments related to program integrity and medical examination activities. Responsibilities include evaluating documentation for medical necessity, appropriateness of care, coding accuracy, and regulatory compliance, while identifying potential indicators of fraud, waste, abuse, or quality concerns.
The nurse will analyze clinical data, utilization trends, and provider documentation, preparing detailed findings and recommendations to support corrective actions and program oversight. This position involves collaboration with compliance teams, investigators, auditors, and medical directors, as well as participation in case discussions and review activities involving complex clinical scenarios.
Additional responsibilities include supporting appeals and follow-up reviews, maintaining strict confidentiality standards, and providing guidance on documentation requirements and medical necessity criteria. The ideal candidate will have strong analytical skills, clinical expertise, and the ability to work independently while managing multiple priorities in a fast-paced, compliance-driven environment.

Apply