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Program Integrity Director Jobs in Hopewell, VA (NOW HIRING)

ClearChoice

Regional Business Director

Richmond, VA

Teamwork, Impact, Conviction, Integrity, Trust, Compassion, and a Passion for Learning. Regional ... Regional Business Directors will first undergo an extensive training program, which may involve ...

McGuireWoods LLP

Director, Benefits

Richmond, VA · On-site

$180K - $288K/yr

Responsibilities Strategy, Program Development, and Implementation * Develop, maintain, and ... Oversee benefits-related technology, data integrity, reporting, testing, system integrations ...

McGuireWoods LLP

Director, Benefits

Richmond, VA · On-site +1

Responsibilities Strategy, Program Development, and Implementation * Develop, maintain, and ... Oversee benefits-related technology, data integrity, reporting, testing, system integrations ...

McGuireWoods LLP

Director, Benefits

Richmond, VA · On-site +1

Strategy, Program Development, and Implementation * Develop, maintain, and facilitate effective ... Oversee benefits-related technology, data integrity, reporting, testing, system integrations ...

Vcu Rrtc

Director, Biorepository Core

Richmond, VA · On-site

$120 - $180/hr

The Biorepository Core supports internal investigators, multi-site clinical research programs ... Oversee pre-analytical biological specimen processing while ensuring specimen integrity and ...

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Program Integrity Director information

See Hopewell, VA salary details

$26.4K

$70K

$122.6K

How much do program integrity director jobs pay per year?

As of Aug 22, 2026, the average yearly pay for program integrity director in Hopewell, VA is $69,956.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,400.00 and $82,800.00 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 job categories do people searching Program Integrity Director jobs in Hopewell, VA look for?

The top searched job categories for Program Integrity Director jobs in Hopewell, VA are:

What cities near Hopewell, VA are hiring for Program Integrity Director jobs?

Cities near Hopewell, VA with the most Program Integrity Director job openings:

Program Integrity Director jobs near you
Infographic showing various Program Integrity Director job openings in Hopewell, VA as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $69,956 per year, or $33.6 per hour.

Provider Payment Integrity Coordinator

Virginia Department of Human Resource Management

Richmond, VA • On-site

$78K - $95K/yr

Full-time

Posted 10 days ago

Virginia Alcoholic Beverage Control Authority rating

5.2

Company rating: 5.2 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

825th of 848 rated public administrative organizations

Job description

Provider Payment Integrity Coordinator
Job no: 5109399
Work type: Restricted Full-Time
Location: Richmond (City), Virginia
Categories: Educational and Media Services
Title: Provider Payment Integrity Coordinator
State Role Title: Prog Admin Specialist II
Hiring Range: $78,000-$95,000
Pay Band: 5
Agency: Dept of Ed Central Operations
Location: JAMES MONROE BUILDING
Agency Website: doe.virginia.gov
Recruitment Type: General Public - G
Job Duties
The Virginia Department of Education (VDOE) is recruiting for a Provider Payment Integrity Coordinator to serve as the Office of Early Childhood Public-Private Provider Services' lead for researching, analyzing, and resolving complex Child Care Subsidy Program (CCSP) provider payment inquiries.
The position seeks to improve the provider payment experience and ensure program integrity by investigating potential payment errors, identifying root causes of payment issues, coordinating resolution across program, fiscal, and technology partners, and translating provider feedback into system, process, policy, and technical assistance improvements. Through data analysis, cross-functional collaboration, and continuous quality improvement, this position enhances provider supports, deepens the field's understanding of how payments are calculated and issued, strengthens payment accuracy, and informs statewide program improvements.
The Provider Payment Integrity Coordinator would be responsible for the following duties:
  • Review payment transactions, attendance records, provider accounts, banking information, and system data to determine root causes and coordinate timely resolution.
  • Support the PASS Correction Request process, including trend analysis and payment-related follow-up activities in partnership with the Subsidy Provider Services Manager.
  • Collect, analyze, and synthesize provider payment inquiry data to identify trends, recurring issues, systemic barriers, and opportunities for operational improvement.
  • Use provider feedback to recommend improvements to business processes, provider supports, system functionality, and payment operations.
  • Serve as a primary business liaison between Provider Services and internal and external partners responsible for payment operations and technology.
  • Coordinate with program, fiscal, policy, and technical teams to resolve system issues, prioritize enhancements, and improve provider payment processes.
  • Use provider feedback and inquiry trends to strengthen statewide technical assistance, written guidance, training materials, and knowledge resources related to subsidy payments.
  • Provide leadership for payment inquiry processes through documentation, standardization, knowledge sharing, and continuous process improvement.
  • Support consistent statewide practices without direct supervisory responsibility.

Minimum Qualifications
  • Demonstrated ability to research, interpret, and resolve complex issues using multiple information sources.
  • Demonstrated ability to identify trends, determine root causes, and recommend practical solutions.
  • Demonstrated ability to synthesize qualitative and quantitative information to inform decision making and continuous improvement.
  • Demonstrated ability to identify opportunities to improve business processes, customer experience, operational efficiency, and program effectiveness.
  • Demonstrated experience developing workflows, documentation, standard operating procedures, or business processes.
  • Proven ability to build collaborative relationships across organizational boundaries.
  • Demonstrated commitment to exceptional customer service.
  • Proficiency with Microsoft Office applications, especially Excel (or other data analysis software).
  • Demonstrated ability to collect, organize, analyze, and present data.
  • Demonstrated ability to learn multiple data systems and technology platforms.

Additional Considerations
  • Experience in a customer-service or customer-facing role and/or case management.
  • Experience working with child care providers or other human service partners.
  • Experience interpreting policy or program guidance.
  • Experience using data to improve business processes or customer experience.
  • Experience developing training materials, guidance documents, or technical assistance resources.
  • Spanish language proficiency

Special Instructions
You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to "Your Application" in your account to check the status of your application for this position.
A résumé will be accepted in lieu of a completed state application. Applications submitted via e-mail, postal service, fax or hand-delivered will not be considered. Successful candidates must pass a criminal background check. Commonwealth of Virginia employees may have teleworking options available. Final teleworking agreements will be reviewed and approved upon hire.
This role will require completion of a Statement of Economic Interests (SOEI), which is filed annual with the General Assembly.
Reasonable accommodations are available to persons with disabilities during the application and/or interview process. For assistance call: (804) 225-2021, [TTY: 786-8389]
Minorities, Individuals with disabilities, Veterans, and people with National Service experience are encouraged to apply. The Virginia Department of Education is an Equal Opportunity Employer and encourages diversity within its workforce.
Contact Information
Name: Human Resources
Email: humanresources@doe.virginia.gov
In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.
Advertised: 12 Aug 2026 Eastern Daylight Time
Applications close: 22 Aug 2026 Eastern Daylight Time
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