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Program Integrity Director Jobs in Ludlow, MA (NOW HIRING)

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Program Integrity Director information

See Ludlow, MA salary details

$31K

$82.1K

$143.8K

How much do program integrity director jobs pay per year?

As of Jul 26, 2026, the average yearly pay for program integrity director in Ludlow, MA is $82,096.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,600.00 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 Ludlow, MA look for? The top searched job categories for Program Integrity Director jobs in Ludlow, MA are:
What cities near Ludlow, MA are hiring for Program Integrity Director jobs? Cities near Ludlow, MA with the most Program Integrity Director job openings:
Regional Operations Manager - Central West Region

Regional Operations Manager - Central West Region

Commonwealth of Massachusetts

Springfield, MA • On-site

Full-time

Posted 3 days ago


Job description

The Department of Developmental Services (DDS) is seeking a dynamic, innovative leader to serve as our Regional Operations Manager (ROM) for the Central West Region. In this pivotal role, you will be the operational backbone of a region managing a one-billion-dollar annual budget, ensuring our agency continues to provide genuine, community-based opportunities for individuals with intellectual disabilities.

We are looking for a hands-on executive who embraces our mission and combines sound financial acumen with exceptional leadership and meticulous organizational skills to drive excellence across our administrative and budgetary systems.

As the ROM, you will spearhead the regional operational strategy, ensuring that both State Operated Services and community-based programs have the resources they need to thrive.

Duties and Responsibilities (these duties are a general summary and not all inclusive):

  • Financial Stewardship & Fiscal Integrity: Beyond standard reporting, you will be responsible for the end-to-end management of the regional budget. This includes identifying complex funding trends, navigating the intricacies of "Purchase of Service" (POS) contracts, and exercising fiduciary oversight to ensure all expenditures align with statutory mandates and agency policy. In particular, you will support the distribution of appropriated DDS regional funds to the area offices, align regional contract staff to support the area's mission, advise on equity and fairness in area allocations all while ensuring budgets are managed and utilization and service delivery are maximized.
  • Operational, Personnel & Facility Management: You will serve as the strategic lead for all administrative infrastructure, including serving as the primary liaison for DCAMM and EOHHS facilities. You will ensure that regional offices and group homes remain compliant, fully equipped, and operational environments that support our mission. You will have primary responsibility for CW FTE and payroll management, and advise State Op Directors and the Regional Director on resources and challenges.
  • Systems Integration & Policy Alignment: You will act as the region's operational expert, staying at the forefront of regulatory directives and accreditation standards, particularly as they relate to program integrity and federal funds and benefits. You will lead the implementation of new policies and ensure that local practices are audited, reviewed, and optimized for maximum efficiency.
  • Statewide Influence: You will represent the Central West region in high-level statewide work groups, providing critical input on business practices, continuity of operations, and the rollout of major agency-wide implementations. We are looking for a leader who builds high-performing, resilient teams through active engagement and mentorship
  • Direct & Indirect Leadership: You will provide direct supervision and professional development for the Contracts, Business, Accounting and Maintenance teams. Furthermore, you will provide critical indirect oversight of H and Revenue Departments, ensuring cohesion across all support functions. 
  • Capacity Building: You are expected to be an active mentor. We look for a leader who facilitates the career advancement of their direct reports by providing timely, constructive feedback and creating clear pathways for professional growth.
  • Performance-Driven Culture: You will lead regular management meetings to ensure operations remain synchronized. You are responsible for establishing, measuring, and continuously reviewing quality and efficiency standards. Your role is to foster an environment where staff are motivated to meet and exceed established performance metrics. 
  • Conflict Resolution & Crisis Management: As a senior leader, you will be the point of escalation for complex operational and personnel issues. You will be expected to resolve deficits, address personnel-related hurdles, and respond to external data requests with both accuracy and professional agility.

Preferred Qualifications:

  • Financial Expertise: Proven ability to manage large-scale, high-dollar-value budgets and complex fiscal systems (such as MMARS, EIM, or FMIS) with absolute precision.
  • Exceptional Leadership: A demonstrated track record of managing and motivating multifaceted teams within a public sector or complex human services environment.
  • Strong Organizational Skills: The ability to navigate high-stakes environments, maintain strict regulatory compliance, and manage diverse administrative functions simultaneously.
  • Strategic Vision: Familiarity with modern management principles-including planning, organizing, directing, and complex decision-making-and a commitment to the mission of DDS.

Please Note:

This position is located in Springfield, MA

Schedule: Day shift

Days Off: Sunday/Saturday 

Flexibility required to meet the needs of the region.

About the Department of Developmental Services: 


The mission of the Department of Developmental Services (DDS) is to create innovative and genuine opportunities for individuals with intellectual and developmental disabilities including Autism Spectrum Disorder to participate fully and contribute meaningfully to their communities as valued members. DDS serves over 43,000 vulnerable individuals throughout their lifetimes, providing a spectrum of day, employment, and residential supports. The agency directly oversees and manages $3 billion in public funds ($2.7B operating budget) and approximately 5,500 staff, the largest state employee workforce of any agency in the Massachusetts executive branch of government.

For more information about our agency and programs visit: www.mass.gov/dds 

Pre-Hire Process:

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Record Law and may be published on the Commonwealth's website. 

  • Education, licensure, and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.

A criminal and tax history background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired.

Recommended candidates must successfully complete pre-employment screening which includes:

  • Disabled Persons Protection Commission (DPPC) Abuse Registry Search:  https://www.mass.gov/info-details/dppc-abuser-registry
  • Criminal background check (CORI) by regulations set forth by the Executive Office of Health and Human Services. http://www.mass.gov/hhs/cori
  • National Background Checks, Chapter 234 of the Acts of 2014, conduct fingerprint-based check. https://www.mass.gov/lists/dds-fingerprint-background-checks

ADA Reasonable Accommodation:

If you require a reasonable accommodation with the application/interview process, please contact us at: EOHHS Candidate ADA Requests

For technical help with MassCareers, including logging into your profile and/or resetting your password, please call the Employee Service Center at 617-979-8500 for assistance.

For questions regarding this requisition, please contact the Executive Office of Health and Human Services Human Resources at 1-800-510-4122 Ext. #4.

MINIMUM ENTRANCE REQUIREMENTS:

Applicants must have at least (A) six (6) years of full-time or, equivalent part-time, professional, administrative, supervisory, or managerial experience in business administration, business management, public administration, public management, clinical administration or clinical management of which (B) at least two (2) years must have been in a supervisory or managerial capacity or (C) any equivalent combination of the required experience and substitutions below.

Substitutions:

I. A certificate in a relevant or related field may be substituted for one (1) year of the required (A) experience.

II. A Bachelor's degree in a related field may be substituted for two (2) years of the required (A) experience.

III. A Graduate degree in a related field may be substituted for three (3) years of the required (A) experience.

IV. A Doctorate degree in a related field may be substituted for four (4) years of the required (A) experience.

Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.

Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!

An Equal Opportunity / Affirmative Action Employer.  Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law.  Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements.  We encourage individuals who believe they have the skills necessary to thrive to apply for this role.