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Program Integrity Director Jobs in Madison, WI (NOW HIRING)

Enterprise Fleet Director

Madison, WI ยท On-site +1

$100K - $127K/yr

... Integrity . Our values make it possible for us to fulfill our mission, with a set of shared ... Well Wisconsin Wellness Program - a free and confidential employee assistance program that offers ...

Meet budgetary requirements for the golf services program What We're Looking For * 2-3 years ... A high level of self-awareness, receptivity to change and integrity * Ability to work in extreme ...

Showing results 21-40

Program Integrity Director information

See Madison, WI salary details

$29.7K

$78.8K

$138K

How much do program integrity director jobs pay per year?

As of Aug 8, 2026, the average yearly pay for program integrity director in Madison, WI is $78,792.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,400.00 and $93,200.00 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 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 popular job titles related to Program Integrity Director jobs in Madison, WI? For Program Integrity Director jobs in Madison, WI, the most frequently searched job titles are:
What job categories do people searching Program Integrity Director jobs in Madison, WI look for? The top searched job categories for Program Integrity Director jobs in Madison, WI are:
What cities near Madison, WI are hiring for Program Integrity Director jobs? Cities near Madison, WI with the most Program Integrity Director job openings:
Infographic showing various Program Integrity Director job openings in Madison, WI as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, 1% Temporary, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $78,792 per year, or $37.9 per hour.

Director of Nursing

Pine View Care Center

Johnson Creek, WI โ€ข On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago


Job description

About Us

We are an established organization in the long term care, rehabilitation, and assisted living industries focused on improving the lives of those we serve in our communities. Dignity, respect and integrity are the core values of our dedicated team.

Summary

The Director of Nursing is responsible for the administration of the residential care facility to maintain standards of resident care, and advises the Administrator and Department Heads in substantial matters related to resident service. This position is responsible personally and/or through subordinate supervisors and personnel, for carrying out the organization’s objectives. Some of the essential duties are included below:

  • Developing and maintaining nursing policies and procedures that reflect current standards of nursing practice and facility philosophy of care consistent with state laws and regulations.
  • Establishing and implementing infection control program designed to provide a safe, sanitary and comfortable environment and to prevent the development and transmission of disease and infection.
  • Monitoring staff for compliance with OSHA mandates on workplace safety.
  • Monitoring the provision of care and services to residents on all shifts and evaluates regulatory compliance efforts through daily rounds to observe care on halls, to review records and to interview staff members, residents, families and other interested parties.
  • Actively participating in the long term care survey process by instructing staff in matters of conduct and disclosure, maintaining a presence at all times surveyors are on-site and directing the timely collection of information required by the survey team. Collaborating with Administrator to develop responses to survey reports as needed.
  • Conducting quality assessment and assurance activities, including regulatory compliance rounds to monitor performance and to continuously improve quality. Developing programs to gather and analyze data for trends and to institute actions to resolve problems promptly. Reports and makes recommendations to Quality Assessment and Assurance Committee.
  • Participating in the development of the department budget.
  • Developing staffing plans that assure sufficient staffing to meet direct care needs, recommends numbers and types of nursing personnel necessary to provide care and to maintain compliance with facility mission and federal and state requirements.
  • Ensuring 24 hour availability as nursing administration resource by providing on-call and telephone access or designating an alternative, qualified nursing staff member to do so.
  • Maintains current skills and knowledge through continuing education and applies information to job responsibilities.
  • Initiating studies to evaluate effectiveness of nursing services in relation to their objectives and costs.
  • Communicating with facility Administrator on a regular basis to discuss resident care, personnel and budget issues.
  • Assisting with medications such as I.V.s, calculated dosages, and PRN medications.
  • Auditing clinical records for accuracy and completeness of comprehensive resident assessments, effective documentation reflecting resident responses to interventions and consistent implementation of plans of care by all staff and professionals, on all shifts.
  • Participates in interdisciplinary conferences as needed to develop adequate plans of care.

Required Skills and Abilities:

  • Excellent interpersonal skills.
  • Ability to define problems, collect data, establish facts, and draw valid conclusions.
  • Strong presentation skills.
  • Excellent leadership skills.
  • Strong analytical and critical thinking skills.
  • Superior verbal and written communication skills.
  • Thorough understanding of policies and federal, state, and local employment laws and regulations applicable to long term care industry.

Education and Experience:

  • Four-year college or university program certificate from an accredited school of nursing preferred and two to four years’ related experience.
  • Registered nursing license in applicable state..

Our excellent benefit offerings helps makes us an employer of choice which include:

  • Medical, Dental, Vision, and Life Insurance
  • Supplemental benefits; Accident, Critical Illness and Short Term Disability
  • Generous 401k Employer Match
  • Tuition Reimbursement
  • Paid Time Off