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Program Integrity Director Jobs in North Port, FL

CERES

Director of Human Resources

Sarasota, FL · Hybrid

$190K - $240K/yr

... programs. * Partner with the leadership team on talent management, workforce planning ... discretion, and integrity. * Develop HR financial strategies by forecasting requirements ...

Collectibles Group

Director, Trade Shows

Sarasota, FL · On-site

$90 - $120/hr

Establish clear performance goals, training programs, and career development pathways. * Build a ... integrity of the hobby and empower confident buying and selling decisions. Since 1987, more than ...

FCCI Insurance Group

Director, Inland Marine

Sarasota, FL · On-site +1

$141K - $217K/yr

If you value loyalty, integrity, vision, excellence and service like we do, and you want a ... Recognition & Bonus Programs * Medical, Vision, Dental & Life Insurance * Employee Referral Bonus

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Showing results 21-40

All JobsProgram Integrity JobsProgram Integrity Director JobsProgram Integrity Director Jobs in North Port, FL

Program Integrity Director information

See North Port, FL salary details

$27.1K

$72K

$126.1K

How much do program integrity director jobs pay per year?

As of Aug 15, 2026, the average yearly pay for program integrity director in North Port, FL is $71,958.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,800.00 and $85,100.00 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 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 job categories do people searching Program Integrity Director jobs in North Port, FL look for?

The top searched job categories for Program Integrity Director jobs in North Port, FL are:

What cities near North Port, FL are hiring for Program Integrity Director jobs?

Cities near North Port, FL with the most Program Integrity Director job openings:

Program Integrity Director jobs near you
Infographic showing various Program Integrity Director job openings in North Port, FL 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 $71,958 per year, or $34.6 per hour.

Vice President, Medical Director

Zenith Insurance Company

Sarasota, FL • On-site

$270K - $330K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 6 days ago

Job description

Introduction
Zenith is a team of Workers' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. To distinguish ourselves as the desired provider of Workers' Compensation Insurance, values such as collaboration, work-life balance, and integrity are placed at the center of all our operations. In addition, Zenith supports career advancement through a dedication to ongoing learning and development. An individual coming to Zenith will not only receive competitive compensation and a comprehensive benefits package, but continuous opportunities to grow as a professional.
Overview
This role is eligible for either a hybrid work schedule at any Zenith office outside of California or otherwise can sit remotely.
The Vice President, Medical Director serves as the clinical leader for the non-California offices and provides strategic oversight of medical management activities supporting workers' compensation claims operations in conjunction with the California Medical Director and other leaders. The role partners closely with Claims, Underwriting, Safety & Health, Legal, and Executive Leadership to improve the quality and cost of injured worker outcomes, manage medical severity, support evidence-based treatment decisions, and strengthen claim performance. Responsible for strategic clinical relationships with medical providers and facilities in order to drive quality, appropriate and necessary care for injured workers.
This position is heavily focused on occupational medicine and complex injury management, including catastrophic losses. The incumbent provides expert consultation on complex claims, emerging medical trends, treatment protocols, provider management strategies, and regulatory matters.
Responsibilities
Clinical Leadership
  • Serve as a medical authority on occupational injuries and workers' compensation medical management.
  • In conjunction with medical management peers, help establish and maintain evidence-based clinical guidance for treatment, recovery expectations, return-to-work planning, and disability duration management.
  • Provide medical oversight and consultation on complex, severe, and catastrophic claims.
  • Review and assess treatment plans, surgical recommendations, impairment ratings, causation questions, and medical necessity determinations.
  • Support resolution of disputed medical issues and provide expert clinical opinions as needed.
Claims Management
  • Provide direct consultation on a variety of claims, including complex/catastrophic claims, occupational disease exposures, and fatalities.
  • Attend claims staffings, roundtables and large loss review to provide medical perspective to claims management, discuss appropriateness of medical treatment and protocol, and provide prognosis to determine medical resources needed going forward.
  • Partner with claims leadership to develop medical management strategies on high-severity losses.
  • Evaluate long-term care projections, life care plans, Medicare Set-Asides, and future medical exposure estimates.
Medical Strategy and Outcomes
  • Develop clinical programs designed to improve recovery outcomes and reduce disability durations where clinically appropriate.
  • Promote early intervention strategies that support safe and sustainable return-to-work outcomes.
  • Analyze medical trends and treatment patterns to identify opportunities for improved outcomes and medical cost management.
  • Provide recommendations regarding emerging treatment protocols, pharmaceuticals, medical technologies, and healthcare delivery models.
Provider Network and Vendor Oversight
  • Collaborate with utilization review, claims management, network management and bill review partners.
  • Evaluate provider performance and treatment outcomes based on identified standards, metrics, and file review.
  • Support development of occupational health, specialty physician, and catastrophic injury provider networks. Consult with network development in the identification, recruitment, contracting and credentialing and monitoring of providers.
  • Serve as senior sponsor for strategic medical vendor relationships.
Leadership and Talent Development
  • Lead and develop certain members of the Medical Management team, to include clinical staff, medical consultants, and related professionals as applicable.
  • Foster a culture of collaboration, innovation, accountability, and continuous improvement.
  • Mentor claims and operational leaders on medical trends, catastrophic injury management, and clinical best practices.

Education
  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) required.
  • Board Certification in Occupational Medicine strongly preferred.
  • Additional certification in Physical Medicine & Rehabilitation, Emergency Medicine, Orthopedic Surgery, Neurology, Trauma Surgery, or related specialty considered advantageous.

Work Experience
  • Minimum 10 years of clinical experience, including at least 7 years focused on occupational injuries and workers' compensation.
  • Significant experience managing catastrophic injuries and complex disability cases.
  • Demonstrated leadership experience within an insurance carrier, managed care organization, healthcare system, TPA, or large self-insured employer.

Knowledge, Skills, and Abilities
  • Deep expertise in workers' compensation medical management, catastrophic injury treatment protocols, disability management, return-to-work strategies, impairment ratings, and life care planning.
  • Ability to translate complex medical information into actionable business recommendations.
  • Exceptional communication, influencing, analytical, and executive presentation skills.
  • Ability to define problems, collect data, and draw valid conclusions.
  • Excellent communication skills including the ability to read, analyze and interpret technical data, financial reports, and legal documents.
  • Communicate effectively with a variety of customers including providers, members of the business community, clinical staff, and regulatory agencies.

Pay, Benefits, and Other Information
The expected salary range for this position is $270,000 - $330,000. Actual pay will be adjusted based on experience, geographic location, and other job-related factors as permitted by law. Qualifications may warrant placement in a different job level.
Benefits
  • Medical, Dental and Vision Insurance
  • Flexible Spending Accounts
  • Paid Parental Leave
  • Life, AD&D and Disability Insurance
  • 401(k), Employee Share Purchase Plan (ESPP)
  • Education and Training Reimbursement
  • 10 paid Company Holidays, 2 Personal Days, 2 Floating Holidays
  • Employee Assistance Program (EAP)
  • For more information, review details on the Benefits page of our Career Site: https://www.thezenith.com/careers/benefits/

Zenith typically posts jobs for a minimum of 8 to 14 calendar days. If you are interested in any of our open positions, we encourage you to submit your application promptly.
Zenith Insurance Company is an equal opportunity employer and considers all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristic. In compliance with California law, we are committed to fair hiring practices. Pursuant to the California Fair Chance Act (AB 1008), we will consider qualified applicants with criminal histories in a manner consistent with the law. Additionally, in accordance with the Los Angeles Fair Chance Initiative for Hiring Ordinance, we will not inquire about an applicant's criminal history until after a conditional offer of employment has been made.
If you are a qualified individual with a disability or a disabled veteran and need assistance accessing our career center or applying for a position due to your disability, you are entitled to request an accommodation. To make a request, please contact a Human resources representative at Zenith Insurance Company.
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