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Program Integrity Director Jobs in Pascoag, RI (NOW HIRING)

Bcbsri

Director Payment Integrity

Providence, RI · On-site +1

$116K - $187K/yr

Oversee and direct programs that create a strong Payment Integrity program by developing/enhancing exiting vendor relationships and seeking new vendor relationships in alignment with the corporate ...

AMEGO INC

Clinical Case Coordinator

Franklin, MA

$53K - $61K/yr

Monitoring program integrity and student progress * Coaching and training direct care staff through modeling, feedback, and hands-on support * Leading therapeutic group activities that build ...

Amego Inc.

Clinical Case Coordinator

Franklin, MA · On-site

$53K - $61K/yr

Monitoring program integrity and student progress * Coaching and training direct care staff through modeling, feedback, and hands-on support * Leading therapeutic group activities that build ...

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All JobsProgram Integrity JobsProgram Integrity Director JobsProgram Integrity Director Jobs in Pascoag, RI

Program Integrity Director information

See Pascoag, RI salary details

$32.3K

$85.7K

$150.1K

How much do program integrity director jobs pay per year?

As of Aug 10, 2026, the average yearly pay for program integrity director in Pascoag, RI is $85,698.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,100.00 and $101,400.00 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 cities near Pascoag, RI are hiring for Program Integrity Director jobs? Cities near Pascoag, RI with the most Program Integrity Director job openings:
Program Integrity Director jobs near you
Infographic showing various Program Integrity Director job openings in Pascoag, RI as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, 1% Temporary, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $85,698 per year, or $41.2 per hour.

Project Manager of Integrity & Operations

The Arc of Bristol County dba proAbility

Attleboro, MA • On-site

$75K - $82K/yr

Full-time

Posted 3 days ago

New

Job description

Job ID # - 828
Position: Program Manager of Integrity amp; Operations
Department: Administrative
Schedule: Full-Time, 40 hours per week
Pay Rate: $75,000-$82,500 annually
General Description:
The Project Manager will serve as a temporary organizational leader responsible for strengthening program integrity, regulatory compliance, operational effectiveness, and quality outcomes within programs funded by MassHealth and/or the Department of Developmental Services (DDS). The position will focus on one program or department at a time, conducting a comprehensive review of current operations, developing improvement strategies, implementing sustainable solutions, and ensuring measurable outcomes before transitioning to the next identified program. Upon successful completion of organizational objectives, the role is anticipated to evolve into a Director-level position.
Minimum Qualifications:
  • Bachelor’s degree preferred, willing to consider equivalent work experience.
  • 5+ years of leadership in DDS and MassHealth service models.
  • Strong knowledge of DDS and MassHealth services.
  • Experience leading organizational change and quality improvement initiatives.
  • Expertise in compliance, program operations, and regulatory requirements.
  • Strong leadership, project management, and relationship-building skills.
Job Responsibilities:
  • Conduct comprehensive reviews of individual programs, including operations, staffing, compliance, documentation, quality indicators, and financial performance.
  • Identify strengths, risks, gaps, and opportunities for improvement.
  • Ensure adherence to DDS regulation, MassHealth requirements, CARF accreditation licensing standards and organizational policies.
  • Develop and monitor corrective action plans when deficiencies are identified.
  • Analyze workflows, staffing models, communication systems, and operational procedures.
  • Implement best practices to improve efficiency, consistency, and service quality.
  • Lead improvement initiatives through collaboration, coaching, and training.
  • Provide regular progress reports to executive leadership.
Transition to Director Level Position:
  • Agency-wide quality assurance and compliance oversight.
  • Strategic planning and operational excellence initiatives.
  • DDS and MassHealth regulatory monitoring.
  • Organizational risk management..
  • Leadership development and succession planning.
If you are passionate about making a difference in the lives of individuals with disabilities, we invite you to apply today and join our dedicated team at The Arc of Bristol County!
Employment compliance with the Americans with Disabilities Act:
The physical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee is regularly required to use hands in order to handle or feel objects, tools, and controls; reach with hands or arms, stoop, kneel, talk, and hear. The employee is required to stand, walk, sit, and occasionally be required to lift/transfer up to 50/70 lbs. alone or occasionally up to 200lbs with the assistance of other staff. Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

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