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Program Integrity Director Jobs in Philadelphia, PA

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Program Integrity Director information

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$29.8K

$78.9K

$138.2K

How much do program integrity director jobs pay per year?

As of Jun 11, 2026, the average yearly pay for program integrity director in Philadelphia, PA is $78,906.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,500.00 and $93,300.00 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.
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What cities near Philadelphia, PA are hiring for Program Integrity Director jobs? Cities near Philadelphia, PA with the most Program Integrity Director job openings:
Program Integrity Director jobs near you
Management Analyst III - Program Integrity Specialist

Management Analyst III - Program Integrity Specialist

Aroha Technologies

New Castle, DE • On-site

$28 - $30/hr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Job Tittle: Management Analyst III – Program Integrity Specialist Organization: State of Delaware – DSAMH Bureau/Unit: Executive Programs & Grant Administration (EPGA) Program: Statewide Opioid Response (SOR) Location: New Castle, DE (Hybrid – Springer Building) Pay Rate: $28.00 – $30.00 / Hour (W2) Employment Type: Temporary Contract (1 Year) Schedule: Monday – Friday | 1st Shift | 37.5 Hours/Week Position Summary The Program Integrity Specialist is a critical oversight role within the Statewide Opioid Response (SOR) grant program. You will be responsible for ensuring that all awarded providers and projects are operating with integrity, meeting contract deliverables, and adhering to strict grant requirements. This role combines analytical desk reviews with active field-based site visits to support project partners in overcoming implementation barriers and achieving successful outcomes.

Key Responsibilities Compliance Auditing: Conduct planned and ad-hoc program integrity reviews of awarded providers to ensure adherence to grant requirements and executed agreements. Performance Monitoring: Perform detailed desk reviews of programmatic data to verify accuracy, completeness, and timeliness. Field Inspections: Conduct both virtual and in-person site visits to programs across the state to assess implementation and progress.

Data Analysis: Review programmatic outcomes to identify progress, shortfalls, and specific technical assistance needs for partners. Fiscal Oversight: Support sub-grantee fiscal tracking and analysis for assigned projects in coordination with grant management and fiscal staff. Problem Solving: Partner with providers to troubleshoot implementation challenges and resolve barriers to project success.

Inter-Agency Coordination: Collaborate with programmatic and grant management staff to ensure the overall integrity of grant-funded initiatives. Candidate Requirements Minimum Qualifications (Must have experience in at least one of the following): Project Management: Proven ability to coordinate complex initiatives and stakeholders. Program Monitoring: Experience in auditing, compliance, or performance evaluation.

Grant Experience: Familiarity with grant-funded projects, reporting, or administration. Additional Skills & Requirements: Ability to interpret and analyze programmatic data outcomes. Excellent communication skills for professional reporting and statewide site visits.

Travel Required: Must have the ability to travel across the state for in-person program reviews. Must be able to work a hybrid schedule based out of New Castle, DE. How to Apply Interested candidates should submit an updated resume to: Yashika Jaint Direct: 510-400-6494 Email: Yashika@arohatechnologies.com Aroha Technologies Inc.

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