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Program Integrity Director Jobs in Philadelphia, PA

Showing results 21-40

Program Integrity Director information

See Philadelphia, PA salary details

$29.8K

$78.9K

$138.2K

How much do program integrity director jobs pay per year?

As of Aug 16, 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 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 Philadelphia, PA?

For Program Integrity Director jobs in Philadelphia, PA, the most frequently searched job titles are:

What job categories do people searching Program Integrity Director jobs in Philadelphia, PA look for?

The top searched job categories for Program Integrity Director jobs in Philadelphia, PA are:

What cities near Philadelphia, PA are hiring for Program Integrity Director jobs?

Cities near Philadelphia, PA with the most Program Integrity Director job openings:

Infographic showing various Program Integrity Director job openings in Philadelphia, PA as of August 2026, with employment types broken down into 85% Full Time, and 15% Part Time. Highlights an 92% In-person, and 8% Remote job distribution, with an average salary of $78,906 per year, or $37.9 per hour.

Executive Director - Behavioral Health

Odyssey Behavioral Group

Exton, PA โ€ข On-site

$130 - $170/hr

Other

Medical, Dental, Vision, Life, Retirement

Posted 29 days ago


Job description

To meet an ever-expanding need for mental health and substance use disorder treatment services in the region, we are excited to announce our new location coming soon in Chester County, PA. The approach at our treatment centers is firmly rooted in individualized, person-centered care to help clients uncover the why behind their disorders and help them build foundational relationships that help answer the how in moving forward. Our comprehensive programs provide expert care tailored to each individualโ€™s recovery journey. We offer partial hospitalization (PHP) and intensive outpatient programs (IOP) led by psychiatric providers, licensed clinicians, and experienced professionals. Medication-assisted treatment (MAT) is also available at every level of care.

What We Offer
  • Collaborative environment dedicated to clinical excellence
  • Multiple Career Development Pathways
  • Company Supported Continuing Education & Certification
  • Multiple Health Plan Design Options Available
  • Flexible Dental & Vision Plan Options
  • 100% Company Paid EAP Emotional Well-Being Support
  • 100% Company Paid Critical Illness (with health enrollment plan)
  • 100% Company Paid Life & ADD
  • 401K with Company Match
  • Company-Sponsored HSA, FSA, & DSA Tax Savings Accounts
  • Generous Team Member Referral Program
  • Parental Leave
Position Summary

The Executive Director has overall responsibility for the clinical, fiscal, and operational success of a specialized behavioral healthcare treatment program. The Executive Director shall have overseer across multiple levels of care and is responsible for clinical quality and program integrity. Position coordinates day-to-day operations to achieve operational goals and provides clinical oversight, ensuring the delivery of clinically excellent, client centered care.

Relationships and Contacts

Within the organization: Reporting to the Group CEO, the Executive Director provides leadership to all staff located at Steps to Recovery Harrisburg and works collaboratively with network support team members and the governing body.

Outside the organization: Builds and maintains strong professional relationships with clinical and healthcare providers, community partners, vendors, and clients/families.

Position ResponsibilitiesEssential Responsibilities
  • Collaborates with the network support teams and the governing body to develop and implement clinical programs and operational objectives that promote program growth and respond to changes in the market.
  • Maintains accountability for creating a culture and environment that is focused on fulfilling operational objectives in alignment with the treatment programโ€™s mission, vision, and values.
  • Ensures achievement of business objectives through day-to-day operational, financial, clinical, and regulatory oversight.
  • Effectively manages resources to meet the needs of clients while maximizing resources and minimizing waste.
  • Promotes professional growth and development of staff throughout all levels of the facility, championing effective teamwork and critical thinking, recommending training and development plans, as appropriate.
  • Collaborates with clinical and operations leaders to ensure compliance with all licensures, accreditation, contracts, state, and federal laws.
  • Ensures the development, implementation, and enforcement of all policies and procedures, including patient rights.
  • Monitors and continuously improves clinical program quality through research and application of industry best practices.
  • Establishes a welcoming environment and strong culture of customer service throughout the program.
  • Promotes systems of communication and collaboration between Admissions, Business Development, Utilization Review, Finance, and Clinical teams.
  • Provides supervision to Clinical Directors, overseeing all aspects of clinical care from admission through discharge.
  • Reviews and approves admissions ensuring the admissions process is smooth, efficient, and customer focused.
  • Leads and promotes active communication with department leaders around all actual or potential problems or issues that could result in risk exposure or customer dissatisfaction.
  • Provides regular supervision for staff, and discusses challenges, successes, enhance effectiveness and efficiency of procedures and operation of the program.
  • Collaborates with leadership to ensure proper interpretation and fulfillment of position functions, responsibilities, authority, and relationships.
  • Balances team and individual responsibilities; exhibits objectivity and openness to othersโ€™ views; gives and welcomes feedback; puts team success over own interests.
  • Manages difficult or emotional customer service situations, responds promptly to the needs of clients, families, and referral partners, solicits feedback to improve service; responds to requests and meets commitments.
  • Communicates clearly and concisely with clients, families, referral partners, and all members of the interdisciplinary team.
  • Leads treatment team meetings and collaborates with UR team to ensure documentation meets standards necessary to meet clientโ€™s level of care.
  • Ensures compliance with all licensures, accreditations, contracts, state, and federal laws.
  • Leads and participates in PI initiatives, monitors, and reports on KPIs, adjusts operations accordingly to meet organizational objectives.
Additional Responsibilities
  • Functions within the guidelines of the facilityโ€™s Code of Ethics and in accordance with corporate compliance.
  • Reads, understands, adheres to, and models all company policy statements on ethics, conduct, and conflict of interests.
  • Maintains positive attitude and acts as a team player with others on the treatment team.
  • Attends and completes all training within assigned time frames as required by the facility.
  • Performs other duties as assigned.
QualificationsMinimum Requirements
  • Education: Masters Degree in Social Work, Counseling or similar field.
  • Experience: Minimum of 5 years of experience in a behavioral healthcare setting, preferably with clients with substance use disorder.
  • Licensure: Licensed in Clinical Social Work or professional counseling in Pennsylvania, strongly preferred.
  • Valid driverโ€™s license and acceptable driving record.
  • Clearance of criminal background, TB test, and any other mandatory state/federal requirements.
  • Current CPR and First Aid certification.
Additional Requirements
  • Position requires incumbent to have a valid driverโ€™s license and acceptable driving record.
  • Clearance of criminal background, TB test, and any other mandatory state/federal requirements.
  • Current CPR and First Aid certification.

STR Behavioral Health provides equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunity applies to all terms and conditions of employment. STR Behavioral Health reserves the rights to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains โ€œAt-Will.โ€

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