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Program Integrity Director Jobs in Reston, VA (NOW HIRING)

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Program Integrity Director information

See Reston, VA salary details

$30.7K

$81.4K

$142.5K

How much do program integrity director jobs pay per year?

As of May 29, 2026, the average yearly pay for program integrity director in Reston, VA is $81,351.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,100.00 and $96,200.00 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 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 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 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 cities near Reston, VA are hiring for Program Integrity Director jobs? Cities near Reston, VA with the most Program Integrity Director job openings:

Associate Director, U.S. Policy & Research (340B)

Bristol-Myers Squibb Company

Washington, DC โ€ข On-site

$182.07K - $220.63K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


Job description

Working with Us
Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every day, in every department. From optimizing a production line to the latest breakthroughs in cell therapy, this is work that transforms the lives of patients, and the careers of those who do it. You'll get the chance to grow and thrive through opportunities uncommon in scale and scope, alongside high-achieving teams. Take your career farther than you thought possible.
Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work and in their personal lives. Read more: careers.bms.com/working-with-us.
Position Summary
The Associate Director, 340B Policy, will support Bristol Myers Squibb's policy strategy related to the 340B Drug Pricing Program across federal and state levels. This role will monitor and analyze evolving 340B legislation, regulation, and policy reforms; assess implications for the business and for patient access; and help develop and execute advocacy and engagement strategies aligned with enterprise priorities.The Associate Director will collaborate closely with internal partners across U.S. Policy, Federal and State Government Affairs, Law, Commercial, and Market Access teams, and will play a key role in preparing policy analyses, position materials, legislative language, and advocacy tools to support BMS's engagement on 340B issues.This position requires strong policy acumen, the ability to translate complex policy developments into clear business insights, and a commitment to advancing policies that support patient access, transparency, and program integrity.
Key Responsibilities
  • Monitor, analyze, and interpret federal and state developments related to the 340B Drug Pricing Program, including legislation, regulatory proposals, litigation activity, and administrative guidance.
  • Assess the potential business, operational, and patient access implications of 340B-related policy and enforcement trends; develop summaries, insights, and recommendations for senior leaders.
  • Support development of BMS 340B policy positions, advocacy strategies, and engagement plans in partnership with Federal and State Government Affairs, Legal, Market Access, and other internal stakeholders.
  • Draft and contribute to policy materials including talking points, issue briefs, legislative concepts, comment letters, external-facing statements, and internal education materials.
  • Provide guidance to cross-functional colleagues on 340B-related policy risks and opportunities, ensuring consistent internal alignment and messaging.
  • Support engagement with federal and state policymakers, agencies, and trade associations to help shape discussions related to modernization, oversight, program integrity, and related reform proposals.
  • Track and assess interaction between 340B and broader federal and state health policy developments (e.g., Medicaid policy, pricing reforms, demonstration models).
  • Assist in developing tools and resources for federal and state advocacy teams to use in external engagement.
  • Represent BMS in policy forums, workgroups, and industry discussions as appropriate.
  • Support internal governance, coordination, and briefing processes related to 340B policy strategy.

Qualifications & Experience
  • Minimum 5-8 years of experience in health policy, government affairs, public payer strategy, or related field.
  • Direct experience with the 340B program strongly preferred, including familiarity with program structure, stakeholders, and historical reform efforts.
  • Understanding of Medicaid, Medicare, and broader U.S. health policy and reimbursement systems.
  • Strong analytical and strategic thinking skills, with the ability to synthesize complex policy issues into clear, actionable insights.
  • Excellent written and verbal communication skills, including experience preparing policy briefs, analyses, and advocacy materials.
  • Demonstrated ability to collaborate across cross-functional teams and engage constructively with external stakeholders such as policymakers, trade associations, coalitions, and consultants.
  • Bachelor's degree in public policy, political science, health economics, public administration, or a related field required; advanced degree preferred.
  • Commitment to advancing sustainable policy solutions that ensure patient access to innovative medicines.
  • Domestic travel up to ~20% as needed.

#LI-Hybrid
If you come across a role that intrigues you but doesn't perfectly line up with your resume, we encourage you to apply anyway. You could be one step away from work that will transform your life and career.
Compensation Overview:
Princeton - NJ - US: $182,070 - $220,626 Washington DC - US: $182,070 - $220,626
The starting compensation range(s) for this role are listed above for a full-time employee (FTE) basis. Additional incentive cash and stock opportunities (based on eligibility) may be available. The starting pay rate takes into account characteristics of the job, such as required skills, where the job is performed, the employee's work schedule, job-related knowledge, and experience. Final, individual compensation will be decided based on demonstrated experience.
Eligibility for specific benefits listed on our careers site may vary based on the job and location. For more on benefits, please visit https://careers.bms.com/life-at-bms/.
Benefit offerings are subject to the terms and conditions of the applicable plans in effect at the time and may require enrollment. Our benefits include:
  • Health Coverage: Medical, pharmacy, dental, and vision care.
  • Wellbeing Support: Programs such as BMS Well-Being Account, BMS Living Life Better, and Employee Assistance Programs (EAP).
  • Financial Well-being and Protection: 401(k) plan, short- and long-term disability, life insurance, accident insurance, supplemental health insurance, business travel protection, personal liability protection, identity theft benefit, legal support, and survivor support.

Work-life benefits include:
Paid Time Off
  • US Exempt Employees: flexible time off (unlimited, with manager approval, 11 paid national holidays (not applicable to employees in Phoenix, AZ, Puerto Rico or Rayzebio employees)
  • Phoenix, AZ, Puerto Rico and Rayzebio Exempt, Non-Exempt, Hourly Employees: 160 hours annual paid vacation for new hires with manager approval, 11 national holidays, and 3 optional holidays

Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.
All global employees full and part-time who are actively employed at and paid directly by BMS at the end of the calendar year are eligible to take advantage of the Global Shutdown.
*Eligibility Disclosure: The summer hours program is for United States (U.S.) office-based employees due to the unique nature of their work. Summer hours are generally not available for field sales and manufacturing operations and may also be limited for the capability centers. Employees in remote-by-design or lab-based roles may be eligible for summer hours, depending on the nature of their work, and should discuss eligibility with their manager. Employees covered under a collective bargaining agreement should consult that document to determine if they are eligible. Contractors, leased workers and other service providers are not eligible to participate in the program.
Uniquely Interesting Work, Life-changing Careers
With a single vision as inspiring as "Transforming patients' lives through scienceโ„ข ", every BMS employee plays an integral role in work that goes far beyond ordinary. Each of us is empowered to apply our individual talents and unique perspectives in a supportive culture, promoting global participation in clinical trials, while our shared values of passion, innovation, urgency, accountability, inclusion and integrity bring out the highest potential of each of our colleagues.
On-site Protocol
BMS has an occupancy structure that determines where an employee is required to conduct their work. This structure includes site-essential, site-by-design, field-based and remote-by-design jobs. The occupancy type that you are assigned is determined by the nature and responsibilities of your role:
Site-essential roles require 100% of shifts onsite at your assigned facility. Site-by-design roles may be eligible for a hybrid work model with at least 50% onsite at your assigned facility. For these roles, onsite presence is considered an essential job function and is critical to collaboration, innovation, productivity, and a positive Company culture. For field-based and remote-by-design roles the ability to physically travel to visit customers, patients or business partners and to attend meetings on behalf of BMS as directed is an essential job function.
Supporting People with Disabilities
BMS is dedicated to ensuring that people with disabilities can excel through a transparent recruitment process, reasonable workplace accommodations/adjustments and ongoing support in their roles. Applicants can request a reasonable workplace accommodation/adjustment prior to accepting a job offer. If you require reasonable accommodations/adjustments in completing this application, or in any part of the recruitment process, direct your inquiries to adastaffingsupport@bms.com. Visit careers.bms.com/eeo-accessibility to access our complete Equal Employment Opportunity statement.
Candidate Rights
BMS will consider for employment qualified applicants with arrest and conviction records, pursuant to applicable laws in your area.
If you live in or expect to work from Los Angeles County if hired for this position, please visit this page for important additional information: https://careers.bms.com/california-residents/
Data Protection
We will never request payments, financial information, or social security numbers during our application or recruitment process. Learn more about protecting yourself at https://careers.bms.com/fraud-protection.
Any data processed in connection with role applications will be treated in accordance with applicable data privacy policies and regulations.
If you believe that the job posting is missing information required by local law or incorrect in any way, please contact BMS at TAEnablement@bms.com. Please provide the Job Title and Requisition number so we can review. Communications related to your application should not be sent to this email and you will not receive a response. Inquiries related to the status of your application should be directed to Chat with Ripley.
R1599342 : Associate Director, U.S. Policy & Research (340B)