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Program Integrity Director Jobs in Rio Rancho, NM

Programs Director

Albuquerque, NM · On-site

$90 - $120/hr

The Director provides direct supervision of program leadership and staff, oversees federal grant performance, ensures data integrity and reporting accuracy, and leads continuous improvement efforts ...

... Program provides financial support to employees with health-related needs! (FT/PT) Our Mission: We Celebrate and Enhance All Lives with Kindness & Integrity Highlights of the Memory Care Director ...

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SENIOR PROGRAM MANAGER

Bernalillo, NM · On-site

$112K - $112K/yr

... Director, manages the day-to-day operation of the Senior Program. Plans, implements, and supervises senior nutrition and activities programs. Our philosophy is built on the principles of integrity ...

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Program Integrity Director information

See Rio Rancho, NM salary details

$27.7K

$73.6K

$128.9K

How much do program integrity director jobs pay per year?

As of Aug 13, 2026, the average yearly pay for program integrity director in Rio Rancho, NM is $73,551.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,900.00 and $87,000.00 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 Rio Rancho, NM look for? The top searched job categories for Program Integrity Director jobs in Rio Rancho, NM are:
What cities near Rio Rancho, NM are hiring for Program Integrity Director jobs? Cities near Rio Rancho, NM with the most Program Integrity Director job openings:

Programs Director

Groundworks New Mexico

Albuquerque, NM • On-site

$90 - $120/hr

Other

Posted 7 days ago


Job description

The Director of Programs serves as a member of the Executive and Senior Leadership Team and is responsible for the strategic oversight, quality, compliance, and performance of all programs and clinical services at Paws and Stripes.

Additional Areas of Responsibility:

This position ensures that programs are implemented with excellence, integrity, and fidelity to the organization’s mission, strategic plan, and trauma-informed model of care. The Director provides direct supervision of program leadership and staff, oversees federal grant performance, ensures data integrity and reporting accuracy, and leads continuous improvement efforts across service delivery systems.

Other Information/Requirements:

The Director of Programs will also oversee the development and implementation of a Medicare and Managed Care Organization (MCO) billing model to support long‑term revenue diversification and alignment with evolving healthcare funding systems.

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