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Program Integrity Director Jobs in Riverside, CA

allianthcm

Wrap-Up Program Administrator

Irvine, CA

SUMMARY Responsible for managing several OCIP and CCIP wrap-up programs varying in size from small ... directed by Producer; Complies with agency management system data standards and data integrity ...

Albertsons

Safety Director

Riverside, CA · On-site

$131K - $183K/yr

ENSURING PROGRAM AND REGULATORY COMPLIANCE WHILE DRIVING A CULTURE OF SAFETY EXCELLENCE AND PUTTING ... Review data integrity and identify, communicate, and participate in the development of solutions ...

brailleinstitute

Director of Development

Anaheim, CA · On-site +1

$110K - $125K/yr

The Director maintains high standards of data integrity, oversees regional dashboards and ... As a director, this role must maintain knowledge of Braille Institute of America programs and ...

Braille Institute

Director of Development

Anaheim, CA · On-site

$110K - $125K/yr

... transformation of current programs and services; the development of new nationally and ... The Director maintains high standards of data integrity, oversees regional dashboards and ...

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All JobsProgram Integrity JobsProgram Integrity Director JobsProgram Integrity Director Jobs in Riverside, CA

Program Integrity Director information

See Riverside, CA salary details

$30.8K

$81.6K

$142.9K

How much do program integrity director jobs pay per year?

As of Jul 13, 2026, the average yearly pay for program integrity director in Riverside, CA is $81,579.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,300.00 and $96,500.00 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.
What are popular job titles related to Program Integrity Director jobs in Riverside, CA? For Program Integrity Director jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Program Integrity Director jobs in Riverside, CA look for? The top searched job categories for Program Integrity Director jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Program Integrity Director jobs? Cities near Riverside, CA with the most Program Integrity Director job openings:
Program Integrity Director jobs near you

Wrap-Up Program Administrator

allianthcm

Irvine, CA

Other

Re-posted 12 days ago

Job description


SUMMARY


Responsible for managing several OCIP and CCIP wrap-up programs varying in size from small to large.  The position requires account management and sales support skills, client relationship management, and occasional interface with the insurance market relationships on existing accounts.  This position also requires superior computer skill and ability.

This opportunity falls under our Alliant Specialty division.
 

ESSENTIAL DUTIES AND RESPONSIBILITIES


Provides administrative support to an assigned group of clients, which includes Wrap-Up accounts;


Supports Producer in developing new business opportunities for existing clients and prospects;


Initiates renewal process for existing clients, and discusses and creates renewal strategy with Producer;


Analyzes and compares current exposures and develops renewal or new business specifications for marketing;


Reviews and summarizes marketing results and prepares proposals;


Provides assistance with pre-meetings, WrapX software, contractor interfaces, and contractor credit negotiations;


Resolves customer service inquiries that require research and interactions with carriers or agents;


Conducts marketing, negotiates rates, reviews quotes and coverage’s for competitiveness and accuracy;


Finalizes proposals and presentations in coordination with Producer;


Prepares renewals and client information presentations and assists in preparing Request for Proposal (RFP) responses;


Meets with clients as needed or directed by Producer;


Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information);


Other duties as assigned.


 

QUALIFICATIONS
EDUCATION / EXPERIENCE


Associates degree or equivalent combination of education and experience


Four (4) or more years related work experience


Valid Insurance license


Must continue to meet Continuing Education requirements for license renewal


SKILLS


Excellent verbal and written communication skills


Advanced planning, organizational and prioritization skills


Ability to work within a team and to foster teamwork


Excellent customer services skills, including telephone and listening skills


Proficient in Microsoft Office Suite



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