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Program Integrity Director Jobs in Simsbury, CT (NOW HIRING)

Assistant Director of Nursing

East Longmeadow, MA · On-site

$112K - $125K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Along with the Director of Nursing, promote positive employee relations, strong customer service ... Ensure Integrity of educational programs offered within the facility. * Staff Development

Assistant Director of Nursing

East Longmeadow, MA

$112K - $125K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Along with the Director of Nursing, promote positive employee relations, strong customer service ... Ensure Integrity of educational programs offered within the facility. * Staff Development

Assistant Director of Nursing

East Longmeadow, MA · On-site

$112K - $125K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Along with the Director of Nursing, promote positive employee relations, strong customer service ... Ensure Integrity of educational programs offered within the facility. * Staff Development

Help develop, implement, and participate in training and development programs. * Manage ... Ethics and Integrity, Respect for the Individual, Inclusion, Teamwork, and Social Responsibility.

Operations Director

Southington, CT · On-site

$190 - $225/hr

Help develop, implement, and participate in training and development programs. * Manage ... Ethics and Integrity, Respect for the Individual, Inclusion, Teamwork, and Social Responsibility.

Director of Technology

Hartford, CT · On-site

$125K - $160K/yr

  • Medical

  • Dental

  • Life

  • PTO

We are looking for talent that will p romote and adhere to the core values (People, Integrity ... Project & Program Management • Direct multi-phase, multi-year enterprise deployments (fiber, head ...

Leverage KPIs to measure the effectiveness of marketing strategies and programs. Required ... Integrity - embodying the core values of the Zygo Navitar Brand and our global community.

Showing results 41-60

Program Integrity Director information

See Simsbury, CT salary details

$29.9K

$79.3K

$139K

How much do program integrity director jobs pay per year?

As of Aug 14, 2026, the average yearly pay for program integrity director in Simsbury, CT is $79,338.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,800.00 and $93,900.00 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 Simsbury, CT look for?

The top searched job categories for Program Integrity Director jobs in Simsbury, CT are:

What cities near Simsbury, CT are hiring for Program Integrity Director jobs?

Cities near Simsbury, CT with the most Program Integrity Director job openings:

Director, Quality & Performance Improvement

Baystate Health

Springfield, MA • On-site

Full-time

Re-posted 25 days ago


Baystate Health rating

6.3

Company rating: 6.3 out of 10

Based on 142 frontline employees who took The Breakroom Quiz

670th of 887 rated healthcare providers


Job description

Baystate Health, a nationally recognized leader in healthcare quality and safety, is seeking a strategic and analytically driven Director of Quality & Performance Improvement to shape and lead system-wide quality reporting, performance measurement, and improvement initiatives in Springfield, MA.
This is a high-impact leadership role for a candidate who thrives at the intersection of data, clinical quality, and operational excellence-and who is passionate about turning insights into measurable improvements in patient care.
RESPONSIBILITIES: Reporting to the Vice President, Quality & Safety, The Director of Quality & Performance Improvement serves as a system leader responsible for building and sustaining a high-performing quality infrastructure. In close partnership with Patient Safety leadership, you will align quality performance, safety priorities, and regulatory requirements to drive meaningful, sustainable outcomes across the organization.
Drive System-Wide Quality Strategy & Analytics
  • Lead the design and execution of system-wide quality reporting, including internal and external metrics (CMS, Joint Commission, DPH, Leapfrog, payer programs)
  • Ensure the integrity, accuracy, and timeliness of clinical quality data and submissions
  • Oversee dashboards, scorecards, and performance tools that promote transparency and informed decision-making
  • Translate complex data into actionable insights to identify trends, variation, and improvement opportunities
  • Partner with informatics and analytics teams to strengthen data infrastructure and reporting capabilities

Lead Performance Improvement at Scale
  • Direct system-wide performance improvement initiatives aligned with strategic and regulatory priorities
  • Standardize and deploy evidence-based methodologies (PDSA, FMEA, Lean principles, change management)
  • Facilitate interdisciplinary efforts to address high-risk or underperforming areas and ensure measurable, sustained results
  • Establish accountability through milestone tracking, performance monitoring, and risk escalation

Advance Systems Thinking & Reduce Variation
  • Identify unwarranted variation through benchmarking and data analysis
  • Collaborate with operational leaders to redesign workflows, processes, and care models
  • Promote scalable, system-level solutions that address root causes and improve reliability and outcomes

Ensure Regulatory Alignment & Survey Readiness
  • Align quality performance metrics with CMS, Joint Commission, DPH, and payer program requirements
  • Partner with Patient Safety leadership to integrate performance data with safety events, RCA findings, and risk mitigation strategies
  • Support survey readiness by ensuring data, documentation, and outcomes demonstrate sustained compliance
  • Interpret regulatory requirements and translate them into actionable performance strategies

Champion High Reliability & Culture of Accountability
  • Advance High Reliability Organization (HRO) principles through data transparency and standard work
  • Reinforce a Just Culture by using data to drive improvement-not punitive action
  • Empower leaders to use performance data to engage teams and sustain results
  • Foster a culture of continuous learning by connecting data, outcomes, and improvement efforts

Oversee Patient Safety Event Reporting System
  • Provide administrative and strategic oversight of the Safety Reporting System (SRS)
  • Ensure optimal system configuration, data integrity, and effective event analysis
  • Leverage benchmarking to identify trends and inform improvement priorities
  • Integrate safety event data with quality, patient experience, and nursing-sensitive outcomes

Build & Develop High-Performing Teams
  • Lead and develop a team of analysts, quality specialists, and performance improvement professionals
  • Strengthen organizational capability in data literacy and improvement science
  • Establish competencies in quality measurement, analytics, and performance improvement methodologies
  • Align workforce planning with evolving organizational priorities

SCHEDULE:
  • Full-time

LOCATION:
  • 759 Chestnut St- Springfield, MA
  • Requires travel to Greenfield, Westfield, and Palmer

QUALIFICATIONS:
  • Master's Degree (MPH, MHA, MBA, or related field), required
  • Clinical or healthcare-related degree, preferred
  • CPHQ or equivalent certification in healthcare quality/performance improvement
  • 5+ years of progressive leadership experience in healthcare quality, analytics, or performance improvement
  • Deep knowledge of CMS, Joint Commission, and payer-based quality programs
  • Proven success leading large-scale, data-driven improvement initiatives
  • Strong analytical, strategic thinking, and change management skills
  • Ability to influence and collaborate across clinical and operational leadership

Education:
Masters Degree (Required)
Certifications:
Healthcare Quality or Performance Improvement - CPHQ
Compensation
Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.
Minimum - Midpoint - Maximum
$158,371.00 - $182,041.00 - $215,342.00
Equal Employment Opportunity Employer
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

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