... payer programs) * Ensure the integrity, accuracy, and timeliness of clinical quality data and ... Direct system-wide performance improvement initiatives aligned with strategic and regulatory ...
... payer programs) * Ensure the integrity, accuracy, and timeliness of clinical quality data and ... Direct system-wide performance improvement initiatives aligned with strategic and regulatory ...
... payer programs) * Ensure the integrity, accuracy, and timeliness of clinical quality data and ... Direct system-wide performance improvement initiatives aligned with strategic and regulatory ...
... payer programs) * Ensure the integrity, accuracy, and timeliness of clinical quality data and ... Direct system-wide performance improvement initiatives aligned with strategic and regulatory ...
Membership Director
East Longmeadow, MA · On-site
$50K - $80K/yr
Medical
Dental
Retirement
Ensuring the integrity of the Center and the guest experience from community/corporate outreach ... Reward and Recognition Programs * Fitness Center Membership * Employees benefit from our ...
Membership Director
East Longmeadow, MA · On-site
$50K - $80K/yr
Medical
Dental
Retirement
Ensuring the integrity of the Center and the guest experience from community/corporate outreach ... Reward and Recognition Programs * Fitness Center Membership * Employees benefit from our ...
... integrity • Lead the transition of Confirmation preparation from a high school-based program to a ... directing coordinators to engage parents not merely as logistics partners but as active co ...
... integrity • Lead the transition of Confirmation preparation from a high school-based program to a ... directing coordinators to engage parents not merely as logistics partners but as active co ...
Champions compliant reimbursement, ethical revenue integrity practices, and continuous improvement ... program designed to ensure work/life balance. Every moment matters. And this is your moment
Champions compliant reimbursement, ethical revenue integrity practices, and continuous improvement ... program designed to ensure work/life balance. Every moment matters. And this is your moment
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 · 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
$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
$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
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
RN Director of Nursing
$120K - $200K/yr
Implement and interpret the programs, goals, objectives, policies, and procedures of the department ... Displays integrity and professionalism by adhering to company Code of Conduct and completes ...
Quick apply
RN Director of Nursing
$120K - $200K/yr
Implement and interpret the programs, goals, objectives, policies, and procedures of the department ... Displays integrity and professionalism by adhering to company Code of Conduct and completes ...
Operations Director
Southington, CT · On-site
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
Help develop, implement, and participate in training and development programs. * Manage ... Ethics and Integrity, Respect for the Individual, Inclusion, Teamwork, and Social Responsibility.
Associate Director Alumni Career Engagement
Hartford, CT · On-site
$52K - $66K/yr
Ensures that staff collaboratively support the programs and strategies of each of the Alumni ... integrity to provide professional leadership during emergencies. * Complies with all Trinity ...
Associate Director Alumni Career Engagement
Hartford, CT · On-site
$52K - $66K/yr
Ensures that staff collaboratively support the programs and strategies of each of the Alumni ... integrity to provide professional leadership during emergencies. * Complies with all Trinity ...
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.
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
Project & Program Management * Direct multi-phase, multi-year enterprise deployments (fiber, head ... We are looking for talent that will p romote and adhere to the core values (People, Integrity ...
Quick apply
Director of Technology
Hartford, CT · On-site
Project & Program Management * Direct multi-phase, multi-year enterprise deployments (fiber, head ... We are looking for talent that will p romote and adhere to the core values (People, Integrity ...
Assistant Director Student Wellness Services
Hartford, CT · On-site
$56K - $70K/yr
Most notably, Trinity is in year two of the four-year JED Campus Program, and the Assistant ... integrity to provide professional leadership during emergencies. * Actively participates in ...
Assistant Director Student Wellness Services
Hartford, CT · On-site
$56K - $70K/yr
Most notably, Trinity is in year two of the four-year JED Campus Program, and the Assistant ... integrity to provide professional leadership during emergencies. * Actively participates in ...
Director, Patient Safety
Springfield, MA · On-site
Lead Patient Safety Programs & Event Management * Oversee the Safety Reporting System (SRS ... Ensure integrity, accuracy, and timeliness of all quality and safety data submissions Enhance ...
Director, Patient Safety
Springfield, MA · On-site
Lead Patient Safety Programs & Event Management * Oversee the Safety Reporting System (SRS ... Ensure integrity, accuracy, and timeliness of all quality and safety data submissions Enhance ...
Director, Patient Safety
Springfield, MA · On-site
Lead Patient Safety Programs & Event Management * Oversee the Safety Reporting System (SRS ... Ensure integrity, accuracy, and timeliness of all quality and safety data submissions Enhance ...
Director, Patient Safety
Springfield, MA · On-site
Lead Patient Safety Programs & Event Management * Oversee the Safety Reporting System (SRS ... Ensure integrity, accuracy, and timeliness of all quality and safety data submissions Enhance ...
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 ...
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 ...
System Medical Director Cardiac Imaging Integration
Hartford, CT · On-site
$250 - $300/hr
Identifies, develops, plans, and actualizes opportunities for program growth and innovation for ... access and integrity of life. * Demonstrates systems thinking by recognizing, responding and ...
System Medical Director Cardiac Imaging Integration
Hartford, CT · On-site
$250 - $300/hr
Identifies, develops, plans, and actualizes opportunities for program growth and innovation for ... access and integrity of life. * Demonstrates systems thinking by recognizing, responding and ...
Clinical Operations Director (BCBA)
East Granby, CT · On-site
$93K - $100K/hr
Medical
Dental
Vision
Retirement
PTO
... clinical integrity of the applied behavior therapy guidelines. Benefits of working at InBloom At ... Retirement Planning : 401(k) program with up to 6% company match * Professional Development : CEU ...
New
Clinical Operations Director (BCBA)
East Granby, CT · On-site
$93K - $100K/hr
Medical
Dental
Vision
Retirement
PTO
... clinical integrity of the applied behavior therapy guidelines. Benefits of working at InBloom At ... Retirement Planning : 401(k) program with up to 6% company match * Professional Development : CEU ...
New
Director, Global Marketing
Middlefield, CT · On-site
Retirement
PTO
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.
Director, Global Marketing
Middlefield, CT · On-site
Retirement
PTO
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.
Program Integrity Director information
See Simsbury, CT salary details
$29.9K - $39.8K
5% of jobs
$39.8K - $49.8K
13% of jobs
$53.5K is the 25th percentile. Wages below this are outliers.
$49.8K - $59.7K
19% of jobs
The median wage is $68.5K / yr.
$59.7K - $69.6K
15% of jobs
$69.6K - $79.5K
11% of jobs
$88.9K is the 75th percentile. Wages above this are outliers.
$79.5K - $89.4K
14% of jobs
$89.4K - $99.3K
9% of jobs
$99.3K - $109.3K
5% of jobs
$109.3K - $119.2K
2% of jobs
$119.2K - $129.1K
2% of jobs
$129.1K - $139K
5% of jobs
$29.9K
$79.3K
$139K
How much do program integrity director jobs pay per year?
What are the key skills and qualifications needed to thrive as a program integrity director, and why are they important?
What is the difference between Program Integrity Director vs Claims Manager?
| Aspect | Program Integrity Director | Claims Manager |
|---|---|---|
| Required Credentials | Bachelor's degree, certifications in healthcare compliance or auditing | Bachelor's degree, experience in claims processing or insurance |
| Work Environment | Healthcare or insurance organizations, compliance departments | Insurance companies, healthcare payers, claims processing units |
| Employer & Industry Usage | Used in healthcare, government programs, insurance sectors | Primarily 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?
What are some typical challenges faced by a program integrity director, and how can they be addressed?
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:
Full-time
Re-posted 25 days ago
Baystate Health rating
6.3
Based on 142 frontline employees who took The Breakroom Quiz
670th of 887 rated healthcare providers
Job description
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.
What Baystate Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom