ZipRecruiter

Log In

1

Program Integrity Director Jobs in Timonium, MD (NOW HIRING)

Devoted Health

Director, Payment Integrity

Nottingham, MD · On-site +1

$182K - $217K/yr

The Director of Payment Integrity will be a subject matter expert (SME) for clinical, coding, and ... Executive Liaison & Program Advocacy: Serve as the primary Subject Matter Expert (SME) for payment ...

GDR Defense

Program Director

Baltimore, MD · On-site

Join us to make a difference, advance your career, and grow with a company that values integrity, diversity, and continuous improvement. Job Title: Program Director Agency: City of Baltimore Location:

GDR Defense

Deputy Program Director

Baltimore, MD · On-site

$115K/yr

Join us to make a difference, advance your career, and grow with a company that values integrity, diversity, and continuous improvement. Job Title: Deputy Program Director Agency: City of Baltimore ...

Peraton

Deputy Program Director

Windsor Mill, MD · On-site

$135K - $216K/yr

Responsibilities About The Role The Defense Mission and Health Solutions team, Benefits, Claims & Integrity Solutions Operating Unit seeks a Deputy Program Director to support our Health and Human ...

New

Peraton

Deputy Program Director

Windsor Mill, MD · On-site

$135K - $216K/yr

Responsibilities About The Role The Defense Mission and Health Solutions team, Benefits, Claims & Integrity Solutions Operating Unit seeks a Deputy Program Director to support our Health and Human ...

New

Peraton

Deputy Program Director

Windsor Mill, MD · On-site

$135K - $216K/yr

Responsibilities About The Role The Defense Mission and Health Solutions team, Benefits, Claims & Integrity Solutions Operating Unit seeks a Deputy Program Director to support our Health and Human ...

New

Peraton

Senior Program Director

Windsor Mill, MD · On-site

$176K - $282K/yr

Responsibilities The Defense Mission and Health Solutions team, Benefits, Claims & Integrity Solutions Operating Unit seeks a Senior Program Director to support our Health and Human Services (HHS ...

Peraton

Senior Program Director

Windsor Mill, MD

$176K - $282K/yr

Responsibilities The Defense Mission and Health Solutions team, Benefits, Claims & Integrity Solutions Operating Unit seeks a Senior Program Director to support our Health and Human Services (HHS ...

Peraton

Senior Program Director

Windsor Mill, MD · On-site

$176K - $282K/yr

Responsibilities The Defense Mission and Health Solutions team, Benefits, Claims & Integrity Solutions Operating Unit seeks a Senior Program Director to support our Health and Human Services (HHS ...

next page

Showing results 1-20

All JobsProgram Integrity Director JobsProgram Integrity Director Jobs in Timonium, MD

Program Integrity Director information

See Timonium, MD salary details

$28.3K

$75.1K

$131.6K

How much do program integrity director jobs pay per year?

As of Jun 19, 2026, the average yearly pay for program integrity director in Timonium, MD is $75,136.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,900.00 and $88,900.00 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 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 job categories do people searching Program Integrity Director jobs in Timonium, MD look for? The top searched job categories for Program Integrity Director jobs in Timonium, MD are:
What cities near Timonium, MD are hiring for Program Integrity Director jobs? Cities near Timonium, MD with the most Program Integrity Director job openings:
Program Integrity Director jobs near you
Director, Payment Integrity

Director, Payment Integrity

Devoted Health

Nottingham, MD • On-site, Remote

$182K - $217K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Devoted Health rating

9.0

Company rating: 9.0 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

35th of 261 rated insurance

Job description

Job Description
A bit about this role:
  • At Devoted, we know that one of the most important ways we will build trust with our network of providers and members is to pay claims accurately and on time while having transparent payment policies. Our Payment Integrity Department ensures that provider claims are paid correctly by the responsible party, for eligible members, according to contractual terms, not in error or duplicate, and free of wasteful or abusive practices.
  • The Director of Payment Integrity will be a subject matter expert (SME) for clinical, coding, and technical payment accuracy. This role is designed for a credentialed expert who can bridge the gap between complex clinical and coding data and organizational strategy. The Director will provide the technical, coding, and clinical payment integrity rationale for internal stakeholders and will support provider-facing teams to resolve complex inquiries through transparency and evidence-based policy.

Your Responsibilities and Impact will include:
  • Executive Liaison & Program Advocacy: Serve as the primary Subject Matter Expert (SME) for payment integrity initiatives. Provide clinical, coding, and technical rationales for audit programs to Compliance, Network Management, and Operations leadership to ensure total organizational alignment and policy defensibility.
  • Strategic Provider Engagement: Provide clinical and coding expertise to provider-facing teams for complex inquiries. Focus on resolving high-stakes escalations by applying deep coding, clinical, and policy knowledge to foster transparency and mutual understanding with the provider community.
  • Root Cause & Logic Improvement: Perform deep-dive reviews of escalations to identify root causes. Use these findings to refine clinical coding practices and internal logic, proactively addressing systemic issues to reduce future dispute volume.
  • Audit & Dispute SME Support: Offer technical and clinical guidance to the teams handling audits and disputes. Ensure that all findings are consistent, evidence-based, and strictly aligned with contractual obligations and industry-standard coding guidelines.
  • Internal Knowledge & Transparency: Lead the development of internal "best practice" guides and clinical logic resources. As necessary, support the creation of provider-facing materials to clarify and define billing expectations and reduce the frequency of future escalations.
  • Cross-Functional Policy Development: Collaborate with the Network team to ensure contract language reflects current clinical coding standards and work with Compliance to maintain the highest levels of program integrity.

Required Skills and experience:
  • Clinical/Coding Credentials: Must hold an active Registered Nurse (RN) license and/or Certified Professional Coder (CPC/CPMA) designation.
  • Experience: 8+ years in healthcare payment integrity, medical audit, or revenue cycle leadership.
  • Executive Presence: Proven ability to present complex clinical or coding rationales to executive leadership.
  • Escalation Management: Experience resolving high-stakes technical disputes through clinical authority and mastery of payment policy.
  • Leadership Experience: Proven track record of leading teams and mentoring staff to drive successful program outcomes.
  • Tech Advocacy & AI Readiness: Comfort with emerging technologies and a strong willingness to adopt an "AI-first" mindset to optimize workflows and audit logic.
  • Adaptability & Agility: Thrives in a fast-paced, high-growth, or start-up environment; highly comfortable navigating ambiguity and evolving business needs

Desired Skills and experience:
  • Familiarity with deploying AI-enabled workflows or automation to solve business challenges.

#LI-Remote
Salary Range: $182,000-$217,000 / year
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
  • Employer sponsored health, dental and vision plan with low or no premium
  • Generous paid time off
  • $100 monthly mobile or internet stipend
  • Stock options for all employees
  • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
  • Parental leave program
  • 401K program
  • And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

What Devoted Health employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply