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Program Integrity Ideation Analyst Jobs (NOW HIRING)

HHAeXchange

Sr. Program Integrity Analyst

$118K - $119K/yr

The Sr Program Integrity Analyst is a key member of HHAeXchange's growing Program Integrity function, responsible for identifying fraud, waste, and abuse patterns in Medicaid home and community-based ...

BerryDunn

Program Integrity Lead

Analyze claims data, audit results, program integrity reports, recovery information, and related documentation to identify risks, trends, findings, and improvement opportunities. * Develop or update ...

BerryDunn

Program Integrity Lead

Analyze claims data, audit results, program integrity reports, recovery information, and related documentation to identify risks, trends, findings, and improvement opportunities. * Develop or update ...

CVS Health

Program Integrity Manager

$60K - $132K/yr

Position Summary The Program Integrity Manager serves as a key leader supporting Medicaid Program ... Strong analytical, organizational, communication, and problem-solving skills. * Ability to manage ...

BerryDunn

Medicaid Program Integrity Senior Consultant

$118K - $119K/yr

You will work as part of the BerryDunn Program Integrity team, and work closely with MQD Program Integrity staff, audit and TPL specialists, data analysts, compliance staff, vendor partners, and ...

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How much do program integrity ideation analyst jobs pay per year?

As of Aug 30, 2026, the average yearly pay for program integrity ideation analyst in the United States is $89,153.00, according to ZipRecruiter salary data. Most workers in this role earn between $69,000.00 and $116,000.00 per year, depending on experience, location, and employer.

What is a program integrity ideation analyst?

A Program Integrity Ideation Analyst is a professional who focuses on analyzing, developing, and implementing innovative strategies to ensure the compliance, efficiency, and effectiveness of organizational programs, often in government or healthcare settings. They identify potential risks, detect fraud or abuse, and suggest improvements to maintain program standards. These analysts use data analysis, process review, and creative problem-solving to enhance program integrity and support organizational goals. Their work helps protect resources, improve outcomes, and ensure that programs operate according to regulations and best practices.

What are the key skills and qualifications needed to thrive as a program integrity ideation analyst?

To thrive as a Program Integrity Ideation Analyst, you need strong analytical skills, a background in compliance or fraud prevention, and typically a bachelor's degree in a related field such as business, finance, or public administration. Familiarity with data analysis tools (e.g., Excel, SQL), case management systems, and relevant regulatory frameworks is important. Creative problem-solving, attention to detail, and excellent communication help you generate and articulate innovative solutions to program integrity challenges. These skills are crucial for identifying vulnerabilities, developing effective interventions, and ensuring the integrity of organizational programs.

How does a program integrity ideation analyst typically collaborate with cross-functional teams to identify and address gaps in organizational processes?

As a Program Integrity Ideation Analyst, you’ll work closely with compliance, audit, operations, and data analytics teams to pinpoint vulnerabilities and inefficiencies in existing programs. Collaboration often involves hosting ideation sessions, analyzing data-driven insights, and synthesizing feedback from various departments. This role requires strong communication skills to facilitate productive discussions and ensure innovative solutions are actionable and align with regulatory standards. Regular interaction with stakeholders helps ensure that process improvements are both practical and sustainable.
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Program Integrity Ideation Analyst jobs near you
Infographic showing various Program Integrity Ideation Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, and 4% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $89,153 per year, or $42.9 per hour.

Payment Integrity Concept Ideation Analyst III

Franklin, TN • Remote

Software Development/Technology
See more jobs at Software Development/Technologyexternal

$120K - $130K/yr

Full-time

Dental, Vision, Retirement, PTO

Re-posted 12 days ago

Job description

Job Summary
As a Concept Ideation Analyst III, you will lead the development of innovative Payment Integrity concepts that drive strategic initiatives and business growth. In this role, you will partner across multiple clients, managing the end-to-end client experience while leveraging analytics aligned to client goals to deliver post-pay savings.


You will combine market analysis, creative thinking, and strategic planning to identify emerging trends, customer needs, and new market opportunities. This position requires a balance of visionary thinking, analytical rigor, and leadership to help shape the future direction of products and initiatives.


Critical Requirement
Candidates must bring strong experience in both Data Systems and Concept Ideation. At a minimum, they should be able to independently test and validate concepts, with advanced SQL proficiency and the ability to assess technical and analytical feasibility.

A strong foundation in Payment Integrity is essential, including experience researching and identifying trends related to claims payment accuracy. Candidates must also be comfortable working with provider contracts and policies, Medicare guidelines, and state Medicaid regulations.


Benefits:

  • Competitive health benefits to support overall well-being
  • Retirement savings support to help plan for the future
  • Company-paid financial wellness resources for added peace of mind
  • Home office support to help you get set up for success
  • Optional pet insurance for the furry members of your family
  • Paid holidays and flexible time off to recharge and reset
  • Virtual health and wellness resources for convenient support
  • Paid parental leave to support growing families
  • Professional development support to keep learning and growing


Role Responsibilities
(80% Individual Contributor / 20% Team Coaching & Solutioning)

  • Strategic Ideation: Lead the development of innovative ideas across products, services, business models, and market strategies, while fostering a culture of creativity and innovation.
  • Market Insights: Conduct in-depth research and analysis to identify industry trends, competitive dynamics, customer insights, and emerging opportunities.
  • Concept Development: Create comprehensive concept proposals, including value propositions, business cases, target segments, and go-to-market strategies aligned with business objectives.
  • Cross-functional Collaboration: Partner with product, marketing, sales, and other teams to refine concepts, gather feedback, and drive alignment. Facilitate workshops and brainstorming sessions.
  • Feasibility Assessment: Evaluate technical, operational, and financial viability of concepts, identifying risks and mitigation strategies.
  • Strategic Planning: Develop innovation roadmaps, define key milestones, and establish success metrics.
  • Thought Leadership: Stay current on industry trends, emerging technologies, and innovation best practices.
  • Client Management: Support multiple clients by delivering analytics, financial insights, ideation support, and solutions to complex challenges.
  • End-to-End Ownership: Oversee the full ideation lifecycle—from concept development through testing, validation, and performance evaluation.

Qualifications

  • 5+ years of experience in concept development, innovation, strategic planning, or similar roles in a fast-paced, technology-driven environment
  • Demonstrated success leading ideation initiatives and bringing concepts to market
  • Strong Data Systems experience, including advanced SQL and hands-on concept validation
  • Experience with agile methodologies and lean startup principles
  • Knowledge of emerging technologies and their practical applications
  • Proven leadership experience, including mentoring and coaching others
  • Strong analytical and problem-solving skills with a data-driven mindset
  • Excellent communication and stakeholder management skills
  • Experience with both qualitative and quantitative market research
  • Familiarity with prototyping tools (e.g., Adobe Creative Suite, Sketch, InVision) is a plus
  • Ability to thrive in a collaborative, cross-functional environment
  • Strategic mindset with the ability to anticipate future trends and opportunities