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Program Integrity Investigator Jobs in Washington

J29 Inc.

Pharmacist III - Contingent

Millersville, MD · On-site +1

$56.75 - $68/hr

... programs at the State, Federal, and Commercial levels. Role & Responsibilities * Reviews ... Consults with benefit integrity investigation experts and pharmacists for advice and clarification.

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ISN Corp

DHS Integrity Assurance Manager

Bethesda, MD · On-site

$70 - $90/hr

... program integrity, compliance, and audit functions in support of federal background investigation ... contract requirements. This position develops and administers compliance programs, prepares ...

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Infographic showing various Program Integrity Investigator job openings in Washington as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution.

Program Integrity & Investigations Specialist

Choice. Respect. independence. (CRi)

Chantilly, VA • On-site

Full-time

Re-posted 10 days ago

Job description

CRi is seeking a Program Integrity & Investigations Specialistto join our team!

Position Summary:

The Program Integrity and Investigations Specialist at CRi is responsible for monitoring program compliance in alignment with federal and state behavioral health provider regulations and industry standards. This role involves conducting thorough investigations into violations of Human Rights to ensure the protection and dignity of individuals served. Additionally, the Specialist performs comprehensive audits across all service programs, identifying areas for improvement and strengthening organizational oversight.

By driving adherence to regulatory requirements and best practices, this position plays a critical role in enhancing service quality, promoting accountability, and supporting continuous improvement within the organization.

Principal Duties and Responsibilities:

Program Compliance Monitoring: Reviews program files (medical, financial, service planning) and conducts environmental inspections to ensure compliance with regulations and the Clinical Policy and Procedure Manual.

Audit and Review: Conducts audits, identifies areas for improvement, and supports corrective action plan development and implementation.

Investigations: Leads internal investigations into compliance issues (e.g., abuse, neglect) and prepares accurate reports.

Quality Improvement and Compliance (QIC) Oversight: Supports internal QIC reviews, prepares quarterly reports, and helps monitor and improve service delivery processes.

Recommendations and Systemic Improvements: Prepares recommendations for program and systemic improvements and evaluates the impact of changes on compliance and performance.

Regulatory Inspections and Reporting: Participates in inspections, contributes to compliance reports, and prepares monthly, quarterly, and annual QIC activity reports.

ICF Manual Maintenance: Maintains and updates the agency's ICF manual to ensure it reflects current regulatory standards.

Operational Support: Assists with audits and creates tools, templates, and guidance documents to improve operational efficiency.

Additional Duties: Performs other duties as needed to support departmental and organizational goals.

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