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Program Integrity Jobs in Alabama (NOW HIRING)

6k Systems

Program Manager

Montgomery, AL · On-site

6K Systems, Inc. is looking for a Program Manager to join our team! JOB RESPONSIBILITIES 6K Systems ... We are determined to grow our business and customer relationships through integrity, superior ...

6k Systems

Program Manager

Montgomery, AL · On-site

We are looking for a professional, experienced Program Manager to join the 6K Team! JOB ... We are determined to grow our business and customer relationships through integrity, superior ...

Prescient Edge

Program Manager

Mooresville, AL · On-site

Job Title Program Manager Location Huntsville, AL 35649 US (Primary) Category Intelligence Job Type ... At Prescient Edge, we believe that acting with integrity and serving our employees is the key to ...

Kratos Defense

Program Manager

Birmingham, AL

GENERAL JOB SUMMARY: We are seeking an experienced and dynamic Program Manager to lead the ... Integrity - We adhere to a code of sound ethical behavior that builds trust and confidence in all ...

DCH Health System

Specialty Quality Coordinator

Tuscaloosa, AL · On-site

$16.25 - $21.25/hr

Additionally, the position audits and verifies all records within the Drug Recovery Program to ensure ongoing program integrity and compliance. * Administrative and General Support This area includes ...

ECS

Program Management Specialist

Huntsville, AL · On-site

Conduct trend analysis and quality reviews to improve overall data integrity and operational ... programs. * Experience working in a fast-paced operational or help desk environment. * Experience ...

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L3HHCM20

Lead, Program Finance

Huntsville, AL

Perform ad-hoc analysis, data integrity checks, and validations related to program financials * Broad knowledge of Federal Acquisition Regulations (FAR), Cost Accounting Standards (CAS), and ...

ECS

Program Management Specialist

Huntsville, AL · On-site

... integrity across multiple teams and systems. Responsibilities : • Oversee day-to-day IT ... programs. • Experience working in a fast-paced operational or help desk environment. • ...

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Program Integrity information

See Alabama salary details

$22.7K

$47.5K

$82K

How much do program integrity jobs pay per year?

As of May 31, 2026, the average yearly pay for program integrity in Alabama is $47,458.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,300.00 and $53,900.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in a Program Integrity role, and why are they important?

To thrive in a Program Integrity role, you need strong analytical skills, attention to detail, and a solid understanding of compliance or regulatory frameworks, usually backed by a relevant degree such as public administration, law, or accounting. Familiarity with data analysis tools, case management systems, and auditing software is often required, along with certifications like Certified Fraud Examiner (CFE) being advantageous. Excellent problem-solving, ethical judgment, and effective communication are vital soft skills for investigating issues and collaborating with stakeholders. These competencies help ensure organizational compliance, prevent fraud, and safeguard resources in regulated environments.

What are some common challenges faced in a Program Integrity role, and how can they be effectively managed?

Program Integrity professionals often encounter challenges such as ensuring regulatory compliance, detecting and preventing fraud, and navigating complex data systems. Managing these challenges typically involves staying current with evolving policies, collaborating closely with compliance, audit, and legal teams, and leveraging advanced analytics tools to monitor program performance. Effective communication and proactive problem-solving are crucial, as the role often requires balancing the organization's objectives with strict adherence to external regulations.

What are program integrity jobs?

Program integrity jobs focus on ensuring that government or organizational programs operate effectively, efficiently, and in compliance with laws and regulations. Professionals in these roles are responsible for identifying and preventing fraud, waste, and abuse, often through audits, investigations, and data analysis. They ensure program funds are used as intended, maintain accountability, and help organizations meet regulatory and ethical standards. These positions are commonly found in healthcare, social services, and government agencies.

What is the difference between Program Integrity vs Claims Analyst?

AspectProgram IntegrityClaims Analyst
Required CredentialsTypically requires a bachelor’s degree in healthcare, public health, or related fields; certifications like Certified Professional Coder (CPC) may be beneficialUsually requires a bachelor’s degree in finance, healthcare administration, or related fields; certifications like Certified Claims Professional (CCP) are common
Work EnvironmentGovernment agencies, insurance companies, healthcare organizations focusing on compliance and fraud detectionInsurance companies, healthcare providers, or third-party administrators analyzing claims data
Employer & Industry UsagePrimarily in healthcare, insurance, and government sectors for compliance and fraud preventionIn insurance and healthcare sectors for processing and analyzing claims

Program Integrity professionals focus on preventing fraud, waste, and abuse in healthcare programs, ensuring compliance with regulations. Claims Analysts primarily review and process insurance claims, verifying accuracy and eligibility. While both roles work within healthcare and insurance industries, Program Integrity emphasizes compliance and fraud detection, whereas Claims Analysts concentrate on claims processing and data analysis.

What are the most commonly searched types of Program Integrity jobs in Alabama? The most popular types of Program Integrity jobs in Alabama are:
Program Integrity jobs near you
Infographic showing various Program Integrity job openings in Alabama as of May 2026, with employment types broken down into 2% As Needed, 55% Full Time, 32% Part Time, 2% Temporary, and 9% Contract. Highlights an 95% Physical, and 5% Remote job distribution, with an average salary of $47,458 per year, or $22.8 per hour.
Specialty Quality Coordinator

Specialty Quality Coordinator

DCH Health System

Tuscaloosa, AL

Full-time

Posted 5 days ago

DCH Health System rating

6.9

Company rating: 6.9 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

Overview

Under the guidance of the Assistant Director of Pharmacy Outpatient Services, the Specialty Accreditation & Patient Advocate Technician is responsible to ensure the Pharmacy is complying with URAC and ACHC Accreditation standards.  This position will assist the Assistant Director of Pharmacy Outpatient Services in reporting on these standards and renewing accreditation upon renewal. The position will also be responsible to in assisting the Assistant Director of Pharmacy Outpatient Services in billing and all auditing records. Oversee all Medication Access Specialists in day-to-day tasks and ensure compliance with all policies and procedures. 

Responsibilities
  • Quality Management and AccreditationThis area involves supporting committee work by running reports, preparing scorecards, and documenting meeting notes for quarterly Quality Management Committee (QMC) and annual PAC meetings. The position provides annual reporting by compiling quality reports and QMC summaries to track performance trends. Additionally, it ensures all pharmacy policies and procedures are updated to maintain accreditation standards and oversees annual compliance requirements such as fire drills, hazard training, and business continuity testing.
  • Operational Auditing and ComplianceResponsibilities include completing daily insurance audits and assisting with annual 340B audits, specifically for contract pharmacy prescriptions. The role performs clinical verification by auditing patient assessments and temperature monitoring records for timely completion. Furthermore, the position manages communication and compliance logs, maintains current patient-facing materials, and tracks incident reports while ensuring HR has necessary audit documentation, including staff license verifications.
  • Team Leadership and SupervisionThe position manages day-to-day operations for Medication Access Specialists and Medication Assistant Coordinators within the Drug Recovery Program. This includes resolving scheduling conflicts and ensuring all team members complete yearly competency training. The role is also responsible for maintaining specific policies for the access and recovery teams to ensure strict adherence to retail financial assistance guidelines.
  • Revenue Cycle and Clinical SupportThe role monitors and ensures that all outstanding pharmacy claims are paid in a timely manner. It provides operational assistance to Pharmacists, Physicians, and Nurses regarding Celgene prescriptions and specialized medication access. Additionally, the position audits and verifies all records within the Drug Recovery Program to ensure ongoing program integrity and compliance.
  • Administrative and General SupportThis area includes the management of the pharmacy website and internal communication materials to ensure organizational charts and hazard protocols are up to date. The position also performs other duties as assigned by the Assistant Director of Outpatient Pharmacy Services to support overall departmental goals and operational efficiency.

    • DCH Standards:

    • Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
    • Performs compliance requirements as outlined in the Employee Handbook
    • Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
    • Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
    • Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
    • Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
    • Requires use of electronic mail, time and attendance software, learning management software and intranet.
    • Must adhere to all DCH Health System policies and procedures.
    • All other duties as assigned.
    Qualifications

    Registration: Active Alabama Pharmacy Technician registration by start date.

    Certification: National PTCB or ExCPT certification required.

    Education: High School diploma or equivalent required.  Bachelor's degree preferred.

    Required: 1+ years in medication reimbursement, insurance preauthorization, patient assistance programs, and URAC/ACHC accreditation standards.

    Preferred: 3+ years of pharmacy practice experience.

    Technical: Proficient in Microsoft Office, pharmacy equipment, and pharmacology (medication classes).

    Professional: Strong interpersonal, telephone, and communication skills.

    Execution: Detail-oriented with a focus on follow-up and the ability to meet deadlines under pressure. 

    Must be able to read, write legibly, speak, and comprehend English

     

    WORKING CONDITIONS

    Able to stand, walk, reach, sit, crouch and stoop for extended periods of time.  Must be able to carry objects weighing 35 pounds.  Requires good motor coordination with good manual and finger dexterity.  Must have the ability to communicate with staff and patients of all ages.  Physical presence onsite is essential.  Hearing and vision must be normal or corrected to within normal range.  Able to perform the duties with or without reasonable accommodation.

    Employment Type: FULL_TIME

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