1

Program Integrity Jobs in California (NOW HIRING)

With this approach, our small but fast-growing team is having a big impact taking on challenges in healthcare program integrity - safeguarding programs like Medicare and Medicaid by preventing fraud ...

With this approach, our small but fast-growing team is having a big impact taking on challenges in healthcare program integrity - safeguarding programs like Medicare and Medicaid by preventing fraud ...

next page

Showing results 1-20

Program Integrity information

See California salary details

$24.7K

$51.7K

$89.3K

How much do program integrity jobs pay per year?

As of Jul 29, 2026, the average yearly pay for program integrity in California is $51,674.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,500.00 and $58,700.00 per year, depending on experience, location, and employer.

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 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 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 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 the most commonly searched types of Program Integrity jobs in California? The most popular types of Program Integrity jobs in California are:
Infographic showing various Program Integrity job openings in California as of July 2026, with employment types broken down into 82% Full Time, 15% Part Time, and 3% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $51,674 per year, or $24.8 per hour.
Program Integrity Policy Analyst

Program Integrity Policy Analyst

Department of Social Services

Sacramento, CA • On-site

$6.0K - $7.5K/mo

Full-time

Medical, Retirement, PTO

Posted 5 days ago


Job description

Under the direction of the Supervisor I, the Analyst II/I is responsible for evaluating policies in the California Work Opportunity and Responsibility to Kids (CalWORKs), CalFresh, and Child Care programs to ensure program integrity is maintained. The Analyst II/I will also be responsible for assisting and organizing comprehensive programs designed to identify and prevent fraudulent receipt of CalWORKs cash assistance, CalFresh, and other aid programs; assisting in performing project coordinator responsibilities over a variety of computerized fraud prevention and detection systems.
Telework / Remote Work Information: This position has been designated as eligible for telework. The position may require in-person attendance when requested.
If you would like to share how you learned about this career opportunity, please take a moment to complete our brief Recruitment Survey.
Need help with applying for positions, taking an examination, or preparing for interviews? Our team is here to support you, reach out anytime at Recruiter@dss.ca.gov . For guidance on applying for a state job, visit Three Steps to a State Job
Follow us on LinkedIn to stay updated on our latest opportunities.
You will find additional information about the job in the Duty Statement .
Working Conditions
This work location is very convenient! The CDSS is located two blocks from the light rail and public transportation: within walking distance of the State Capitol, parks, restaurants, farmers' markets and the Golden 1 Arena. Our building has easy access to I-5, Highway 50, and Highway 80.
This position may be eligible for Hybrid work. In-person attendance is required based on the operational needs of the position and in accordance with Executive Order N-22-25 the Statewide Hybrid Telework Policy, Government Code section 14200, and any applicable department telework requirements. The successful candidate must reside in California at the time of appointment. Proof of California residency may be required.
Please note: Regular commute is not compensable.
Minimum Requirements You will find the Minimum Requirements in the Class Specification.
  • ANALYST II
  • ANALYST I
Additional Documents
  • Job Application Package Checklist
  • Duty Statement

Position Details Job Code #:
JC-525537
Position #(s):
800-652-5393-706
Working Title:
Program Integrity Policy Analyst
Classification:
ANALYST II $6,031.00 - $7,547.00 A
New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.
Shall Consider:
ANALYST I
$3,861.00 - $4,839.00 A
$4,181.00 - $5,233.00 B
$5,014.00 - $6,276.00 C
# of Positions:
1
Work Location:
Sacramento County
Telework:
Hybrid
Job Type:
Permanent, Full Time
Department Information Are you interested in making a difference in the lives of fellow Californians while achieving your career goals? Do you set high standards for yourself and enjoy a collaborative and challenging work environment? The mission of the California Department of Social Services is to serve, protect, and support the people of California experiencing need in ways that empower wellbeing and disrupt systemic inequities. The vision of the California Department of Social Services is to provide quality services with a commitment to an inclusive, diverse, and equitable California where all people can thrive.
The Research, Automation, and Data Division's (RADD) mission is to improve the way the Department collects, manages, and deploys data to support the efficient, effective, and equitable delivery of government social services. RADD manages major statewide initiatives to streamline and automate eligibility determination and benefit administration for key safety net programs, and leads efforts such as human-centered design, data governance, automation and continuous quality improvement, data visualization and analysis, and research partnerships to improve client outcomes and promote program integrity.
CDSS Guiding Principles
Diversity. Equity. Inclusion. Accessibility. Belonging.
We ensure opportunities for everyone to participate in a meaningful way in fulfilling the mission and vision of CDSS.
Community Engagement
We prioritize the lived experiences of community members as a driving force behind the creation, implementation, desired impact, or change of programs and services.
Empowerment
We engage, operate, and advocate from the understanding that each community and person have desires and capabilities to lead in their own life.
Quality Services
We provide services that align intent and impact by ensuring that they are accessible, community driven, interconnected, and continuously improved.
Data Defined Outcomes
We equitably collect and analyze data, take data-driven action, and measure outcomes relevant to those we serve, ensuring transparency and accountability.
Special Requirements Please Note: A Statement of Qualifications or Supplemental Questionnaire must be submitted along with your application to be considered for this position. Applications submitted without an SOQ may be disqualified for this position.
Do not include any confidential information in any documents (i.e., application, resume, or transcripts) you submit for this job vacancy. Confidential information that should be excluded or removed from these documents include but is not limited to: Social Security Number (SSN), birthday and/or age, photos, student/other ID number, driver's license number (unless required), basis of eligibility, exam results, LEAP status, and marital status. Confidential information submitted via a CalCareer Account (electronic application) is automatically redacted upon submission.
When preparing your SOQ, please follow these guidelines:
• The information provided must be complete and presented in a clear and concise manner.
• The SOQ must be typewritten using Arial 12-point font
• SOQ must be limited to no more than two (2) typewritten pages, letter size (8.5" x 11")
• SOQ must be clearly identified at the top of page one, including your name
• Each of the questions listed below must be used as headings in your SOQ
• Responses must include the question and must be numbered in the same order
Statement of Qualifications Questions
1. Please describe your knowledge, skills, education, and experience that qualify you for this position. Please include any software or databases you used, reports you analyzed or created, and how they were used.
2. Describe your experience with analyzing and interpreting federal and state law, regulations and policy.
3. Please describe your experience explaining policies and/or procedures to internal and/or external customers. Include whether the communication was written, verbal, or both.
If you have no experience in an area identified above, simply indicate that you have no experience under that heading. A lack of experience in an area does not necessarily disqualify you from consideration. Cover letters, resumes, and applications will not take the place of the SOQ. Applications with incomplete or no SOQ will not be considered.
You are required to complete employment history on the application form (STD 678). You may be disqualified from the hiring and selection process if the employment history is inaccurate or incomplete. Resumes will not take the place of employment history.
If you are meeting minimum qualifications with education, you must include your unofficial transcripts for verification. If selected, you may be required to provide official transcripts at the time of hire.
Candidates who reside outside of the State of California may be admitted to the job interview, but they must provide proof of residence in California prior to being eligible for appointment.
Application Instructions
Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application.
Final Filing Date: 8/5/2026
Who May Apply
Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply. Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).
How To Apply
Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at www.CalCareers.ca.gov. When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below:
Address for Mailing Application Packages
You may submit your application and any applicable or required documents to:
Department of Social Services
California Department of Social Services
Attn: Classification & Pay Unit
P. O. Box 944243 - MS 8-15-58
Sacramento , CA 94244-2430
Address for Drop-Off Application Packages
You may drop off your application and any applicable or required documents at:
Department of Social Services
California Department of Social Services
Classification & Pay Unit
744 P Street, MS 8-15-58
Sacramento , CA 95814
08:00 AM - 05:00 PM
Required Application Package Documents
The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:
  • Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at www.CalCareers.ca.gov. All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
  • Resume is optional. It may be included, but is not required.
  • Statement of Qualifications - (SOQ) Please see the Special Requirements section of this job advertisement for detailed instructions for the SOQ submission.
Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting.
Desirable Qualifications In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate:
We encourage applications regardless of whether you think you meet 100% of these skills below. Please highlight your knowledge, skills, and experience related to the below desirable qualifications in your application package.
• Ability to exercise initiative, good judgment, integrity, and make timely decisions while maintaining positive and trusting working relationships
• Ability to plan, organize, communicate, and adapt to changing assignments and priorities, and work effectively under pressure to meet deadlines
• Excellent analytical skills with demonstrated ability to work independently, think logically and creatively, apply a range of analytical and research tools, identify gaps and opportunities for improvement, make sound recommendations, and develop business requirements based on the recommendations
• Experience leading large meetings and using strong verbal and written communication skills to present information to all levels of stakeholders, including management, business and technology staff, and solution partners, to prepare and present written recommendations, and to report project information accurately and timely
• Experience gathering, identifying, and analyzing business, functional, and technical system requirements
• Experience using Microsoft Office Suite, MS Teams, and SharePoint
Benefits There are many benefits to joining our team! The State of California has a generous benefits package that includes medical coverage, CalPERS pension upon retirement, two weeks paid vacation per year, two weeks paid sick leave per year, two paid Professional Development Days, one paid Personal Holiday, pre-tax parking fee program.
TRANSPORTATION REIMBURSEMENT
• Public transit (mass transit) passes.
o 100 percent discount on public transit passes sold by state agencies, up to the monthly exclusion amount provided by the Internal Revenue Service (IRS).
o 100 percent reimbursement on public transit passes purchased by state employees, up to the monthly exclusion amount provided by the IRS.
• Vanpool drivers and riders
o 100 percent reimbursement on the monthly fee, up to the monthly exclusion amount provided by the IRS.
Click here to view all the attractive benefits available to state employees!
Benefit information can be found on the CalHR website and the CalPERS website.
Contact Information
The Hiring Unit Contact is available to answer questions regarding the position or application process.
Hiring Unit Contact:
Mark Bigelow
(209) 444-3788
mark.bigelow@dss.ca.gov
Please direct re