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Program Integrity Jobs in Delaware (NOW HIRING)

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If you enjoy research, problem-solving, working with data, and making recommendations that improve program integrity and operational effectiveness, we encourage you to apply. What You'll Do As a ...

Operate and manage program computer systems, maintaining smooth workflow and data integrity. * Assist team leaders with billing and insurance verification to guarantee accurate service reimbursement.

Operate and manage program computer systems, maintaining smooth workflow and data integrity. * Assist team leaders with billing and insurance verification to guarantee accurate service reimbursement.

$115K - $116K/yr

The Senior Program Manager SW leads the development and execution of program plans for specific ... Ensure the quality and integrity of data and information related to your job position and ...

... integrity, inclusion, and transparency. Reporting to the Manager of School Programs, School Program Guides work as a team to deliver Winterthur's educational programs for students from PreK through ...

... care integrity. Ensure program policies, procedures and expectations are met. * Engagesinplanningandprogramconception,includingthedevelopmentofother24/7 and risk preventative services that keep ...

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Senior Global Program Manager

Wilmington, DE · On-site +1

$96K - $133K/yr

We believe in integrity, respect, empowerment, and making a difference in the communities we serve ... for Your Day attire program (casual is welcome, based on your job function) -Volunteer ...

Posted today

Data Quality Analyst

Newark, DE · On-site

$87K - $138K/yr

... programs * Career Mobility support from a dedicated recruitment team * Colleague Resource Groups to ... integrity, community and unparalleled client relationships continues today. City National is a ...

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Program Integrity information

What is a program integrity job?

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 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 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 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 Delaware?

The most popular types of Program Integrity jobs in Delaware are:

Infographic showing various Program Integrity job openings in Delaware as of August 2026, with employment types broken down into 50% Full Time, and 50% Contract. Highlights an 100% In-person job distribution.

Operations & Program Analyst / Part-Time

Division Of Health & Social Services

Wilmington, DE • On-site

$24.67/hr

Part-time

Posted 13 days ago

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Job description

Management Analyst II /Part-Time

Location: Thomas Collins Building
540 S. DuPont Highway
Dover, DE 19901

Hourly Rate: $24.67/hour

Work Schedule: Monday–Friday, 8:00 a.m. – 4:30 p.m.
Up to 29.75 hours per week

Join Our Team!

The State of Delaware is seeking a detail-oriented and analytical professional to serve as a Management Analyst II. This position plays an important role in reviewing public assistance cases, analyzing data, conducting preliminary investigations, and ensuring compliance with applicable laws, regulations, and program requirements.

If you enjoy research, problem-solving, working with data, and making recommendations that improve program integrity and operational effectiveness, we encourage you to apply.

What You'll Do

As a Management Analyst II, you will:

  • Conduct preliminary reviews of public assistance cases to determine compliance with state and federal laws, regulations, policies, and program guidelines.
  • Evaluate case information and state-provided data to determine whether cases should be referred for further investigation or closed based on established criteria.
  • Research, collect, verify, and organize documentation necessary to support investigations and case decisions.
  • Develop and maintain detailed Microsoft Excel spreadsheets to track investigations, case status, findings, and outcomes.
  • Utilize agency databases, automated systems, and case management tools to review, document, and manage case activity.
  • Analyze investigative findings and prepare accurate, well-organized narrative reports summarizing research, evidence, and recommendations.
  • Interpret policies, procedures, and program standards to ensure consistent and accurate case evaluations.
  • Identify trends, discrepancies, and areas requiring further review through data analysis and research.
  • Communicate findings and recommendations clearly and professionally while maintaining confidentiality of sensitive information.

What We're Looking For

The ideal candidate will possess:

  • At least six months of experience interpreting laws, regulations, policies, procedures, or program standards to evaluate cases or determine compliance.
  • Experience preparing detailed narrative reports that clearly document investigative findings and recommendations.
  • Strong analytical, research, and critical thinking skills with the ability to evaluate complex information and make sound recommendations.
  • Advanced proficiency with Microsoft Excel, including maintaining tracking spreadsheets, organizing data, and generating reports.
  • Experience using automated databases, electronic case management systems, or similar software applications.
  • Excellent organizational, written communication, and time management skills.
  • The ability to work independently while managing multiple assignments and meeting deadlines.

Why Join the State of Delaware?

This position offers an opportunity to apply your analytical and research skills in a meaningful public service role. You'll contribute to program integrity by helping ensure public assistance programs are administered accurately, fairly, and in accordance with established laws and regulations.

Company Description

We offer a commitment to your personal and professional life. Working for the State of Delaware you may qualify for a retirement pension, paid parental leave, a compressed work schedule and shift differential pay.