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Program Integrity Jobs in Louisiana (NOW HIRING)

Vanteo

All duties are performed in accordance with 22 CFR 62.24 and Subpart A sponsor obligations, ensuring program integrity, regulatory compliance, and the health, safety, and welfare of exchange visitors ...

LCMC Health

340B Analyst (Pharmacy)

New Orleans, LA · On-site

Job Profile Summary The 340B Analyst is responsible for 340B compliance, program integrity, and financial optimization of the program within the covered entity(ies) participating in the 340B Drug ...

Linde

Mechanical Integrity Inspector

Geismar, LA

$26.75 - $35.75/hr

Manage changes related to the mechanical integrity program to maintain compliance * Stay informed on industry trends and developments in mechanical integrity and assess their applicability * You will ...

Linde Group

Mechanical Integrity Inspector

Geismar, LA

$26.75 - $35.75/hr

Manage changes related to the mechanical integrity program to maintain compliance * Stay informed on industry trends and developments in mechanical integrity and assess their applicability * You will ...

Linde

Mechanical Integrity Inspector

Geismar, LA · On-site

$26.75 - $35.75/hr

Manage changes related to the mechanical integrity program to maintain compliance * Stay informed on industry trends and developments in mechanical integrity and assess their applicability * You will ...

Memorial Hermann

$35K - $44K/yr

Adheres to all Compliance/Program Integrity requirements. * Complies with HIPAA Regulations. * Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures ...

Vanteo

Proactively identify and mitigate risks related to participant welfare and program integrity. * Enhance the participant experience through improved support systems, communication, and service ...

Vanteo

All duties are performed in accordance with 22 CFR 62.22 and Subpart A sponsor obligations, ensuring program integrity, regulatory compliance, and the health, safety, and welfare of exchange visitors ...

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Program Integrity information

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 Louisiana? The most popular types of Program Integrity jobs in Louisiana are:
Program Integrity jobs near you
Infographic showing various Program Integrity job openings in Louisiana as of July 2026, with employment types broken down into 5% Internship, 90% Full Time, and 5% Part Time. Highlights an 95% In-person, and 5% Hybrid job distribution.
Program Integrity - Coordinator 1

Program Integrity - Coordinator 1

University of New Orleans

Baton Rouge, LA

Full-time

Posted 2 days ago

Job description

Thank you for your interest in The University of New Orleans.

Once you start the application process, you will not be able to save your work, so you should collect all required information before you begin. The required information is listed below in the job posting.
You must complete all required portions of the application and attach the required documents in order to be considered for employment.

Department

Program Integrity Operations
Job Summary
Job Description

  • Investigate providers of various Medicaid programs to ensure expenditures are made in accordance with Federal and State regulations.

  • Process and track all Medicaid provider and recipient related complaints reported via email, the Medicaid Fraud website or internally.

  • Interacts with varies internal and external entities such as Medicaid recipients, Medicaid providers, LDH program operations, licensing boards, the Attorney General's office, etc.

  • Document findings of investigations initiated by referrals from Medicaid programs including but not limited to OAAS, Behavioral Health, Provider Enrollment, MFCU and Plans.

  • Detail any corrective action(s) necessary after conducting a comprehensive case review of findings.

  • Ensure all providers are furnished with a written notification of any corrective actions and cite the applicable Medicaid/LaCHIP policy reference.

  • Assist in maintaining records of provider fraud, waste and abuse referrals for investigation.

  • Maintain findings and results on fraud referrals received within the centralized tracking system.

  • Conducts research on all policy violations and corrective action.

  • Maintains and assists with up-to-date reporting statistics and data for unit reports.

  • Notify management of any trends that are a direct cause of or contributing factor to errors that come to light during the review process or while tracking all cases received for review.

  • Refer applicable cases to the Office of the Attorney General.

  • Prepare written summary report with all relevant background facts.

  • Provide any assistance needed to the legal authority.

  • May be called upon as a witness to a case once it proceeds to trial.

  • Complete special projects as directed by management.

QUALIFICATIONS
REQUIRED:

  • Bachelor's Degree, or Associates degree with 3 years professional experience, or 6 years professional experience in lieu of the degree.

  • Excellent analytical skills, effective organizational and time management skills.

  • Excellent verbal and written communications skills.

  • Proficient in the use of Microsoft Office, including but not limited to Outlook, Word, and Excel.

DESIRED:

  • Advanced degree.

  • 2 years professional experience in provider enrollment and credentialing.

  • 1 year professional experience with Louisiana Medicaid policy and procedures.

  • Experience with Electronic Visit Verification.

  • Experience with data analysis and report development.

SALARY: 37-47k

Required Attachments

Please upload the following documents in the Resume/Cover Letter section.

  • Detailed resume listing relevant qualifications and experience;
  • Cover Letter indicating why you are a good fit for the position and University of Louisiana Systems;
  • Names and contact information of three references;

Applications that do not include the required uploaded documents may not be considered.

Posting Close DateThis position will remain open until filled.

Note to Applicant:

Applicants should fully describe their qualifications and experience with specific reference to each of the minimum and preferred qualifications in their cover letter. The search committee will use this information during the initial review of application materials.

References will be contacted at the appropriate phase of the recruitment process.

This position may require a criminal background check to be conducted on the candidate(s) selected for hire.

As part of the hiring process, applicants for positions at the University of New Orleans may be required to demonstrate the ability to perform job-related tasks.

The University of New Orleans is an Affirmative Action and Equal Employment Opportunity employer. We do not discriminate on the basis of race, gender, color, religion, national origin, disability, sexual orientation, gender identity, protected Veteran status, age if 40 or older, or any other characteristic protected by federal, state, or local law.

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