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Program Integrity Jobs in New York (NOW HIRING)

CVS Health

Program Integrity Manager

New York, NY

$54K - $145K/yr

Position Summary The Program Integrity Manager serves as a key leader supporting Medicaid Program Integrity, Payment Integrity, and Special Investigations Unit (SIU) activities. This role is ...

Rutgers University

Program Director

New Brunswick, NJ · On-site

$122K/yr

The primary purpose of the Program Director position is to provide administrative direction and oversight to assigned programs, assure program integrity and fiscal viability. Responsible for ongoing ...

Nexpera LLC

Mechanical Integrity Engineer

Linden, NJ · On-site

The position will lead programs and projects that improve asset reliability, ensure regulatory ... Inspection, Compliance & Mechanical Integrity * Oversee inspections in accordance with API 510, API ...

AECOM

Program Controls Senior Manager

New York, NY · On-site

$126K - $127K/yr

Implement and maintain stringent control measures to safeguard program integrity and ensure optimal resource allocation. * Develop and enforce standardized processes to enhance program efficiency and ...

AECOM

Program Controls Senior Manager

New York, NY

$126K - $127K/yr

Implement and maintain stringent control measures to safeguard program integrity and ensure optimal resource allocation. * Develop and enforce standardized processes to enhance program efficiency and ...

AECOM

Program Controls Senior Manager

New York, NY

$126K - $127K/yr

Implement and maintain stringent control measures to safeguard program integrity and ensure optimal resource allocation. * Develop and enforce standardized processes to enhance program efficiency and ...

AECOM

Program Controls Senior Manager

New York, NY

$126K - $127K/yr

Implement and maintain stringent control measures to safeguard program integrity and ensure optimal resource allocation. * Develop and enforce standardized processes to enhance program efficiency and ...

MABSTOA

Director, Taxi Reimbursement

New York, NY

This role establishes the vision for program integrity, fiscal accountability, and operational excellence, ensuring alignment with organizational goals and regulatory requirements. The Director ...

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All JobsProgram Integrity JobsProgram Integrity Jobs in New York

Program Integrity information

See New York salary details

$27.4K

$57.3K

$99K

How much do program integrity jobs pay per year?

As of Jul 29, 2026, the average yearly pay for program integrity in New York is $57,284.00, according to ZipRecruiter salary data. Most workers in this role earn between $43,800.00 and $65,100.00 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 New York? The most popular types of Program Integrity jobs in New York are:
Program Integrity jobs near you
Infographic showing various Program Integrity job openings in New York as of July 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $57,284 per year, or $27.5 per hour.
Program Integrity Manager

Program Integrity Manager

CVS Health

New York, NY

$54K - $145K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,320 frontline employees who took The Breakroom Quiz

87th of 109 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary
The Program Integrity Manager serves as a key leader supporting Medicaid Program Integrity, Payment Integrity, and Special Investigations Unit (SIU) activities. This role is responsible for ensuring compliance with state and federal requirements, supporting fraud, waste, and abuse (FWA) prevention efforts, overseeing regulatory and contractual obligations, coordinating reporting and audit activities, and partnering with internal and external stakeholders to promote operational effectiveness and program integrity. The position works closely with health plan leadership, compliance, SIU, payment integrity vendors, and operational teams to support initiatives that improve performance, strengthen oversight, and ensure compliance with applicable requirements.
Required Qualifications
  • 5+ years experience in Program Integrity, Payment Integrity, Special Investigations, Healthcare Compliance, Fraud, Waste and Abuse (FWA), Claims Operations, Healthcare Operations, or a related field.
  • Knowledge of healthcare regulatory and compliance requirements.
  • Strong analytical, organizational, communication, and problem-solving skills.
  • Ability to manage multiple priorities and work effectively in a collaborative environment.
  • Experience building relationships and working with cross-functional teams and external stakeholders.

Preferred Qualifications
  • Experience supporting Medicaid managed care programs.
  • Experience with regulatory reporting, audits, compliance initiatives, or operational oversight activities.
  • Experience working with SIU investigations, fraud prevention programs, vendor management, or payment integrity operations.
  • Knowledge of healthcare claims, provider reimbursement, payment accuracy, and program integrity practices.

EducationBachelor's degree or equivalent combination of education and experience.

**We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week.
Aetna Service Operations office/hub locations will be discussed with the selected candidate.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $145,860.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/15/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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