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Program Integrity Jobs in New York (NOW HIRING)

The Product Integrity Manager will ensure global execution of Haddad Brand's chemical management and product integrity program vision to meet and exceed the product safety & compliance expectations ...

Pickleball Instructor

Queens, NY · On-site

$35 - $50/hr

Program Execution: * Plan and execute lesson plans that are organized, engaging, and progressive. * Assist with player evaluations and level placement to maintain program integrity. * Support ...

Product Integrity Manager

Manhattan, NY · On-site

$75K - $110K/yr

The Product Integrity Manager will ensure global execution of Haddad Brand's chemical management and product integrity program vision to meet and exceed the product safety & compliance expectations ...

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Program Integrity information

See New York salary details

$27.4K

$57.3K

$99K

How much do program integrity jobs pay per year?

As of Jun 9, 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:

Quality Assurance Manager (DDD Experience Needed)

APluscare

East Brunswick, NJ

Full-time

Posted 8 days ago


Job description

Join the APluscare Team!!!


APluscare is seeking a dedicated and detail-oriented QA Manager to support the organization's
commitment to providing high-quality services. This role plays an important part in maintaining
service excellence by ensuring that programs meet regulatory standards and internal quality
expectations.


The QA Manager helps maintain the integrity of agency operations by monitoring program
performance, identifying areas for improvement, and supporting the development of quality
management practices that strengthen service delivery across the organization.
Position Overview


The QA Manager is responsible for helping maintain the overall quality of services delivered by
APluscare. This includes reviewing operational data, identifying opportunities for improvement,
conducting program reviews, and ensuring services are delivered according to established
standards and regulatory requirements.


The position works closely with program leadership to support continuous improvement,
compliance with licensing regulations, and the ongoing monitoring of quality indicators
throughout the organization.


Key Responsibilities
Monitor and support agency compliance with New Jersey Division of Developmental
Disabilities (DDD) regulations and related operational standards.
Maintain knowledge of DDD and Department of Human Services (DHS) policies,
licensing standards, and regulatory guidance.
Ensure that residential and program services remain compliant with DDD, DHS,
Medicaid, and other applicable federal and state regulations.
Coordinate with regulatory agencies and state officials during investigations or reviews
involving the organization or its staff.
Verify that programs meet licensing and accreditation requirements while maintaining
adherence to applicable laws and regulatory standards.
Participate in the development, review, and revision of organizational policies and
procedures to support regulatory compliance and quality improvement.
Provide regular staff training and in-service education for employees involved in
supporting individuals served by APluscare.
Conduct routine program visits and compliance reviews of DDD-licensed sites to ensure
ongoing adherence to licensing requirements.
Identify operational deficiencies within residential programs and work with program staff
to implement corrective actions.
Oversee the renewal and maintenance of DDD licenses for all agency programs
requiring licensure.
Maintain documentation and records for all licenses, certifications, and regulatory
approvals associated with APluscare programs.
Prepare program sites for licensing reviews and assist in coordinating required
inspections.
Assist in the development and licensing of new programs, ensuring readiness for initial
regulatory inspection.
Conduct quality assurance reviews and surveys to maintain program integrity and
identify areas for improvement.
Track and analyze quality indicators related to service delivery, risk management, and
regulatory compliance.
Perform scheduled quality assurance reviews and monitoring visits for DDD-licensed
programs.
Ensure agency programs remain compliant with all applicable local, state, and federal
regulatory standards.
Conduct monthly compliance visits and program reviews across residential and other
service locations.
Prepare and submit weekly quality assurance and program integrity reports to the
Executive Director.
Identify and address program deficiencies through ongoing monitoring and collaboration
with program staff.
Complete additional responsibilities as assigned by APluscare leadership.


Qualifications
Strong interpersonal and communication skills with the ability to interact effectively with
individuals with intellectual and developmental disabilities, their families, and
interdisciplinary teams.
Excellent analytical, problem-solving, and organizational skills.
Ability to lead quality improvement initiatives and support compliance-related projects.
Working knowledge of quality assurance practices, operational systems, and quality
management methods.
Ability to collaborate effectively with internal departments and external partners.
Additional Requirements:
Must cooperate with the Office of Licensing and Department of Human Services
representatives during inspections or investigations.
Must successfully complete all required training and demonstrate proficiency in
mandated training areas.
Valid driver's license required.
Must be at least 18 years of age.

Work Environment & Physical Requirements
Ability to manage detailed work and address both routine and complex issues while
balancing multiple priorities.
Strong written and verbal communication skills to effectively collaborate with
multidisciplinary teams.
Ability to focus, read, and process information in a fast-paced work environment.
Position may require extended periods of sitting, standing, walking, and computer use.
Ability to lift, push, or pull up to 50 pounds when necessary.
Local travel between agency locations and program sites may be required.
Must support and adhere to all company policies, procedures, and confidentiality
standards.
Duties and responsibilities may evolve based on organizational needs.