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Program Integrity Jobs in Texas (NOW HIRING)

Integritymarketing

Integrity Internship Program

Dallas, TX

$14.75 - $19.75/hr

The Integrity Internship Program is your chance to jump in, get handson, and make a real impact. From day one, interns are treated like true team members-working on meaningful projects, tackling real ...

ABM

Apprenticeship Program Administrator

Taylor, TX · Hybrid

The Program Lead plays a critical role in maintaining program integrity, supporting apprentice progression, enabling program growth across multiple states, while aiming to scale and improve program ...

Targa

Mechanical Integrity Engineer

Houston, TX

The role of the Mechanical Integrity Engineer (MIE) is to provide technical guidance and lead ... Performs program evaluations to support projects and operations. Proactively solves problems, leads ...

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Program Integrity information

See Texas salary details

$23.3K

$48.8K

$84.3K

How much do program integrity jobs pay per year?

As of May 30, 2026, the average yearly pay for program integrity in Texas is $48,781.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,300.00 and $55,400.00 per year, depending on experience, location, and employer.

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 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 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 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 Texas? The most popular types of Program Integrity jobs in Texas are:
Program Integrity jobs near you
Infographic showing various Program Integrity job openings in Texas as of May 2026, with employment types broken down into 2% As Needed, 49% Full Time, 40% Part Time, 2% Temporary, and 7% Contract. Highlights an 97% Physical, and 3% Remote job distribution, with an average salary of $48,781 per year, or $23.5 per hour.
Payment Integrity Analytics, Senior Analyst

Payment Integrity Analytics, Senior Analyst

Gainwell Technologies LLC

Dallas, TX

$69.40K - $99.20K/yr

Other

Medical, Life, Retirement, PTO

Posted yesterday

Gainwell Technologies rating

7.7

Company rating: 7.7 out of 10

Based on 72 frontline employees who took The Breakroom Quiz

103rd of 183 rated software companies

Job description

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.
Summary
The Payment Integrity Analytics, Senior Analyst plays a critical, client-facing role supporting state Medicaid agencies by applying existing fraud, waste, and abuse (FWA) analytic models to Medicaid claims data and delivering monthly, prequalified FWA lead referrals. This role emphasizes producing clear, defensible, and actionable intelligence that can be readily understood and operationalized by state Office of Inspector General (OIG) staff and other program integrity stakeholders.
The analyst serves as a trusted analytical partner to the state, presenting and explaining FWA leads, responding to follow-up questions, and supporting investigations through data analysis, documentation, and, when required, testimony and travel related to fraud investigations. The role also includes translating state feedback, investigative outcomes, and audit results into recommendations for analytic improvements, program integrity controls, and broader Medicaid policy or operational changes.
Your role in our mission
  • Apply established FWA analytic models to Medicaid claims data to identify potential fraud, waste, and abuse.
  • Deliver monthly, prequalified FWA lead referral reports on a consistent and reliable cadence.
  • Produce reports that clearly articulate the analytic rationale, suspected behavior, and investigative relevance of each lead.
  • Ensure all outputs are defensible, audit-ready, and written for non-technical investigative and policy audiences.
  • Present FWA lead referrals to state Medicaid program integrity and OIG staff.
  • Explain findings, methodologies, and data sources in support of state investigations.
  • Respond to follow-up questions and perform supplemental or ad hoc analyses related to specific referrals.
  • Support investigations through documentation, exhibits, and data interpretation.
  • Participate in meetings, briefings, and, as needed, provide testimony or in-person investigative support (travel may be required).
  • Provide structured feedback to analytics and data science teams on model performance and data quality.
  • Recommend enhancements, modifications, or corrections to existing analytic models.
  • Translate state feedback and investigative outcomes into prioritized analytics roadmap items.
  • Analyze outcomes of other audit programs to identify systemic program integrity vulnerabilities.
  • Develop data-driven recommendations related to claims adjudication processes, controls, or edits.
  • Advise states on potential policy, regulatory, or statutory changes to reduce FWA risk and close program gaps.

What we are looking for
  • Extensive experience analyzing Medicaid claims and encounter data to identify fraud, waste, and abuse. (5+ years)
  • Deep knowledge of Medicaid program integrity, including common FWA schemes, audit methodologies, and investigative workflows. (5+ years)
  • Prepare reports and presentations documenting analytic methods and results for internal and external customers (4+ years)
  • Experience reading, interpreting, and applying Medicaid policy, regulations, state plan language, and related guidance.
  • Strong written and verbal communication skills, with experience presenting analytic findings to state agencies, Offices of Inspector General, or other oversight bodies.

Preferreed qualifications
  • Prior experience working directly with state Medicaid agencies and/or Offices of Inspector General is strongly preferred.
  • Professional certifications such as Certified Professional Coder (CPC), Certified Fraud Examiner (CFE), and/or Accredited Health Care Fraud Investigator (AHFI) are preferred.

What you should expect in this role
  • Regular interaction with state Medicaid and OIG stakeholders
  • Fully remote opportunity with the option to work anywhere within the United States
  • Monthly delivery cadence tied to investigative operations
  • Balance of independent analytical work and client-facing collaboration
  • Occasional travel and participation in investigative or hearing-related activities (Up to 25%)
  • Video cameras must be used during all interviews, as well as during the initial week of orientation
  • The Deadline to submit applications for this posting is June 14, 2026.

The pay range for this position is $69,400.00 - $99,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

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About Gainwell Technologies

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With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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