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Program Integrity Jobs in Virginia (NOW HIRING)

Ampact

US-VA-Richmond

Richmond, VA

$52K - $59K/yr

This role fosters strong relationships with sites, members, and internal teams to maintain program integrity, ensure compliance with AmeriCorps regulations, and achieve positive program results.

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Showing results 21-40

All JobsProgram Integrity JobsProgram Integrity Jobs in Virginia

Program Integrity information

See Virginia salary details

$24.8K

$51.9K

$89.7K

How much do program integrity jobs pay per year?

As of Aug 19, 2026, the average yearly pay for program integrity in Virginia is $51,911.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,700.00 and $59,000.00 per year, depending on experience, location, and employer.

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.

Program Integrity jobs near you
Infographic showing various Program Integrity job openings in Virginia as of August 2026, with employment types broken down into 87% Full Time, 10% Part Time, and 3% Contract. Highlights an 97% In-person, and 3% Hybrid job distribution, with an average salary of $51,911 per year, or $25 per hour.

Sr. Advisor - Centers for Medicare & Medicaid Services (CMS)

Commence

Virginia Beach, VA • On-site

$150 - $350/hr

Full-time

Posted 12 days ago

Job description

Description:

Commence, headquartered in Virginia Beach, VA, is a mission-led, technology-driven company built to solve the hardest problems in federal health care and drive measurable outcomes. Its work spans program integrity and compliance, quality improvement and measurement science, health informatics, interoperability, and AI, delivered across the Centers for Medicare & Medicaid Services (CMS), the Department of Veterans Affairs (VA), the Defense Health Agency (DHA), and state health agencies. At its center is a data-centric philosophy grounded in a simple conviction: that better data, made accessible, connected, and usable, is the raw material of better decisions, better care, and better efficiency.

Requirements:

We are seeking a Sr. Advisor to guide the company’s strategy across CMS. The Sr. Advisor will advise leadership on the agency’s current strategies and direction, which could include digital quality measurement and the transition to dQMs, value-based care, payment innovation, Medicare Advantage oversight and payment accuracy, program integrity, Medicaid and marketplace integrity, and the agency’s expanding use of AI

  • Help set and guide the company’s vision for impactful approaches and solutions across CMS, grounded in the agency’s mission, priorities, and operational needs
  • Advise leadership on CMS strategy, including which centers, programs, and problem sets represent the strongest fit for Commence capabilities
  • Translate CMS policy direction, budget, rulemaking, and organizational change into concrete implications for the health and technology portfolio strategy
  • Guide development of white papers, RFI responses, and thought leadership that position Commence as valuable contributor to agency priorities
  • Build and steward relationships across the CMS ecosystem, including research organizations, associations.
  • Advise delivery leadership on client expectations and program stewardship so that performance on current work reinforces desired outcomes

Qualifications

  • 10 or more years in federal health care, including service at CMS in a senior leadership capacity such as center or office leadership, group or division direction, senior executive service, or an equivalent role
  • Deep working knowledge of CMS programs which could include: Medicare, Medicaid, Medicare Advantage, quality programs, program integrity and payment innovation, and of how the centers and offices interact to set and execute priorities
  • Advanced degree in public health, health policy, economics, public administration, law, or a related field preferred

*Commence' headquarters are in Virginia Beach, VA, however we are open to remote candidates in the following states: AZ, AR, CO, DE, FL, GA, IL, IN, KS, KY, MA, MD, MI, MS, MO, MT, NC, NE, NV, NY, OH, OK, PA, SC, TN, TX, VA, DC, WI, and WV* Work Environment/Physical Demands


The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


This is a remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch.


Commence is an equal employment opportunity for employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law.


Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or hr@commence.ai. Please note that unless you are requesting an accommodation, all applications must be submitted through our online application system.

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