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Program Integrity Jobs in Milwaukee, WI (NOW HIRING)

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Program Integrity information

See Milwaukee, WI salary details

$24.6K

$51.6K

$89.2K

How much do program integrity jobs pay per year?

As of Jul 13, 2026, the average yearly pay for program integrity in Milwaukee, WI is $51,587.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,400.00 and $58,600.00 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.
Program Integrity jobs near you
Program Manager I - Center for Advancing Population Science

Program Manager I - Center for Advancing Population Science

Medical College of Wisconsin

Milwaukee, WI • On-site

Other

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Medical College Of Wisconsin rating

7.7

Company rating: 7.7 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

226th of 553 rated colleges and universities

Job description

Summary

Work independently, under the direction of the Program Director, Principle Investigator, or Department Chair to manage the activities of a division-wide or department-wide program. Provide direction and guidance to the team to facilitate the achievement of the program's goals.

Primary Responsibilities

  • Maintain program timeline including tracking deadlines for program deliverables.

  • Develop and manage program budget.

  • Schedule people and material resources.

  • Recruit and train program staff.

  • Coordinate the development of program materials including educational materials, marketing materials, websites, forms, and reports.

  • Oversee the collection, analysis, and dissemination of program data.

  • Develop, implement, and maintain comprehensive databases and files related to the program.

  • Organize internal and external meetings, site visits, and special events.

  • Oversee training for program participants.

  • Coordinate and manage program outreach activities including acting as a liason with community organizations.

  • Ensure program data and progress are reported to program stakeholders.

  • Ensure compliance with regulatory and institutional policies.

  • Participate in the development of program resources through literature searches, contact with outside programs, and review of funding opportunities.

  • Participate on appropriate committees relevant to the advancement of the program and the profession or area of research.

  • Other duties as assigned.

Knowledge - Skills - Abilities

  • Knowledge of technical, business, consultation, project management, and cultural awareness.

  • Customer focus, building trust, communication, critical thinking, and influencing skills

Qualifications

Appropriate experience may be substituted for education on an equivalent basis.

Minimum Required Education: Bachelor's degree

Minimum Required Experience: 6 years

Physical Requirements

Work requires occasionally lifting moderate weight materials, standing, or walking continuously.

Work Environment

Occasional exposure to dust, noise, temperature changes, or contact with water or other liquids. Work is performed in an environmentally controlled environment.

Sensory Acuity

Ability to detect and translate speech or other communication required. May occasionally require the ability to distinguish colors and perceive relative distances between objects.

#LI-AV1


Why MCW?
  • Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
  • 403B Retirement Package
  • Competitive Vacation and Paid Holidays offered
  • Tuition Reimbursement
  • Paid Parental Leave
  • Employee & Family Assistance Program (EFAP)
  • Pet Insurance
  • On campus Fitness Facility, offering onsite classes
  • Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.

For a brief overview of our benefits see: Benefits Overview


For a full list of positions see: MCW Careers

At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring - Collaborative - Curiosity - Inclusive - Integrity - Respect. We are committed to fostering an inclusive environment that values diversity in backgrounds, experiences, and perspectives through merit-based processes and in alignment with all applicable laws. We believe that embracing human differences is critical to realize our vision of a healthier world, and we recognize that a healthy and thriving community starts from within. Our values define who we are, what we stand for and how we conduct ourselves at MCW. If you believe in embracing individuality and working together according to these principles to improve health for all, then MCW is the place for you. For more information, please visit our institutional website.


MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:

The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering an inclusive community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.


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About Medical College of Wisconsin

Sourced by ZipRecruiter

The Medical College of Wisconsin (MCW) is an industry-leading educational institution located in Milwaukee, WI, US. Being part of the medical and health services sector, MCW's primary mission is to educate and train the next generation of healthcare professionals. MCW offers a wide array of degrees and programs within medical and health sciences, covering everything from medical, graduate, pharmacy and health sciences studies, to continuing professional developments and community engagement initiatives. Founded in 1893, MCW boasts a rich, well-entrenched history in shaping the medical education landscape locally and globally. The institution's core values of knowledge-changing life underline its dedication to incorporating innovative approaches in education and research, commitment to diversity and inclusion, service to the community, integrity, stewardship, and collaboration.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Milwaukee, WI, US

Year founded

1893

Social media

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