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Program Integrity Jobs in Wake County, NC (NOW HIRING)

Leads the overall management of the business unit, ensuring person-centered service delivery, program integrity, and a strong organizational culture. * Oversees and integrates the work of clinical ...

Program Manager

Durham, NC · On-site

$122K - $143K/yr

You'll be part of a company that prioritizes quality, integrity, collaboration, and customer care ... Program Manager Location: Mebane, NC Base Salary Rate: $122,285 - $143,865 Job type: F ull-time ...

The Unit is responsible for all functions related to eligibility to include intake, processing, recertifications, reports and analysis, training, and program integrity. Essential Duties and Tasks The ...

Director of School Nutrition

Lowell, NC · On-site

$37K - $43K/yr

The DSN is to provide an environment that supports healthy food habits while maintaining program integrity and customer satisfaction. Duties and Responsibilities • Administers the National School ...

As a Program Manager at ADDMAN's Statesville, NC facility, you will serve as the primary customer ... High integrity, initiative, and ownership mindset. Requirements: QUALIFICATIONS: * Bachelor ...

As a Program Manager at ADDMAN's Statesville, NC facility, you will serve as the primary customer ... High integrity, initiative, and ownership mindset. Requirements QUALIFICATIONS: * Bachelor's degree ...

$40K/yr

Establishes program integrity referrals for fraudulent actions; gathers data and presents at hearings; testifies before County, State hearing officers, and in court as needed. Prepares reports and ...

... system integrity. * Maintain compliance with ITIL, SAFe, and DoD 8570 standards to optimize ... PMP/PgMP certification (Program Management Institute) required. * ITIL Foundation certification ...

Program Manager

Charlotte, NC · On-site

$175K - $200K/yr

Rewards & benefits At Atkins Realis, our values-Safety, Integrity, Collaboration, Innovation, and ... programs, employee assistance program, and voluntary benefits. You can review our comprehensive ...

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Showing results 1-20

Program Integrity information

See Wake County, NC salary details

$24.3K

$50.9K

$88K

How much do program integrity jobs pay per year?

As of Jul 17, 2026, the average yearly pay for program integrity in Wake County, NC is $50,895.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,900.00 and $57,800.00 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 cities near Wake County, NC are hiring for Program Integrity jobs? Cities near Wake County, NC with the most Program Integrity job openings:
Infographic showing various Program Integrity job openings in Wake County, NC as of July 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $50,895 per year, or $24.5 per hour.
IDD Executive Director

IDD Executive Director

RHA Health Services

Maiden, NC • On-site

Full-time

Medical, Retirement, PTO

Re-posted 18 hours ago


RHA Health Services rating

5.3

Company rating: 5.3 out of 10

Based on 93 frontline employees who took The Breakroom Quiz

185th of 236 rated social care providers


Job description

We are hiring for:
IDD Executive Director
Type:
Regular
If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!
The Executive Director provides strategic and operational leadership for a single business unit supporting individuals with intellectual and developmental disabilities (IDD). This role ensures the delivery of person-centered, high-quality services while maintaining compliance with all regulatory and contractual standards. The Executive Director oversees clinical, administrative, financial, and workforce operations and fosters a culture of excellence, accountability, and continuous improvement. This position plays a key role in shaping outcomes for individuals supported and for developing and sustaining a high-performing team of interdisciplinary professionals.
DUTIES AND RESPONSIBILITIES:
Operational Leadership and Oversight
  • Leads the overall management of the business unit, ensuring person-centered service delivery, program integrity, and a strong organizational culture.
  • Oversees and integrates the work of clinical, administrative, and operational departments, including Home Managers, QDDPs/QMRPs, Program Managers, Clinical Professionals, Behavioral Specialists, Nursing, Dietitians, Training Coordinators, Business Managers, and other unit staff.
  • Maintains up-to-date knowledge of federal, state, and local regulatory requirements and proactively addresses areas of non-compliance or risk.
  • Provides fiscal oversight, supports efficient resource allocation, and ensures adherence to the unit's budgetary goals and financial targets.

Quality and Compliance
  • Provides leadership to the Quality Management Team to drive measurable improvements in outcomes and quality of care for individuals served.
  • Oversees the implementation and monitoring of Personal Outcome Measures (POMs) to maximize individualized support, autonomy, and quality of life for every person supported.
  • Directs the development, execution, and monitoring of the unit's Quality Improvement Plan, ensuring progress on identified initiatives and corrective actions.
  • Oversees the unit's quality assurance processes including audits, chart reviews, incident tracking, and risk mitigation strategies to promote safety, health, and well-being of individuals supported.
  • Prepares for and leads the response to regulatory audits, life safety surveys, certification, and licensure reviews, and LME/MCO monitoring activities.
  • Ensures timely development and implementation of Plans of Correction (POCs), tracks progress to resolution and communicates outcomes to internal and external stakeholders including the corporate office.

Clinical and Programmatic Oversight
  • Ensures appropriate clinical oversight by licensed and credentialed professionals and supports the consistent integration of clinical best practices in all service settings.
  • Ensures services are aligned with the industry's best practices, regulatory standards, accreditation guidelines, and the organization's mission and values.

Workforce Development and Team Management
  • Leads implementation of staff training initiatives to ensure workforce readiness and compliance with required competencies, policies, and procedures.
  • Builds and sustains a culture of professional development, employee engagement, and high performance across all roles and functions.

Stakeholder Engagement and Collaboration
  • Collaborates with external agencies, families, and community partners to strengthen service offerings and promote engagement.

SUPERVISORY RESPONSIBILITIES:
The Executive Director provides direct and indirect supervision to all positions within the Unit's operations team. This includes Qualified Professionals (QPs), Supervisors, Clinical staff (such as Nurses, Behavioral Health Specialists, Psychologists, and Dietitians), Administrative personnel, Program Managers, Training Coordinators, and other team members involved in the delivery and oversight of services. The Executive Director is responsible for building high-performing teams, fostering leadership at all levels, and ensuring effective performance management across all functions.
MINIMUM QUALIFICATIONS:
  • Bachelor's degree in human services, Health Administration, Social Work, or a related field required; master's degree preferred.
  • Minimum of five (5) years of leadership experience in IDD services, long term care facilities or related healthcare/human services settings.
  • Demonstrated knowledge of regulatory standards and quality frameworks applicable to IDD services (e.g., HCBS, CMS, CARF, state licensing bodies).
  • Proven ability to lead interdisciplinary teams and drive service excellence in a complex, regulated environment.
  • Strong financial acumen, including experience managing operating budgets and business performance metrics.
  • Exceptional interpersonal, leadership, and communication skills.
  • Ability to build collaborative relationships with regulatory bodies, managed care organizations, community partners, and families.

PHYSICAL DEMANDS AND WORK ENVIRONMENT:
  • Must be able to regularly lift and carry up to 20 lbs. and occasionally pull at least 40 lbs.
  • Must be able to squat, kneel, crawl, crouch, climb, and stoop as part of regular job duties.
  • Must be able to use hands and fingers to handle or operate objects, tools, or controls.
  • Required to stand and walk for extended periods.
  • Must be able to demonstrate proficiency in CPR from floor level, which requires working on hands and knees, bending, standing, and lifting.
  • Vision requirements include close, distance, and peripheral vision.
  • Must be able to talk and hear.
  • Exception - Deaf and Hard of Hearing Programs: For these programs only, employees must be fluent in American Sign Language (ASL). The requirement to talk and hear does not apply.

RHA is an Equal Employment Opportunity Employer, prohibits discrimination based on the following protected categories: race, creed, color, national origin, nationality, ancestry, age, sex/gender, marital status, civil status, domestic partnership status, familial status, religion, affectional or sexual orientation, gender identity or expression, atypical hereditary cellular or blood trait, genetic information, liability for service in the Armed Forces of the United States, or disability.
Pre-employment screening:
  • Complete criminal background
  • Name checked in the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities)
  • Drug testing
  • Education verification and other credentialing based on position requirements.
  • Proof of employment history or references (if required)
  • Positions that require driving Proof of driver's license, driver's insurance, and vehicle, IF required for providing transportation for individuals.

We offer the following benefits to employees:
  • Payactiv: early access to the money you've earned from hours you've already worked, before payday!
  • Employee perks and discount program: to help you save money!
  • Paid Time Off (full-time employees only)
  • Health/Insurance (full-time employees only)
  • 401(k) retirement savings program
  • Wellbeing Programs: Physical, Emotional and Financial
  • Chronic Disease management programs for hypertension and diabetes (for qualifying employees)
  • Training: Free CPR, first aid, and job-specific training opportunities

*contract/contingent workers and interns do not qualify for any of the above benefits
EEO Statement RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center.
About RHA:
At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and/or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes.
For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey.
If you are ready to make a difference in the lives of people we serve and support apply to join the team today.

What RHA Health Services employees say

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RHA Health Services logo

About RHA Health Services

Sourced by ZipRecruiter

At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and/or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes. For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, and Tennessee.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Asheville, NC, US

Year founded

1989

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