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BLH Technologies

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Program Integrity Specialist (Fraud, Waste, and Abuse)

Rockville, MD · On-site

$110K - $135K/yr

The Program Integrity Specialist will focus on identifying, preventing, and mitigating risks related to fraud, waste, and abuse (FWA). This position will work closely with program staff, analysts ...

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$25K

$52.4K

$90.5K

How much do program integrity jobs pay per year?

As of May 30, 2026, the average yearly pay for program integrity in the United States is $52,360.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $59,500.00 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.

More about Program Integrity jobs
What cities are hiring for Program Integrity jobs? Cities with the most Program Integrity job openings:
What are the most commonly searched types of Program Integrity jobs? The most popular types of Program Integrity jobs are:
What states have the most Program Integrity jobs? States with the most job openings for Program Integrity jobs include:
Program Integrity jobs near you
Infographic showing various Program Integrity job openings in the United States as of May 2026, with employment types broken down into 2% As Needed, 48% Full Time, 41% Part Time, 2% Temporary, and 7% Contract. Highlights an 97% Physical, and 3% Remote job distribution, with an average salary of $52,360 per year, or $25.2 per hour.
Program Integrity Specialist (Fraud, Waste, and Abuse)

Program Integrity Specialist (Fraud, Waste, and Abuse)

BLH Technologies, Inc.

Rockville, MD • On-site

$110K - $135K/yr

Full-time

Posted 21 days ago

Job description

BLH Technologies, Inc., is seeking a Program Integrity Specialist to support a federal contract with the U.S. Department of Health and Human Services (HHS). This role will HHS by strengthening oversight of grant-funded programs and ensuring responsible stewardship of federal funds.
The Program Integrity Specialist will focus on identifying, preventing, and mitigating risks related to fraud, waste, and abuse (FWA). This position will work closely with program staff, analysts, and leadership to enhance monitoring processes, improve data-driven risk identification, and support compliance with federal requirements. This is a strategic and analytical role supporting emerging federal priorities around accountability and program integrity.
Duties include but are not limited to:
• Develop and implement program integrity and risk management frameworks for grant programs.
• Analyze grant recipient data and performance reports to identify potential indicators of fraud, waste, or abuse.
• Support risk assessments and prioritization reviews of grant recipients to inform monitoring and oversight activities.
• Collaborate with program staff to strengthen grant monitoring processes, controls, and compliance procedures.
• Review financial, programmatic, and performance data to detect anomalies, inconsistencies, or potential misuse of funds.
• Support development of policies, guidance, and tools to improve program integrity and accountability.
• Assist in conducting program reviews and assessments, including identifying recipients requiring additional oversight or monitoring.
• Coordinate with data analysts and grant specialists to integrate data analytics into program integrity efforts.
• Develop and deliver training and technical assistance to staff and recipients on compliance, reporting, and risk mitigation.
• Prepare reports, briefings, and documentation related to program integrity findings, risks, and recommendations.
• Support compliance with federal regulations, reporting requirements, and internal controls standards.
Requirements:
• Masters degree in a related field
• Experience with federal grant programs, preferably including discretionary or demonstration programs
• Experience conducting risk assessments, audits, compliance reviews, or program integrity activities
• Experience analyzing programmatic and/or financial data to identify risks or irregularities
• Knowledge of FWA prevention principles and internal controls
• Experience supporting program monitoring, evaluation, or oversight activities
• Strong analytical skills, including ability to identify trends, anomalies, and risk indicators
• Experience developing policies, guidance, or training materials related to compliance or program integrity
• Strong written and verbal communication skills, including ability to brief senior stakeholders
• Ability to collaborate with cross-functional teams and federal stakeholders
This position is contingent upon contract award and funding. Candidates may be interviewed and selected prior to award; start dates are dependent on contract execution.
Work Location: Washington, DC Metro area. May require occasional travel.

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