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Program Integrity Jobs (NOW HIRING)

Position Summary The Program Integrity Auditor is responsible for the review of records for medical, behavioral, transportation, and other healthcare providers. The Auditor must have the ability to ...

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Position Summary BLH Technologies is seeking an experienced Senior Program Integrity & Compliance Manager to support a federal client within the U.S. Department of Health and Human Services. This ...

$70K - $77K/yr

Overview Medicaid/Medicare Program Integrity Analyst II - REMOTE The Medicaid/Medicare Program Integrity Analyst II performs evaluation and development of leads, complaints, and/or investigations to ...

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Program Integrity information

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$25K

$52.4K

$90.5K

How much do program integrity jobs pay per year?

As of Sep 12, 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 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.

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:

Infographic showing various Program Integrity job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $52,360 per year, or $25.2 per hour.

PROGRAM INTEGRITY AUDITOR I

Chicago, IL • On-site

State of Illinois
Public Administration • 11 - 50 employees

$5.5K/mo

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago


State Of Illinois rating

8.0

Company rating: 8.0 out of 10

Based on 75 frontline employees who took The Breakroom Quiz


Job description

Job Requisition ID: 58393
Division/Section/Unit: Financial Institutions / Currency Exchange / Financial Examining
HR Tracking #: 38045
Position Title: Program Integrity Auditor I
Opening Date: 09/04/2026Closing Date: 09/21/2026Agency: Department of Financial and Professional RegulationClass Title: PROGRAM INTEGRITY AUDITOR I - 34631 Skill Option: None Bilingual Option: NoneSalary: Anticipated Starting Salary $5,572 monthly; Full Range $5,572 - $7,898 monthlyJob Type: SalariedCategory: Full TimeNumber of Vacancies: 1Bargaining Unit Code: RC062 Technical Employees, AFSCMEMerit Comp Code:
Work Hours: Monday-Friday 8:30am-5:00pm
Anticipated Hybrid Work Schedule Availability:1 to 5 Days per week in office, depending on operational needs
Headquarter Location:Chicago - 555 W Monroe St
Work County:Cook
Agency Contact: FPR.Employment@Illinois.gov
This position is a union position; therefore, provisions of the relevant collective bargaining agreement/labor contract apply to the filling of this position.
All applicants who want to be considered for this position MUST apply electronically through the illinois.jobs2web.com website. State of Illinois employees should click the link near the top left to apply through the SuccessFactors employee career portal.
Applications submitted via email or any paper manner (mail, fax, hand delivery) will not be considered.
Why Work for Illinois?
Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you're helping to improve schools, protect our natural resources, or support families in need, you're part of something bigger-something that touches the lives of every person who calls Illinois home.
No matter what state career you're looking for, we offer jobs that fit your life and your schedule-flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois.
Position Overview
Under general supervision, assists higher level Program Integrity Auditors (PIA)/ Bank Examiners in conducting on-site or remote fiscal analysis and procedural audits of programs regulated under the Section. Reviews findings and provides input to comprehensive report of findings, including review results and calculations. Assists in preparing for and conducting the entrance conference to outline audit plans. Provides direct support in the development and presentation of detailed, highly sophisticated testimony for administrative hearings, clearly articulating the analysis methodologies employed and the professional principles, concepts, procedures, and findings derived from formal reviews. Investigates consumer inquiries and submits detail reports of findings. Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above.
State of Illinois Benefits
  • Health, Life, Vision, and Dental insurance
  • 12 weeks paid maternity/paternity leave
  • Pension Plan - Vesting at 10 years for Tier II
  • Full 20-year retirement awards free health insurance during retirement
  • Deferred compensation and other pre-tax benefits programs
  • Paid state holidays, 12-14 days annually
  • 3 paid Personal Business Days annually
  • 12 Paid Sick Days annually (Sick days carry over year to year)
  • 10-25 Days of Paid Vacation time annually (10 days in year one of employment)
  • Personal, sick, and vacation rates modified for 12-hour work schedules (as applicable)
  • Employee Assistance Program and/or mental health resources
  • For more information about our benefits please follow this link: https://www2.illinois.gov/cms/benefits/Pages/default.aspx

Essential Functions
  • Under general supervision, assists higher level Program Integrity Auditors (PIA)/Examiners in conducting on-site or remote fiscal analysis and procedural audits of programs regulated under the Section.
  • Reviews findings and provides input to comprehensive report of findings, including review results and calculations.
  • Assists in preparing for and conducting the entrance conference to outline audit plans.
  • Provides direct support in the development and presentation of detailed, highly sophisticated testimony for administrative hearings, clearly articulating the analysis methodologies employed and the professional principles, concepts, procedures, and findings derived from formal reviews.
  • Investigates consumer inquiries and submits detail reports of findings
  • Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above.

Minimum Qualifications
  • Requires knowledge, skill and mental development equivalent to a bachelor's degree, preferably with major course work in accounting or business administration.
  • Requires satisfactory completion of agency-sponsored program integrity training program.

Preferred Qualifications
  • Prefers at least two years of auditing experience in last 48 months.
  • Prefers two years of experience working in banking, financial institutions, or similar within the last 48 months.
  • Prefers two years of experience collecting and analyzing financial data, as well as drafting detailed and complicated examination reports within the last 48 months.
  • Prefers possession of a Certified Public Accountant rating.

Conditions of Employment
  • Requires the ability to pass an agency conducted background check.
  • Requires the possession of a valid, appropriate driver's license, access to a vehicle for travel, and the ability to travel to remote sites.
  • This position has been found to meet the requirements in section 4A-101 of the Illinois Governmental Ethics Act requiring the occupant/employee to file a Statement of Economic Interest. The Illinois Governmental Ethics Act (5 ILCS 420/4A et seq.) requires certain state officials and employees to file annual Statements of Economic Interest with the Office of the Secretary of State that will be made available for examination and copying by the public. All employees required to file a Statement of Economic Interest are also required to file the Supplemental Statement of Economic Interest with the Executive Ethics Commission. (See Executive Order 15-09) Fines and penalties apply to untimely filings.
  • The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description.

Agency Statement
IDFPR is a regulatory licensing and enforcement agency that protects the residents of Illinois, ensures the safety and soundness of financial institutions, ensures that competent professionals are licensed to provide services to the public, and enhances commerce in the state for the benefit of all its residents.
Statement of Economic Interest: This position has been found to meet the requirements in section 4A-101 of the Illinois Governmental Ethics Act requiring the occupant/employee to file a Statement of Economic Interest. The Illinois Governmental Ethics Act (5 ILCS 420/4A et seq.) requires certain state officials and employees to file annual Statements of Economic Interest with the Office of the Secretary of State that will be made available for examination and copying by the public. All employees required to file a Statement of Economic Interest are also required to file the Supplemental Statement of Economic Interest with the Executive Ethics Commission. (See Executive Order 15-09) Fines and penalties apply to untimely filings.
This position DOES NOT contain "Specialized Skills" (as that term is used in CBAs).
APPLICATION INSTRUCTIONS
Use the "Apply" button at the top right or bottom right of this posting to begin the application process.
If you are not already signed in, you will be prompted to do so.
State employees should sign in to the career portal for State of Illinois employees - a link is available at the top left of the Illinois.jobs2web.com homepage in the blue ribbon.
Non-State employees should log in on the using the "View Profile" link in the top right of the Illinois.jobs2web.com homepage in the blue ribbon. If you have never before signed in, you will be prompted to create an account.
If you have questions about how to apply, please see the following resources:
State employees: Log in to the career portal for State employees and review the Internal Candidate Application Job Aid
Non-State employees: on Illinois.jobs2web.com - click "Application Procedures" in the footer of every page of the website.
The main form of communication will be through email. Please check your "junk mail", "spam", or "other" folder for communication(s) regarding any submitted application(s). You may receive emails from the following addresses:
  • donotreply@SIL-P1.ns2cloud.com
  • systems@SIL-P1.ns2cloud.com

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About State of Illinois

Sourced by ZipRecruiter

The State of Illinois is not a traditional company, but rather a governmental entity encompassing diverse agencies and departments that serve the constituents of Illinois. Based in Illinois, United States, this governmental body communicates with its citizens through the official website illinois.gov. The website is a one-stop resource for Illinois residents to access information about the state's services, including education, healthcare, transportation, and public safety, among others.

Industry

Public administration

Company size

11 - 50 Employees

Headquarters location

Springfield, IL, US

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