Program Integrity Director

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Program Integrity Director based in the United States.

This executive-level role will define and lead an enterprise-wide Program Integrity strategy focused on Medicare and other federal healthcare programs. The position will shape long-term capabilities across fraud, waste, and abuse prevention, payment integrity, medical review, provider audits, analytics, and compliance operations. As a strategic subject matter expert, you will identify opportunities to strengthen existing programs, expand services, and improve operational performance. You will translate emerging CMS priorities, regulatory developments, and technological advances into actionable strategies and investment plans. Working across clinical, operational, technical, compliance, analytics, and business development teams, you will drive innovation and measurable outcomes. The role offers an opportunity to influence major federal healthcare initiatives while helping build scalable, future-ready Program Integrity capabilities.