An elevated approach to program analysis.
Director, Medicare Program Integrity Operations (Full-time, Remote)
Location
Virginia
Posted
1 day ago
Salary
Not specified
Job Description
Position Title: Director, Medicare Program Integrity Operations
Employment Type: Full-Time
Location: Remote
About Us
Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity, recognition, collaboration, and supporting our community. We thrive off of these fundamental elements that make IntegrityM a great place to work. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver creative solutions that exceed goals and foster a dynamic, idea-driven environment that nurtures our employees’ professional development. Large company perks…Small company feel!
Position Overview
IntegrityM is seeking a senior leader to serve as Director, Federal Health Program, supporting a large-scale federal healthcare program focused on oversight, compliance, and performance improvement. This role provides executive leadership for program delivery, stakeholder engagement, and operational governance across complex, multi-disciplinary workstreams.
The Director will be responsible for ensuring high-quality execution, regulatory compliance, and effective coordination with government clients and partner organizations. This position is expected to assume senior leadership responsibilities on a major federal healthcare engagement.
Key Responsibilities
• Provide executive oversight and direction for program operations, ensuring performance aligns with contractual requirements, government guidance, and quality standards.
• Serve as a senior interface with government stakeholders, supporting governance, performance reviews, issue resolution, and risk management.
• Lead integrated teams and subcontractor partners to deliver efficient, compliant, and timely program outcomes.
• Oversee healthcare program integrity activities, including data-driven analysis, audits, oversight activities, and stakeholder communications.
• Ensure high-quality delivery of program outputs such as analytic reports, alerts, and external communications.
• Provide leadership for audit planning, execution, documentation, and corrective action processes.
• Oversee operational workflows for correspondence management, issue tracking, and responsiveness to external stakeholders.
• Lead coordination with related federal contractors and oversight entities to support aligned program execution and avoid duplication of effort.
• Support transition and implementation activities for new or expanding federal programs, ensuring continuity of operations.
• Ensure compliance with federal security, privacy, training, and records management requirements.
Job Requirements
- Qualifications
- Bachelor’s degree required.
- 10+ years of experience in healthcare program operations, program integrity, compliance, auditing, or federal health programs.
- 3+ years of experience leading complex teams and managing large-scale, time-sensitive program operations.
- Strong knowledge of Medicare-related programs (Parts A, B C & D), healthcare compliance, or payment integrity preferred.
- Preferred Qualifications
- Experience with managed care auditing.
- Experience working with federal clients or contractors strongly preferred.
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