Director of Program Integrity Lead Fraud, Waste & Abuse Prevention for a Major Health Plan

Director of Program Integrity

Join a leading Texas-based health plan dedicated to advancing quality, compliance, and cost efficiency across Medicaid and managed care programs. As the Director of Program Integrity, youll lead strategic initiatives that ensure payment accuracy and safeguard against fraud, waste, and abuse driving real impact across the organization.

Shift Details Full-time, Days Monday through Friday, 8:00 AM to 5:00 PM

Compensation and Benefits Competitive compensation commensurate with experience. Comprehensive benefits include medical, dental, vision, life insurance, disability coverage, flexible spending accounts, and more.

Why Join Us

• Leadership-level opportunity influencing statewide Medicaid and managed care performance
• Highly visible role within a respected and growing health plan
• Collaborative, mission-driven culture focused on community and integrity
• Excellent work-life balance with weekday hours
• Strong benefits and professional development support

Your Role

• Direct operations and strategy for the Program Integrity department
• Oversee functions related to claims editing, audit strategy, and FWA prevention
• Drive continuous process improvement to ensure compliance and cost containment
• Partner with leadership to monitor program outcomes and performance metrics
• Supervise and mentor staff while fostering a high-performing, compliant team culture
• Manage department budgets, policies, and annual goals

About the Location Located in Plano, Texas, this thriving Dallas suburb offers a perfect balance of professional opportunity and quality of life. Plano is known for its excellent schools, vibrant corporate community, and wide range of dining and cultural optionsjust a short drive from downtown Dallas.