Alexandria, Virginia, United States Remote (Global)

Integrity Management Services, Inc. is hiring a Director, Medicare Program Integrity Operations (Full-time, Remote)

About the Role

Integrity Management Services, Inc. is seeking a Director, Medicare Program Integrity Operations to serve as a senior leader supporting a large-scale federal healthcare program. In this role, you will provide executive leadership for program delivery, stakeholder engagement, and operational governance across complex, multi-disciplinary workstreams.

What You'll Do

  • 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.

What We're Looking For

  • Proven experience as a senior leader supporting federal health programs, particularly Medicare.
  • Deep understanding of healthcare program integrity, compliance, and oversight mechanisms.
  • Demonstrated ability to provide executive oversight for complex, multi-disciplinary program operations.
  • Strong background in managing stakeholder engagement, governance, and performance reviews with government clients.
  • Experience leading integrated teams and managing subcontractor partnerships.
  • Expertise in audit planning, execution, and corrective action processes.
  • Knowledge of federal security, privacy, training, and records management requirements.
  • Excellent leadership, communication, and operational governance skills.

Team & Environment

You will join a culture of opportunity, recognition, collaboration, and community support. We offer a dynamic, idea-driven environment that nurtures professional development with large company perks and a small company feel.

Work Mode

This is a full-time, fully remote position open to global candidates.

Required Skills
MedicareProgram IntegrityOperations ManagementCMSHealthcare ComplianceAuditRegulatory RequirementsTeam LeadershipStakeholder ManagementProcess Improvement
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About company
Integrity Management Services, Inc.

Integrity Management Services, Inc. (IntegrityM) is a woman-owned small business specializing in assisting government healthcare organizations prevent and detect fraud and abuse in their programs.

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Job Details
Category management
Posted 7 days ago