Senior Director, Program Integrity

Public Partnerships | PPL

Senior Director overseeing fraud, waste, and abuse program for Public Partnerships LLC. Leading compliance initiatives and regulatory relationships in a remote role.

Posted 4/23/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $145,000 - $160,000 per yearWebsite

About the role

Key responsibilities & impact

Provide strategic and operational leadership over the organization’s enterprise‑wide fraud, waste, and abuse (FWA) program
Ensure regulatory compliance, risk mitigation, and program effectiveness across all states
Serve as the primary senior liaison with regulatory and law enforcement agencies
Oversee fraud detection, investigation, audit readiness, and corrective action management
Establish governance frameworks, drive data‑informed integrity initiatives, standardize processes, and lead continuous improvement efforts
Map, maintain, and continuously update a comprehensive inventory of all relevant state program integrity agencies
Serve as the primary point of contact with regulators and establish strong relationships with regulatory partners
Design and implement an enterprise-wide program integrity framework
Develop and maintain a centralized fraud risk register
Oversee fraud investigation and auditing, ensuring effective intake, investigation, and resolution of fraud cases
Partner with data/analytics teams to develop predictive fraud detection methodologies
Lead the development and execution of fraud prevention initiatives and drive continuous improvement

Requirements

What you’ll need

Excellent knowledge of relevant laws, regulations and industry standards
CDPAP and Medicaid experience
Experience managing relationships with MFCUs and state oversight agencies
Ability to communicate complex compliance issues clearly and effectively
Expert in FWA and ANE investigative processes
Strong analytical, interpersonal, and organizational skills
Proficiency in Microsoft Office technology; comfortable learning new systems and communicating system design needs
Demonstrated competence in reviewing contracts and other legal and regulatory documents
Strong attention to detail and process improvement
Excellent written and oral communication skills
Ability to negotiate with partners for prioritization and resource allocation
Comfortable with healthy conflict
Skilled at developing and maintaining accountability within corporations
Demonstrated ability to build highly effective teams and manage staff
Strong work ethic and ability to prioritize tasks in a fast-paced, dynamic environment
Bachelor’s degree preferred; Substantial professional experience may be considered in lieu of a formal degree.

Benefits

Comp & perks

401k Retirement Plan
Medical, Dental and Vision insurance on first day of employment
Generous Paid Time Off
Employee Assistance Program and more

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

fraud detectioninvestigationaudit readinesscorrective action managementdata-informed integrity initiativespredictive fraud detection methodologiescontract reviewregulatory compliancerisk mitigationprogram effectiveness

Soft Skills

analytical skillsinterpersonal skillsorganizational skillscommunication skillsnegotiation skillsattention to detailprocess improvementteam buildingaccountabilitywork ethic