Director of Program Integrity & Investigations

Qlarant; New Mexico; On-site; USD 90,000 - 130,000; Full time

Job summary

Qlarant is seeking a Program Integrity leader to oversee the division within enterprise contracts in our not-for-profit organization. The role emphasizes efficiency, regulatory compliance, and strong collaboration with public agencies to prevent fraud and improve program outcomes.

You will coach investigation teams, implement controls, and drive performance through structured reviews. This position requires a Bachelor's degree and professional fraud investigation credentials for preferred

Qualifications

• Minimum Bachelor's Degree required.
• Professional certification (CFE or Accredited Healthcare Anti-fraud Investigator) preferred.
• Experience leading program integrity investigations and fraud risk mitigation.

Responsibilities

• Own responsibility for ensuring the optimal performance of the Program Integrity division within enterprise contracts.
• Assist and support Senior Manager - Program Integrity in operations and administration of contracts.
• Communicate regularly and liaise with government agencies, regulatory bodies, and external stakeholders.
• Direct teams to monitor and ensure compliance with laws, regulations, and policies.
• Identify and evaluate potential risks to program integrity and develop mitigation strategies.
• Install best-in-class measures to maintain and improve program activities.
• Formulate strategies to detect and prevent fraud within programs, including controls and monitoring.
• Conduct advanced investigations into potential fraud or non-compliance; instruct staff on compliance matters.
• Manage team performance through regular feedback and formal reviews.

Skills

Investigations leadership

Compliance oversight

Stakeholder liaison

Fraud detection

Education

Bachelor's degree

Certified Fraud Examiner (CFE) or Accredited Healthcare Anti-fraud Investigator (preferred)

Job description

Qlarant is seeking a Program Integrity leader to oversee the division within enterprise contracts in our not-for-profit organization. The role emphasizes efficiency, regulatory compliance, and strong collaboration with public agencies to prevent fraud and improve program outcomes.

You will coach investigation teams, implement controls, and drive performance through structured reviews. This position requires a Bachelor's degree and professional fraud investigation credentials for preferred