Director of Program Integrity & Investigations

Qlarant; Texas; On-site; USD 100,000 - 130,000; Full time

Job summary

Qlarant is seeking a Program Integrity lead to drive performance across enterprise contracts, overseeing investigative teams and targeted reviews. The role involves monitoring metrics, implementing controls, and guiding teams to detect and prevent fraud while ensuring compliance with laws and policies.

The ideal candidate will bring a Bachelor’s degree and preferably a Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator credential, with experience in coordinating with

Qualifications

• Requires a minimum Bachelor's Degree.
• Prefers Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator.

Responsibilities

• Owns responsibility for ensuring optimal performance of the Program Integrity division within enterprise contracts.
• Monitors and analyzes performance metrics to identify opportunities for improving processes and procedures.
• Directs investigations and fraud reviews, coordinating with investigative teams.
• Liaises with government agencies, regulators, and external stakeholders for compliant programs.
• Identifies risks to program integrity and develops mitigation strategies.
• Implements controls and monitoring to detect and prevent fraud.
• Conducts advanced investigations into fraud, misconduct, or non-compliance and trains staff on policies.
• Manages team performance through regular feedback and annual performance reviews.

Education

Bachelor's Degree

Certified Fraud Examiner

Job description

Qlarant is seeking a Program Integrity lead to drive performance across enterprise contracts, overseeing investigative teams and targeted reviews. The role involves monitoring metrics, implementing controls, and guiding teams to detect and prevent fraud while ensuring compliance with laws and policies.

The ideal candidate will bring a Bachelor’s degree and preferably a Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator credential, with experience in coordinating with