Director, Program Integrity & Investigations

Qlarant; Clayton (NM); On-site; USD 90,000 - 120,000; Full time

Job summary

Qlarant, a not-for-profit organization, seeks a seasoned Program Integrity professional to lead investigative teams and uphold compliance across enterprise contracts. The role collaborates with government agencies to safeguard health and human services programs and to combat fraud, waste, and abuse nationwide.

You will oversee day-to-day investigations, drive risk mitigation strategies, and mentor staff, ensuring high-quality program integrity outcomes and adherence to strict regulatory

Qualifications

• Minimum Bachelor's Degree required.
• Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator preferred.

Responsibilities

• Directs teams to monitor and ensure compliance with relevant laws, regulations, and organizational policies.
• Identifies and evaluates potential risks to program integrity and develops strategies to mitigate these risks.
• Installs best of class measures to maintain and improve the quality of program activities.
• Formulates and implements strategies to detect and prevent fraud within programs, including establishing controls and monitoring systems.
• Conducts advanced investigations into potential instances of fraud, misconduct, or non-compliance; instructs program staff on relevant compliance matters.
• Manages team performance through regular, timely feedback as well as the formal performance review process.

Education

Bachelor's Degree

Job description

Qlarant, a not-for-profit organization, seeks a seasoned Program Integrity professional to lead investigative teams and uphold compliance across enterprise contracts. The role collaborates with government agencies to safeguard health and human services programs and to combat fraud, waste, and abuse nationwide.

You will oversee day-to-day investigations, drive risk mitigation strategies, and mentor staff, ensuring high-quality program integrity outcomes and adherence to strict regulatory