Enterprise Integrity & Fraud Prevention Leader

State of Nebraska; Lincoln (NE); On-site; USD 120,000 - 150,000; Full time

Job summary

State of Nebraska is seeking a Fraud Prevention and Enterprise Integrity Officer in Lincoln to provide strategic leadership across the agency. The role oversees investigations, compliance, audits, data analytics, and risk management to safeguard public resources and ensure fair service access.

This executive position requires advanced qualifications, including leadership in enterprise integrity and experience with complex, cross-divisional initiatives within public programs.

Qualifications

• Bachelor's degree in public administration, business administration, health administration, accounting, finance, law, criminal justice, data analytics, or a related field.
• Progressively responsible leadership experience in enterprise integrity, fraud prevention, compliance, investigations, auditing, financial oversight, healthcare administration, public administration, risk management, or a related field.
• Experience leading complex initiatives involving multiple programs, divisions, or professional disciplines is required.
• Experience developing and implementing organizational strategies, policies, or operational initiatives.

Responsibilities

• Develop and implement an enterprise integrity strategy, governance framework, annual work plan, and performance measures aligned with DHHS priorities while proactively adapting to emerging risks and fraud schemes.
• Provide strategic leadership for agency-wide fraud prevention, investigations, compliance, audits, payment integrity, recoveries, and enterprise risk management activities.
• Provide strategic direction to Division Directors regarding enterprise integrity risks, emerging trends, policy development, and operational improvements.
• Oversee administrative investigations, audits, provider reviews, corrective actions, payment suspensions, sanctions, and overpayment recovery activities, as appropriate.
• Coordinate referrals and case information with the Attorney General, law enforcement, federal agencies, and other oversight agencies while maintaining appropriate separation between administrative and criminal functions.
• Develops the use of data analytics and risk-based methodologies to identify fraud trends, payment vulnerabilities, operational risks, and systemic control weaknesses while supporting executive decision-making.
• Develop and maintain policies, procedures, internal controls, quality standards, referral protocols, and documentation practices that support consistent and defensible decision-making.
• Ensure compliance with applicable federal and state laws, regulations, and program requirements.
• Establish, lead, and develop a multidisciplinary team while setting clear expectations for quality, collaboration, accountability, and measurable results.
• Foster an enterprise culture of integrity by promoting education, information sharing, and continuous improvement across DHHS programs.

Skills

Fraud prevention

Leadership

Data analytics

Compliance

Risk management

Public sector

Education

Bachelor's degree

Master's degree (preferred)

Job description

State of Nebraska is seeking a Fraud Prevention and Enterprise Integrity Officer in Lincoln to provide strategic leadership across the agency. The role oversees investigations, compliance, audits, data analytics, and risk management to safeguard public resources and ensure fair service access.

This executive position requires advanced qualifications, including leadership in enterprise integrity and experience with complex, cross-divisional initiatives within public programs.