Fraud Prevention & Analytics Leader (Healthcare)

Serco; Newport News (VA); Presencial; USD 140.000 - 200.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, and vision insurance

401(k) plan with employer matching

Tuition reimbursement

Life insurance

Disability coverage

Descripción de la vacante

Serco Inc. seeks a dynamic Senior Manager to oversee fraud detection, escalation, and risk operations for a large federal contract. The role is based in Herndon, VA, with responsibilities spanning program integrity, analytics, and policy development across multiple teams.

You will manage a cross-functional group, disseminate findings to leadership and government partners, and drive anti-fraud initiatives while mentoring staff and coordinating with stakeholders.

Formación

• U.S. Citizenship required.
• Undergraduate degree (B.A., B.S., or equivalent).
• 7+ years in healthcare compliance, fraud investigations, or related fields.
• 5+ years leading integrated teams or cross-functional projects.
• Experience with compliance tech platforms and advanced data analytics for fraud detection.
• Excellent written and verbal communication; strong stakeholder engagement.

Responsabilidades

• Provide fraud insights to executives, staff, and federal partners on data and trends.
• Evaluate rules and processes and assess risk with current best practices.
• Design and implement a strategic fraud framework within programs.
• Lead a distributed cross-functional team to identify patterns of identity/eligibility fraud.
• Communicate across departments to support fraud mitigation initiatives.
• Collaborate to grow anti-fraud awareness and tools within Serco.
• Manage cross-cutting projects implementing integrity and fraud mitigation.
• Develop and oversee software-driven data collection and analysis for fraud focus.
• Stay current on healthcare fraud issues and liaise with partners.
• Generate reports and presentations for internal and external audiences.
• Mentor staff and perform additional duties as assigned.

Conocimientos

Fraud analytics

Leadership

Stakeholder management

Communication

Cross-functional collaboration

Project coordination

Policy development

Educación

Bachelor's degree

Herramientas

Compliance platforms

Data analytics

Microsoft Office

Descripción del empleo

Serco Inc. seeks a dynamic Senior Manager to oversee fraud detection, escalation, and risk operations for a large federal contract. The role is based in Herndon, VA, with responsibilities spanning program integrity, analytics, and policy development across multiple teams.

You will manage a cross-functional group, disseminate findings to leadership and government partners, and drive anti-fraud initiatives while mentoring staff and coordinating with stakeholders.