Fraud Prevention & Program Integrity Lead

Serco; Harrisonburg (VA); On-site; USD 130,000 - 190,000; Full time

Job summary

Serco Inc. seeks a Senior Manager to oversee fraud detection, escalation, and risk operations for a large federal contract at its Headquarters office in Herndon, VA. You will coordinate monitoring, analysis, and technology in Serco’s Fraud Prevention program, reporting to the Director of Program Management.

The role requires leading diverse teams, developing fraud policies, and delivering data-driven insights to mitigate identity and eligibility fraud. Local DMV presence is essential.

Qualifications

• Bachelor's degree or equivalent required; advanced credentials are a plus.
• Minimum 7 years in healthcare compliance, fraud investigations, or related oversight fields.
• 5+ years leading integrated teams and cross-functional initiatives.
• Experience with compliance technology and advanced analytics for fraud detection.
• Strong communication and stakeholder management abilities.

Responsibilities

• Provide program integrity and fraud expertise to inform executives and partners.
• Evaluate rules, processes, and systems; assess risk and mitigation strategies.
• Design a strategic fraud framework across processes and systems.
• Lead a distributed, cross-functional team reviewing verifications for identity fraud.
• Communicate across departments to support fraud mitigation initiatives.
• Build anti-fraud awareness and tools within the Serco workforce.
• Manage complex projects implementing program integrity and fraud mitigation.
• Develop and oversee an information collection system to track fraud data.
• Keep abreast of evolving healthcare fraud issues and liaise with authorities.
• Generate reports and presentations of fraud levels for internal/external stakeholders.
• Build relationships with government clients and partners; mentor staff.

Skills

Fraud detection

Leadership

Data analytics

Communication

Program management

Stakeholder management

Education

Undergraduate degree

Tools

Compliance platforms

Data analytics tools

Job description

Serco Inc. seeks a Senior Manager to oversee fraud detection, escalation, and risk operations for a large federal contract at its Headquarters office in Herndon, VA. You will coordinate monitoring, analysis, and technology in Serco’s Fraud Prevention program, reporting to the Director of Program Management.

The role requires leading diverse teams, developing fraud policies, and delivering data-driven insights to mitigate identity and eligibility fraud. Local DMV presence is essential.