Fraud Prevention & Program Integrity Lead

Serco; Manassas (VA); On-site; USD 140,000 - 200,000; Full time

Job summary

Serco Inc. is seeking a Senior Manager to oversee fraud detection, escalation, and risk operations for a large federal contract in Herndon, VA. You will manage program integrity, analytics, and mitigation activities across operations and technology, coordinating with federal partners and Serco staff.

You will lead a cross-functional team, design fraud frameworks, and report on current fraud levels, liaising with government clients to advance anti-fraud initiatives within Serco.

Qualifications

• U.S. Citizenship is required.
• Ability to obtain/maintain a public trust.
• Bachelor's degree or equivalent.
• 7+ years in healthcare compliance, fraud investigations, law enforcement, government auditing or related fields.
• 5+ years leading integrated teams/projects.
• Experience with compliance tech platforms and advanced data analytics for fraud detection.
• Strong communication and interpersonal skills.

Responsibilities

• Provide fraud prevention insights to Serco executives, staff, and federal partners with the latest data and trends.
• Evaluate rules, processes and systems; assess risk and mitigations based on best practices.
• Design and implement a strategic fraud framework across processes and systems.
• Lead a distributed cross-functional team to examine and detect patterns of eligibility or identity fraud.
• Communicate across departments to support program integrity and fraud mitigation.
• Collaborate with management to grow anti-fraud awareness and tools within Serco.
• Manage complex cross-functional projects implementing integrity and mitigation measures.
• Develop and oversee a software-driven information collection and analysis system to track fraud and focus investigations.
• Stay current on healthcare fraud issues and liaise with government and private sector counterparts.
• Generate written and oral reports/presentations of fraud levels for internal/external dissemination.
• Build relationships with government clients and partners to support fraud mitigation initiatives.
• Lead, coach, and mentor staff.
• Perform additional duties and special projects as assigned.

Skills

Citizenship requirements

Public trust eligibility

Advanced data analytics

Excellent communication

Leadership & stakeholder mgmt

Education

Bachelor's degree

Tools

Compliance platforms

Job description

Serco Inc. is seeking a Senior Manager to oversee fraud detection, escalation, and risk operations for a large federal contract in Herndon, VA. You will manage program integrity, analytics, and mitigation activities across operations and technology, coordinating with federal partners and Serco staff.

You will lead a cross-functional team, design fraud frameworks, and report on current fraud levels, liaising with government clients to advance anti-fraud initiatives within Serco.