Fraud Prevention & Program Integrity Lead

Serco; Richmond (VA); In loco; USD 150.000 - 190.000; Tempo pieno

Descrizione del lavoro

Serco Inc. is seeking a Senior Manager to oversee fraud detection, escalation and risk operations for a major federal contract in the DMV area. The role includes shaping a strategic fraud framework, coordinating cross-functional teams, and delivering data-driven insights for program integrity and mitigation.

The ideal candidate will have 7+ years in healthcare fraud related fields, 5+ years leading teams, and strong communication and leadership abilities to liaise with government partners.

Competenze

• Undergraduate degree required.
• 7+ years in healthcare compliance, fraud investigations, or related fields.
• 5+ years leading integrated teams or cross-functional groups.
• Experience managing complex investigations in healthcare coverage or government programs.
• Experience with compliance technology platforms and advanced data analytics.

Mansioni

• Provide program integrity and fraud expertise to inform leadership and partners.
• Evaluate rules, processes, and systems for risk and mitigation strategies.
• Design and implement a strategic fraud framework across program operations.
• Lead a distributed, cross-functional team focused on detecting and preventing fraud.
• Communicate findings to diverse audiences and advise on mitigation initiatives.
• Collaborate with stakeholders to foster anti-fraud awareness and tools across the workforce.
• Manage cross-cutting projects to implement integrity initiatives.
• Develop software-driven systems to track fraud and focus investigations.

Conoscenze

Fraud detection

Data analytics

Leadership

Program management

Communication

Formazione

Bachelor's degree

Strumenti

Advanced data analytics platforms

Descrizione del lavoro

Serco Inc. is seeking a Senior Manager to oversee fraud detection, escalation and risk operations for a major federal contract in the DMV area. The role includes shaping a strategic fraud framework, coordinating cross-functional teams, and delivering data-driven insights for program integrity and mitigation.

The ideal candidate will have 7+ years in healthcare fraud related fields, 5+ years leading teams, and strong communication and leadership abilities to liaise with government partners.