Fraud Prevention Program Lead (Healthcare)

Serco; Suffolk (VA); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) with employer matching

Tuition reimbursement

Job summary

Serco Inc. seeks a Senior Manager to oversee fraud detection, escalation, and risk operations for a large federal contract at our Herndon, VA headquarters.

You will coordinate monitoring, analysis, and technology in Serco’s Fraud Prevention program and guide a cross-functional team across operations, technology, and compliance to implement best practices. The role requires 7+ years in healthcare compliance or fraud investigations, strong leadership, and ability to work with government partners.

Qualifications

• Undergraduate degree (B.A., B.S., or equivalent)
• Experience in healthcare fraud investigations or government oversight
• Strong communication and leadership skills

Responsibilities

• Provide program integrity and fraud expertise to inform executives and partners.
• Evaluate rules and processes to assess risk and mitigations.
• Design a strategic fraud framework for program processes.
• Lead a cross-functional team to examine and deter identity and eligibility fraud.
• Communicate across departments to support fraud mitigation initiatives.

Skills

Fraud analytics

Leadership

Cross-functional coordination

Communication

Regulatory compliance

Education

Bachelor's degree

Tools

Data analytics tools

Compliance platforms

Job description

Serco Inc. seeks a Senior Manager to oversee fraud detection, escalation, and risk operations for a large federal contract at our Herndon, VA headquarters.

You will coordinate monitoring, analysis, and technology in Serco’s Fraud Prevention program and guide a cross-functional team across operations, technology, and compliance to implement best practices. The role requires 7+ years in healthcare compliance or fraud investigations, strong leadership, and ability to work with government partners.