Fraud Prevention Program Lead, Healthcare Compliance

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

Job summary

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

The role combines strategic policy development with hands-on leadership of cross-functional teams, driving anti-fraud initiatives across operations, compliance, and IT. Local DMV area preferred.

Qualifications

• Undergraduate degree required (B.A., B.S., or equivalent).
• 7+ years of experience in healthcare compliance, fraud investigations, law enforcement, government auditing or related fields.
• At least 5 years of experience in leading integrated teams, projects, initiatives, or cross-functional groups.
• Experience with compliance technology platforms and advanced data analytics for fraud detection.

Responsibilities

• Provide program integrity and fraud expertise to inform Serco executives and federal partners of the latest data and trends in fraud.
• Evaluate program rules, processes, and systems and assess risk and mitigations strategies based on current trends and best practices.
• Design and incorporate a strategic fraud framework into program processes and systems.
• Lead and coordinate a cross-functional team examining and detecting patterns of eligibility or identity fraud.
• Communicate across departments to support program integrity and fraud mitigation operations.

Skills

Healthcare compliance

Fraud investigations

Government auditing

Team leadership

Data analytics for fraud detection

Communication skills

Problem solving

Stakeholder management

Education

Bachelor's degree

Job description

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

The role combines strategic policy development with hands-on leadership of cross-functional teams, driving anti-fraud initiatives across operations, compliance, and IT. Local DMV area preferred.