Fraud Prevention Program Lead - Healthcare & Government

Serco; Virginia; On-site; USD 140,000 - 190,000; Full time

Job summary

Serco Inc. is seeking a senior manager to oversee fraud detection, escalation, and risk operations for a major federal contract at our Headquarters in Herndon, VA.

The role focuses on counter-fraud strategy, data analytics, and program integrity across Serco’s operations. The ideal candidate will have extensive healthcare compliance and fraud investigation experience, strong leadership and stakeholder management skills, and the ability to drive adoption of industry best practices within Serco’s

Qualifications

• Minimum 7 years of experience in healthcare compliance, fraud investigations, law enforcement, government auditing or oversight.
• At least 5 years of experience leading integrated teams, projects, initiatives, or cross-functional groups.
• Demonstrated experience managing complex investigations and/or audits in a healthcare coverage environment or government programs.
• Experience with compliance technology platforms and advanced data analytics for fraud detection.
• Excellent communication skills, both verbal and written; ability to tailor communication to technical and non-technical audiences.
• Strong leadership, stakeholder management and influencing skills.

Responsibilities

• Oversee fraud detection, escalation, and risk operations for a large federal contract.
• Lead and coordinate a distributed, cross-functional team to examine and detect patterns of potential fraud.
• Develop and implement a strategic fraud framework across program processes and systems.
• Generate reports and presentations of current fraud levels for internal and external stakeholders.
• Build relationships with government clients and partners to support fraud mitigation initiatives.
• Manage, coach, and mentor staff and handle special projects as assigned.

Skills

Fraud analytics

Leadership

Stakeholder management

Data analysis

Healthcare compliance

Communication skills

Education

Bachelor's degree

Job description

Serco Inc. is seeking a senior manager to oversee fraud detection, escalation, and risk operations for a major federal contract at our Headquarters in Herndon, VA.

The role focuses on counter-fraud strategy, data analytics, and program integrity across Serco’s operations. The ideal candidate will have extensive healthcare compliance and fraud investigation experience, strong leadership and stakeholder management skills, and the ability to drive adoption of industry best practices within Serco’s