Fraud Prevention Program Lead (Healthcare & Govt)

Serco; Shepherdstown (WV); On-site; USD 120,000 - 180,000; Full time

Job summary

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

You will coordinate monitoring, analysis, and technology within Serco’s Fraud Prevention program and drive adoption of best practices across the organization. You will lead strategic fraud policy development, manage complex investigations in healthcare coverage, and deliver reports with insights to executives and federal partners.

Qualifications

• Qualified candidate will have U.S. citizenship and ability to obtain public trust.
• Experience leading cross-functional teams and complex fraud investigations.
• Strong communication skills for technical and non-technical audiences.

Responsibilities

• Provide program integrity and fraud expertise to inform leadership and federal partners.
• Evaluate program rules and processes to assess risk and mitigation strategies.
• Design a strategic fraud framework for program processes and systems.
• Lead a distributed team to investigate and identify patterns of eligibility or identity fraud.

Skills

Fraud detection

Risk management

Data analytics

Leadership

Education

Bachelor's degree

Tools

Compliance platforms

Analytics tools

Job description

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

You will coordinate monitoring, analysis, and technology within Serco’s Fraud Prevention program and drive adoption of best practices across the organization. You will lead strategic fraud policy development, manage complex investigations in healthcare coverage, and deliver reports with insights to executives and federal partners.