Fraud Prevention & Risk Strategy Lead

Serco; Chantilly (VA); On-site; USD 120,000 - 180,000; Full time

Job summary

Serco Inc. in Herndon, VA seeks a Senior Manager to oversee fraud detection, escalation, and risk operations for a major federal contract. You will lead a distributed team, coordinate analytics, and shape the fraud prevention program across operations, technology, and compliance.

The role requires deep experience in healthcare compliance, investigations, and data analytics, strong leadership, and the ability to communicate with government partners. Local DMV area residency is expected.

Qualifications

• Undergraduate degree required.
• 7+ years in healthcare compliance, fraud investigations, or related fields.
• 5+ years leading cross-functional teams.
• Experience with compliance technology platforms and advanced data analytics for fraud detection.
• Excellent written and verbal communication; ability to tailor to technical and non-technical audiences.
• Strong leadership, stakeholder management and influencing skills.

Responsibilities

• Provide program integrity and fraud expertise to inform Serco executives, staff, and federal partners of trends.
• Evaluate program rules, processes, and systems; assess risk and mitigations.
• Design and incorporate a strategic fraud framework into processes and systems.
• Lead a distributed cross-functional team to examine and detect fraud patterns in applications.
• Communicate across departments to advise on program integrity and mitigation.
• Collaborate with managers to grow anti-fraud awareness and tools.
• Manage cross-functional projects to implement integrity and mitigation initiatives.
• Develop and oversee data collection and analysis systems to track fraud and focus investigations.
• Test system changes to ensure performance aligns with design expectations.
• Stay current on healthcare fraud issues; liaise with public and private entities.
• Generate reports and presentations on current fraud levels for internal/external use.
• Build relationships with government clients and partners to support initiatives.
• Manage, coach, and mentor staff.
• Perform additional duties and special projects as assigned.

Skills

Fraud detection & analytics

Risk management

Cross-functional leadership

Stakeholder communication

Education

Bachelor's degree or equivalent

Certified Fraud Examiner (CFE)

Accredited Healthcare Fraud Investigator (AHFI)

Certified Internal Auditor (CIA)

Job description

Serco Inc. in Herndon, VA seeks a Senior Manager to oversee fraud detection, escalation, and risk operations for a major federal contract. You will lead a distributed team, coordinate analytics, and shape the fraud prevention program across operations, technology, and compliance.

The role requires deep experience in healthcare compliance, investigations, and data analytics, strong leadership, and the ability to communicate with government partners. Local DMV area residency is expected.