Program Integrity Lead: Fraud & Compliance

Qlarant; New Mexico; In loco; USD 90.000 - 130.000; Tempo pieno

Descrizione del lavoro

Qlarant seeks a Senior Manager to own the Program Integrity division’s performance within enterprise contracts, monitoring metrics and guiding investigations to ensure compliant programs.

You will lead investigative teams, coordinate with government agencies and external stakeholders, and drive process improvements while maintaining thorough documentation and reporting on integrity metrics.

Competenze

• Bachelor's degree required.
• 8–11 years of experience; 12–14 years preferred.
• Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator preferred.
• Strong analytical and leadership skills.

Mansioni

• Directs teams to monitor compliance with relevant laws, regulations, and policies.
• Identifies and evaluates potential risks to program integrity and develops mitigation strategies.
• Leads advanced investigations into potential fraud, misconduct, or non-compliance; takes corrective actions.
• Maintains documentation of program activities and produces reports on integrity metrics.
• Collaborates with internal and external stakeholders to ensure a holistic approach to program integrity.

Conoscenze

Leadership

Fraud investigations

Regulatory compliance

Formazione

Bachelor's degree

Descrizione del lavoro

Qlarant seeks a Senior Manager to own the Program Integrity division’s performance within enterprise contracts, monitoring metrics and guiding investigations to ensure compliant programs.

You will lead investigative teams, coordinate with government agencies and external stakeholders, and drive process improvements while maintaining thorough documentation and reporting on integrity metrics.