Program Integrity Lead: Fraud Prevention & Compliance

Qlarant; Arkansas; On-site; USD 90,000 - 130,000; Full time

Job summary

Qlarant is seeking a Program Integrity leader to oversee the optimal performance of the Program Integrity division within enterprise contracts. You will monitor performance metrics, support the Senior Manager in operations, and liaise with government agencies and regulators to ensure compliant programs.

The role requires directing investigations, assessing risks, implementing controls, and mentoring staff to deliver exceptional service and strong engagement across teams.

Qualifications

• Minimum Bachelor's Degree required.
• 8–11 years of experience; 12–14 years preferred.
• Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator preferred.

Responsibilities

• Directs teams to monitor compliance with laws, regulations and policies.
• Identify and mitigate risks to program integrity.
• Institute measures to maintain and improve program activity quality.
• Detect and prevent fraud with controls and monitoring systems.
• Assess existing processes for efficiency and compliance.
• Collaborate with departments and external entities on integrity.
• Conduct advanced investigations and take corrective actions.
• Maintain documentation and produce regular compliance reports.
• Instruct staff on relevant integrity matters; ensure policy adherence.
• Manage team performance and conduct reviews for service delivery.

Skills

Leadership

Compliance

Fraud investigations

Data analysis

Stakeholder communication

Risk assessment

Education

Bachelor's degree

Job description

Qlarant is seeking a Program Integrity leader to oversee the optimal performance of the Program Integrity division within enterprise contracts. You will monitor performance metrics, support the Senior Manager in operations, and liaise with government agencies and regulators to ensure compliant programs.

The role requires directing investigations, assessing risks, implementing controls, and mentoring staff to deliver exceptional service and strong engagement across teams.