Program Integrity Lead: Fraud Prevention & Compliance

Qlarant

Louisiana

In loco

USD 90.000 - 130.000

Tempo pieno

3 giorni fa
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Descrizione del lavoro

Qlarant seeks an experienced leader to own the Program Integrity division within enterprise contracts. You will oversee investigations, monitor performance metrics, and guide teams in targeted reviews.

The role requires liaising with government agencies and regulators to ensure transparency and compliance across programs. Responsibilities include directing investigative teams, assessing risks, implementing controls, and communicating findings to stakeholders.

Competenze

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

Mansioni

  • Directs teams to monitor and ensure compliance with laws, regulations, and policies.
  • Identifies and evaluates risks to program integrity and develops mitigation strategies.
  • Implements measures to detect and prevent fraud within programs and establishes controls.
  • Interacts with government agencies, regulators, and external stakeholders to ensure compliance.
  • Maintains documentation and produces regular program integrity reports.

Formazione

Bachelor's Degree

Descrizione del lavoro

Qlarant seeks an experienced leader to own the Program Integrity division within enterprise contracts. You will oversee investigations, monitor performance metrics, and guide teams in targeted reviews.

The role requires liaising with government agencies and regulators to ensure transparency and compliance across programs. Responsibilities include directing investigative teams, assessing risks, implementing controls, and communicating findings to stakeholders.

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