Program Integrity Lead: Investigations & Compliance

Qlarant; Austin (TX); Sur place; USD 110 000 - 150 000; Plein temps

Résumé du poste

Qlarant seeks a senior professional to own and optimize the Program Integrity division within enterprise contracts. You will oversee investigation teams, monitor performance metrics, and liaise with regulators to ensure transparent, compliant programs.

The role reports to the Senior Manager - Program Integrity and drives continuous process improvements. Ideal candidates have 8–11 years of related experience, a Bachelor's degree, and preferably CFE or Accredited Healthcare Anti-fraud Investigator

Qualifications

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

Responsabilités

• Directs teams to monitor compliance with laws, regulations, and policies.
• Identifies and mitigates risks to program integrity.
• Develops controls and monitoring systems to prevent fraud.
• Manages investigations and provides regular reporting on metrics.
• Provides guidance to staff on compliance and integrity matters.

Connaissances

Leadership

Fraud detection

Regulatory compliance

Investigations

Team management

Formation

Bachelor's Degree

Outils

Case management systems

Data analytics tools

Description du poste

Qlarant seeks a senior professional to own and optimize the Program Integrity division within enterprise contracts. You will oversee investigation teams, monitor performance metrics, and liaise with regulators to ensure transparent, compliant programs.

The role reports to the Senior Manager - Program Integrity and drives continuous process improvements. Ideal candidates have 8–11 years of related experience, a Bachelor's degree, and preferably CFE or Accredited Healthcare Anti-fraud Investigator