Program Integrity Lead — Investigations & Compliance

Qlarant; Los Angeles (CA); On-site; USD 120,000 - 150,000; Full time

Job summary

Qlarant is seeking an experienced leader to own the Program Integrity division’s performance within enterprise contracts. You will monitor metrics, optimize processes, oversee investigations, and liaise with government agencies and external stakeholders to ensure transparent and compliant programs.

Minimum Bachelor’s Degree required; 8–11 years of experience (12–14 years preferred). Certification as a Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator is preferred.

Qualifications

• Strong leadership and team-building abilities.
• Experience in regulatory compliance and fraud investigations.
• Ability to liaison with government agencies and external stakeholders.

Responsibilities

• Directs teams to monitor compliance with laws and policies.
• Identifies and mitigates program integrity risks.
• Implements controls to detect and prevent fraud.
• Conducts advanced investigations and corrective actions.
• Maintains documentation and reports on integrity metrics.
• Trains staff on compliance and integrity matters.

Skills

Leadership

Regulatory compliance

Fraud investigations

Data-driven decisions

Stakeholder communication

Education

Bachelor's degree

Job description

Qlarant is seeking an experienced leader to own the Program Integrity division’s performance within enterprise contracts. You will monitor metrics, optimize processes, oversee investigations, and liaise with government agencies and external stakeholders to ensure transparent and compliant programs.

Minimum Bachelor’s Degree required; 8–11 years of experience (12–14 years preferred). Certification as a Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator is preferred.