Program Integrity Lead - Remote Fraud & Compliance

Qlarant; Northern (KY); Híbrido; USD 92.000 - 120.000; Jornada completa

Descripción de la vacante

Qlarant is seeking a Senior Manager to own the Program Integrity division within enterprise contracts, remotely positioned in AR/US. You will monitor performance metrics and lead investigative teams, ensuring compliant and efficient operations.

Requires a Bachelor's degree and 8–11 years of experience (12–14 preferred); Certified Fraud Examiner (CFE) or Accredited Healthcare Anti-fraud Investigator preferred. Qlarant is an equal opportunity employer offering remote options.

Formación

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

Responsabilidades

• Directs teams to monitor and ensure compliance with laws, regulations, and policies.
• Identifies and mitigates risks to program integrity.
• Implements measures to maintain and improve program activities.
• Develops controls and monitoring systems to detect fraud.
• Assesses processes for efficiency, effectiveness, and compliance.
• Collaborates with departments and external entities.
• Conducts advanced investigations into potential fraud or non-compliance.
• Maintains documentation and reports on program integrity metrics.
• Instructs staff on compliance matters and ensures policy adherence.
• Manages team performance and provides feedback and reviews.

Conocimientos

Fraud investigation

Leadership

Compliance

Regulatory knowledge

Educación

Bachelor's degree

Descripción del empleo

Qlarant is seeking a Senior Manager to own the Program Integrity division within enterprise contracts, remotely positioned in AR/US. You will monitor performance metrics and lead investigative teams, ensuring compliant and efficient operations.

Requires a Bachelor's degree and 8–11 years of experience (12–14 preferred); Certified Fraud Examiner (CFE) or Accredited Healthcare Anti-fraud Investigator preferred. Qlarant is an equal opportunity employer offering remote options.