Program Integrity Manager: Fraud Prevention & Compliance

Qlarant

Texas

Presencial

USD 100.000 - 140.000

Jornada completa

Hace 3 días

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Descripción de la vacante

Qlarant is seeking an experienced Program Integrity leader to own the performance of the Program Integrity division within enterprise contracts. You will monitor metrics, identify opportunities to improve processes, and support Senior Manager - Program Integrity in day-to-day operations of investigative teams and targeted reviews.

You will liaise with government agencies and other external stakeholders to ensure transparent and compliant programs.

Formación

Minimum Bachelor's Degree required.
8–11 years of experience required; 12–14 years preferred.
Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator preferred.
Strong leadership and communication skills.
Experience in program integrity or fraud investigations.

Responsabilidades

Directs teams to monitor and ensure compliance with laws, regulations, and policies.
Identifies and evaluates risks to program integrity and mitigates them.
Implements measures to maintain and improve program quality and standards.
Develops controls to detect and prevent fraud within programs.
Assesses processes for efficiency, effectiveness, and compliance.
Collaborates with departments and external entities for holistic integrity.
Conducts advanced investigations and takes corrective actions.