Senior Fraud Prevention Lead - Healthcare Compliance

Serco; Hampton (VA); In loco; USD 140.000 - 195.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health insurance

Descrizione del lavoro

Serco Inc. seeks a Senior Manager to oversee fraud detection, escalation, and risk operations for a large federal contract at our HQ in Herndon, VA. You will lead a cross-functional team to mitigate identity and eligibility fraud, design strategic fraud frameworks, and provide data-driven insights for program integrity.

Strong communication with federal partners is required. The role emphasizes policy development, stakeholder collaboration, and deployment of software-driven analytics to monitor

Competenze

• Experience in healthcare compliance, fraud investigations, or government oversight.
• Ability to lead cross-functional teams and manage complex investigations.

Mansioni

• Provide program integrity and fraud expertise to inform Serco executives and partners of trends in fraud.

Conoscenze

Fraud detection

Data analytics

Leadership

Stakeholder mgmt

Healthcare fraud

Regulatory knowledge

Formazione

Bachelor's degree

Strumenti

SQL

Python

Power BI

SAS

Descrizione del lavoro

Serco Inc. seeks a Senior Manager to oversee fraud detection, escalation, and risk operations for a large federal contract at our HQ in Herndon, VA. You will lead a cross-functional team to mitigate identity and eligibility fraud, design strategic fraud frameworks, and provide data-driven insights for program integrity.

Strong communication with federal partners is required. The role emphasizes policy development, stakeholder collaboration, and deployment of software-driven analytics to monitor