Senior Fraud Prevention Lead – Healthcare Compliance

Serco; Herndon (VA); Presencial; USD 150.000 - 210.000; Jornada completa

Descripción de la vacante

Serco Inc. is seeking a Senior Manager to oversee fraud detection, escalation, and risk operations for a large federal contract at the Headquarters in Herndon, VA. You will coordinate monitoring, analysis, and supporting technology within Serco’s Fraud Prevention program.

The role focuses on mitigating health insurance fraud, managing data/analytics, and delivering insights to leadership and federal partners. Local DMV area is required.

Formación

• 7+ years in healthcare compliance, fraud investigations, law enforcement, government auditing or oversight
• 5+ years leading integrated teams, projects, or cross-functional groups
• Experience with compliance technology platforms and advanced data analytics for fraud detection
• Excellent communication, written and verbal; can tailor to technical and non-technical audiences
• Strong leadership and stakeholder management skills
• Ability to multitask and meet tight deadlines
• Strong analytical and problem-solving abilities

Responsabilidades

• Provide fraud expertise to inform executives and federal partners about data and trends
• Evaluate rules, processes and systems for risk and mitigations
• Design a strategic fraud framework within program processes and systems
• Lead a cross-functional team to examine and detect patterns of eligibility or identity fraud
• Communicate across departments to support program integrity and mitigation
• Collaborate with managers to grow anti-fraud awareness and tools
• Manage cross-cutting projects to implement fraud mitigation initiatives
• Develop and oversee a software-driven information collection and analysis system
• Keep current on healthcare fraud issues and liaise with public/private partners
• Generate written and oral reports on fraud levels for internal/external audiences
• Build relationships with government clients and potential partners
• Manage, coach, and mentor staff
• Perform additional duties and special projects

Conocimientos

Analytical skills

Leadership

Communication skills

Stakeholder management

Team leadership

Multitasking under pressure

Educación

Bachelor's degree (B.A., B.S., or equivalent)

Herramientas

Microsoft Office

Descripción del empleo

Serco Inc. is seeking a Senior Manager to oversee fraud detection, escalation, and risk operations for a large federal contract at the Headquarters in Herndon, VA. You will coordinate monitoring, analysis, and supporting technology within Serco’s Fraud Prevention program.

The role focuses on mitigating health insurance fraud, managing data/analytics, and delivering insights to leadership and federal partners. Local DMV area is required.