Senior Fraud Prevention Leader – Healthcare Verifications

Serco; Ashland (VA); Presencial; USD 140.000 - 190.000; Jornada completa

Descripción de la vacante

Serco Inc. in the United States seeks a Senior Manager to oversee fraud detection, escalation, and risk operations for a large federal contract.

You will coordinate monitoring, analysis, and supportive technology within Serco’s Fraud Prevention program, reporting to the Director of Program Management. The role emphasizes developing fraud management policies, leading a distributed team, providing reports and insights, and collaborating with government clients to strengthen program integrity.

Formación

• Undergraduate degree required.
• At least 7 years in healthcare compliance, fraud investigations, or related fields.
• At least 5 years leading cross-functional teams.
• Experience with compliance technology platforms and advanced data analytics.
• Excellent verbal and written communication; ability to tailor to technical/non-technical audiences.
• Strong leadership and stakeholder management skills.

Responsabilidades

• Provide program integrity and fraud expertise to inform executives and partners.
• Evaluate rules, processes, and systems and assess risk and mitigations.
• Design a strategic fraud framework within program processes and systems.
• Lead a distributed cross-functional team to detect and investigate patterns of fraud.
• Communicate across departments to support fraud mitigation operations.
• Collaborate to grow anti-fraud awareness and tools within Serco.
• Manage complex projects to implement program integrity initiatives.
• Develop and oversee software-driven data collection to track fraud.
• Stay current on healthcare fraud issues and liaise with authorities.
• Generate reports and presentations on fraud levels for stakeholders.
• Build relationships with government clients and partners.
• Mentor staff and perform additional duties as assigned.

Conocimientos

Healthcare fraud

Fraud investigations

Leadership

Data analytics

Communication

Educación

Undergraduate degree

Herramientas

Compliance platforms

Data analytics tools

Descripción del empleo

Serco Inc. in the United States seeks a Senior Manager to oversee fraud detection, escalation, and risk operations for a large federal contract.

You will coordinate monitoring, analysis, and supportive technology within Serco’s Fraud Prevention program, reporting to the Director of Program Management. The role emphasizes developing fraud management policies, leading a distributed team, providing reports and insights, and collaborating with government clients to strengthen program integrity.