Senior Manager, Healthcare Fraud & Analytics

Serco; Dunbar (WV); On-site; USD 150,000 - 210,000; Full time

Job summary

Serco Inc. seeks a Senior Manager to oversee fraud detection, escalation, and risk operations for a federal contract at the Headquarters in Herndon, VA.

You will coordinate monitoring, analysis, and technology within Serco’s Fraud Prevention program and lead strategic initiatives across clinical and government partners. The role requires strong data analytics, policy development, and cross-functional leadership to mitigate health insurance fraud and improve program integrity.

Qualifications

• U.S. citizenship and ability to obtain public trust.
• Bachelor’s degree or equivalent.
• 7+ years in healthcare compliance, fraud investigations, or related fields.
• 5+ years leading integrated cross-functional teams.
• Experience with compliance technology platforms and analytics for fraud detection.
• Strong communication and stakeholder management.

Responsibilities

• Provide fraud expertise to inform executives and partners about trends and impact.
• Evaluate rules and processes to assess risk and mitigations.
• Design strategic fraud framework for program processes and systems.
• Lead cross-functional team to investigate patterns of identity or eligibility fraud.
• Communicate across departments to support fraud mitigation initiatives.
• Grow anti-fraud awareness and tools within Serco workforce.
• Manage complex, cross-cutting fraud mitigation projects.
• Develop and oversee data collection/analysis systems to track fraud.

Skills

US Citizenship

Public trust

Undergrad degree

Healthcare compliance

Fraud investigations

Cross-functional leadership

Data analytics

Communication skills

Stakeholder management

Project management

Analytical thinking

Education

Bachelor's degree

Tools

Compliance platforms

Advanced data analytics tools

Job description

Serco Inc. seeks a Senior Manager to oversee fraud detection, escalation, and risk operations for a federal contract at the Headquarters in Herndon, VA.

You will coordinate monitoring, analysis, and technology within Serco’s Fraud Prevention program and lead strategic initiatives across clinical and government partners. The role requires strong data analytics, policy development, and cross-functional leadership to mitigate health insurance fraud and improve program integrity.