Senior Manager, Healthcare Fraud Prevention & Analytics

Serco; Quantico (VA); On-site; USD 140,000 - 180,000; Full time

Job summary

Serco Inc. is seeking a senior manager to oversee fraud detection, escalation, and risk operations for a large federal contract at our Herndon, VA HQ.

You will coordinate monitoring, analysis, and technology in Serco’s Fraud Prevention program and lead cross‑functional teams to mitigate health insurance fraud and identity risk. You will establish fraud management policies, drive adoption of best practices, and provide senior leadership with insights, trend reports, and data-driven

Qualifications

• Bachelor's degree required; professional credentials a plus.
• Experience leading integrated teams and cross-functional projects.
• Strong data analytics experience for fraud detection and mitigation.

Responsibilities

• Provide program integrity and fraud expertise to inform Serco executives, staff, and federal partners on trends in fraud.
• Evaluate rules, processes, and systems to assess risk and mitigation.
• Design a strategic fraud framework for processes, operations, and systems.
• Lead a distributed, cross-functional team to identify and mitigate eligibility or identity fraud patterns.
• Communicate across departments to support program integrity and fraud mitigation initiatives.
• Develop and oversee a software-driven information collection and analysis system to track fraud.
• Liaise with government partners and stakeholders to grow anti-fraud awareness and tools.

Skills

Fraud detection

Risk management

Data analytics

Stakeholder management

Leadership

Communication

Education

Bachelor's degree

Tools

BI tools

Job description

Serco Inc. is seeking a senior manager to oversee fraud detection, escalation, and risk operations for a large federal contract at our Herndon, VA HQ.

You will coordinate monitoring, analysis, and technology in Serco’s Fraud Prevention program and lead cross‑functional teams to mitigate health insurance fraud and identity risk. You will establish fraud management policies, drive adoption of best practices, and provide senior leadership with insights, trend reports, and data-driven