Senior Manager, Healthcare Fraud Prevention & Strategy

Serco; Springfield (VA); On-site; USD 150,000 - 190,000; 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 its Herndon, VA headquarters. You will coordinate monitoring, analysis, and supporting technology to strengthen Serco’s Fraud Prevention program.

The role requires strategic leadership, stakeholder coordination across government partners, and the ability to drive adoption of best practices in fraud mitigation within a fast-paced environment.

Qualifications

• U.S. citizenship or eligibility to work in the U.S.
• Experience with fraud detection, risk management, and program integrity.
• Leadership experience across cross-functional teams.
• Proficiency with data analytics to support fraud investigations and mitigation.
• Strong communication skills for diverse audiences.
• Ability to manage multiple priorities and deadlines.

Responsibilities

• Provide program integrity and fraud expertise to inform executives, staff, and partners on fraud trends.
• Evaluate rules, processes, and systems to assess risk and mitigation strategies.
• Design and implement a strategic fraud framework across processes and systems.
• Lead a distributed team to identify and investigate patterns of eligibility or identity fraud.
• Communicate findings clearly across departments and levels to support fraud mitigation.
• Develop relationships with government clients and partners to advance anti-fraud initiatives.
• Manage and mentor staff and oversee complex cross-functional projects.
• Oversee data collection and analytics systems to track fraud and guide investigations.

Skills

Leadership

Communication

Analytical skills

Teamwork

Stakeholder management

Education

Undergraduate degree

Tools

Compliance technology platforms

Advanced data analytics

Microsoft Office

Job description

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

The role requires strategic leadership, stakeholder coordination across government partners, and the ability to drive adoption of best practices in fraud mitigation within a fast-paced environment.