Senior Manager, Program Integrity & Compliance

Qlarant; Louisiana; Presencial; USD 120 000 - 170 000; Tempo integral

Resumo da oferta

Qlarant, a not-for-profit organization focused on health care program integrity, seeks a Senior Manager to own and optimize the Program Integrity division within enterprise contracts. You will monitor performance metrics, oversee investigative teams, and liaise with government agencies to ensure transparent, compliant programs.

The role requires 8–11 years of experience (12–14 preferred) and a Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator is preferred.

Qualificações

• Bachelor's degree required; 8–11 years experience; 12–14 years preferred.
• Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator preferred.

Responsabilidades

• Directs teams to monitor and ensure compliance with laws, regulations, and policies.
• Identifies and evaluates potential risks to program integrity and mitigates them.
• Installs best-of-class measures to maintain quality and standards of program activities.
• Formulates strategies to detect and prevent fraud, including controls and monitoring.
• Acts independently to assess processes for efficiency, effectiveness, and compliance.
• Maintains documentation of program activities and produces regular integrity reports.
• Instructs program staff on relevant compliance and integrity matters.

Conhecimentos

Fraud investigations

Regulatory compliance

Risk assessment

Leadership

Communication

Formação académica

Bachelor's degree

Descrição da oferta de emprego

Qlarant, a not-for-profit organization focused on health care program integrity, seeks a Senior Manager to own and optimize the Program Integrity division within enterprise contracts. You will monitor performance metrics, oversee investigative teams, and liaise with government agencies to ensure transparent, compliant programs.

The role requires 8–11 years of experience (12–14 preferred) and a Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator is preferred.