Manager - Program Integrity

📋 Description

• Lead and oversee investigative teams, ensuring compliance with applicable laws, regulations
• Identify, assess, and mitigate risks to program integrity by developing and implementing effective
• Monitor operational performance metrics, evaluate existing processes, and implement continuous
• Direct advanced investigations into suspected fraud, misconduct, waste, abuse, and non-compliance
• Oversee targeted and strike force reviews, intelligence-driven targeting activities, and other
• Collaborate with internal departments, government agencies, regulatory bodies, and external

🎯 Requirements

• Bachelor's degree required, with relevant professional experience potentially considered as a
• 8–11 years of relevant experience required, with 12–14 years preferred, particularly in program
• Strong understanding of applicable laws, regulations, compliance frameworks, investigative
• Demonstrated ability to conduct complex investigations, identify potential fraud schemes, assess
• Proven ability to supervise investigative teams, manage performance, provide constructive feedback
• Strong skills in interpreting performance metrics, identifying operational weaknesses, assessing

🎁 Benefits

• Competitive compensation: Annual salary ranging from $92,295 to $120,000, depending on
• Remote work: Home-based, remote position within the United States, subject to the employer's
• Leadership opportunities: The chance to lead investigative teams, influence program integrity
• Professional development: Opportunities to strengthen expertise in healthcare compliance, fraud
• Meaningful impact: Contribute to protecting healthcare and human services programs by helping
• Collaborative environment: Work with multidisciplinary teams and external stakeholders, including