The role involves providing strategic and technical advisory services related to program integrity, compliance, and fraud prevention across various Health and Human Services (HHS) programs, including Medicaid, SNAP, and child welfare.
Key responsibilities include leading risk assessments, conducting compliance reviews, designing FWA detection strategies using data analytics, and developing corrective action plans to enhance program controls. The role also requires guidance on federal and state regulations, supporting fiscal and reimbursement functions, and contributing to thought leadership through industry engagement and business development.
Leadership duties encompass team management, recruitment, and talent development. The ideal candidate will have at least eight years of experience in program integrity, compliance, or audits related to HHS programs, with strong knowledge of relevant laws and regulations.
Qualifications include an advanced degree (preferred) and relevant certifications such as CFE, CGFM, PMP, or CPA. Demonstrated expertise in Medicaid finance, managed care oversight, and client service is essential. The role requires exceptional communication skills and willingness to travel.
Applicants must be authorized to work in the U.S. without sponsorship. The position offers a competitive benefits package and opportunities for professional growth in a collaborative environment.