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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in program integrity management, compliance monitoring, and fraud investigation, with a strong focus on performance metrics and process improvement. Proven ability to lead teams, liaise with regulatory bodies, and develop effective mitigation strategies.
Highest-signal resume keywords
Program Integrity ManagementFraud InvestigationCompliance MonitoringPerformance Metrics AnalysisTeam Leadership
About the role
Key responsibilities & impact- Ensure optimal performance of the Program Integrity division within enterprise contracts
- Monitor and analyze performance metrics to identify process and procedure improvements
- Support the Senior Manager - Program Integrity in contract operations and administration
- Oversee day-to-day activities of investigative teams
- Lead targeted/strike force reviews and intelligence targeting
- Liaise with government agencies, regulatory bodies, and external stakeholders
- Direct compliance monitoring and collaborate on investigations and fraud schemes
- Identify program-integrity risks and develop mitigation strategies
- Establish controls and monitoring systems to detect and prevent fraud
- Assess processes for efficiency, effectiveness, and compliance
- Conduct advanced investigations into fraud, misconduct, or non-compliance and take corrective action
- Maintain documentation and produce reports on program-integrity metrics and compliance status
- Instruct program staff on compliance and integrity matters
- Manage team performance through feedback and formal performance reviews
Requirements
What you’ll need- Minimum Bachelor's Degree required
- 8–11 years of experience required; 12–14 years preferred
- Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator preferred
- Successful completion of pre-employment background and drug screens
- Must comply with relevant laws, regulations, and organizational policies
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Process ImprovementRisk AssessmentDocumentation ManagementAdvanced InvestigationsPerformance Reviews
Soft Skills
CollaborationCommunicationFeedback Management
Certifications & Qualifications
Certified Fraud ExaminerAccredited Healthcare Anti-fraud Investigator
Industry Keywords
ComplianceRegulatory BodiesFraud SchemesEnterprise ContractsInvestigative Teams