Overview:
As Director, you will lead program integrity initiatives across Health & Human Services programs, shaping compliance and fraud, waste, and abuse (FWA) strategies. You’ll partner with cross-functional teams to design end-to-end integrity frameworks and translate regulations into practical solutions. The role combines risk assessment, audits, and data-driven monitoring to strengthen controls and reduce improper payments. You will contribute to thought leadership and help expand program integrity services across HHS clients, driving impact at scale. Compensation / Benefits medical and dental plans vision coverage disability and life insurance 401(k) plans well-being benefits Paid Time Off and holidays
Responsibilities:
Lead and oversee risk, gap, and fraud risk assessments to identify vulnerabilities and priority actions Direct compliance reviews, audits, investigations, and subrecipient monitoring Design and oversee FWA prevention/detection strategies leveraging data analytics and dashboards Develop and monitor CAPs and continuous improvement to strengthen program controls Provide guidance on regulatory compliance and translate policy into operational solutions Lead program integrity across financial, reimbursement, and fiscal administration functions Contribute to thought leadership and external speaking, and lead business development in program integrity Oversee team operations, recruiting, and talent development Uphold integrity and an inclusive work environment
Key requirements:
Minimum eight years of relevant program integrity, compliance, audits, investigations, or FWA experience in federal/state HHS programs Bachelor's degree required; advanced degree preferred Certifications such as CFE, CGFM, PMP, CPA or equivalent Strong knowledge of Medicaid and human services program regulations Experience designing and executing program integrity strategies and FWA initiatives Experience with Medicaid finance, healthcare finance, reimbursement, and/or fiscal administration Proven leadership of multi-disciplinary engagements, strong client service and business development experience Willingness to travel up to 80% Authorized to work in the U.S. without visa sponsorship now or in the future exceptional interpersonal and communication skills ability to build credibility with senior leaders team leadership and talent development data analytics for FWA detection dashboarding and reporting risk and compliance frameworks
