Serco
Albany, NY
Position Description & Qualifications Serco is seeking a Compliance/Fraud Specialist to join our talented and fast-paced Advisory Services team, which supports federal programs assisting millions of people seeking government health insurance coverage. This dynamic position on the Compliance team will primarily work on the CMS Eligibility Support (ES) Contract supporting external audits, conducting internal compliance reviews, and developing mitigation strategies to address and triage errors. Job Summary The Compliance/Fraud Specialist supports program integrity, compliance monitoring, and fraud risk management activities for the Eligibility Support (ES) program. This role focuses on conducting compliance and fraud-focused reviews, identifying risks and trends, and supporting internal reviews, external audits and CMS directed program integrity efforts. The Compliance/Fraud Specialist works cross-functionally with Quality Assurance (QA), Operations, and Program...

