Fraud Prevention and Enterprise Integrity Officer

The work we do matters!

Health & Human Services - Agency 25

Lincoln, NE

$0.000

JR Fraud Prevention and Enterprise Integrity Officer (Open)

(If no date is displayed, job is posted as open until closed):

The Fraud Prevention and Enterprise Integrity Officer provides strategic leadership for Nebraska DHHS efforts to identify and address fraud, waste, abuse, improper payments, and other program vulnerabilities across the agency. This position will establish and lead a coordinated, agency-wide approach that strengthens accountability, protects public resources, and improves oversight across DHHS programs and services. The position provides executive oversight of investigations, compliance, audits, analytics, payment integrity, recoveries, internal controls, and risk management across DHHS programs.

Working closely with division leadership and external partners, the position develops coordinated approaches to identifying risks, strengthening accountability, and protecting public resources while ensuring appropriate access to services and fair, consistent treatment of members, providers, and stakeholders.

Anticipated salary range of $120,000 - $150,000 commensurate with education and experience, if approved.

This position will be located at the Nebraska State Office Building in Lincoln, NE.

This position will report to the DHHS Chief of Staff, Shannon Grotrian.

• Develop and implement an enterprise integrity strategy, governance framework, annual work plan, and performance measures aligned with DHHS priorities while proactively adapting to emerging risks and fraud schemes.

• Provide strategic leadership for agency-wide fraud prevention, investigations, compliance, audits, payment integrity, recoveries, and enterprise risk management activities.

• Provide strategic direction to Division Directors regarding enterprise integrity risks, emerging trends, policy development, and operational improvements.

• Oversee administrative investigations, audits, provider reviews, corrective actions, payment suspensions, sanctions, and over payment recovery activities, as appropriate.

• Coordinate referrals and case information with the Attorney General, law enforcement, federal agencies, and other oversight agencies while maintaining appropriate separation between administrative and criminal functions.

• Develops the use of data analytics and risk-based methodologies to identify fraud trends, payment vulnerabilities, operational risks, and systemic control weaknesses while supporting executive decision-making.

• Develop and maintain policies, procedures, internal controls, quality standards, referral protocols, and documentation practices that support consistent and defensible decision-making.

• Ensure compliance with applicable federal and state laws, regulations, and program requirements.

• Establish, lead, and develop a multidisciplinary team while setting clear expectations for quality, collaboration, accountability, and measurable results.

• Foster an enterprise culture of integrity by promoting education, information sharing, and continuous improvement across DHHS programs.

• Bachelor's degree in public administration, business administration, health administration, accounting, finance, law, criminal justice, data analytics, or a related field.
• Progressively responsible leadership experience in enterprise integrity, fraud prevention, compliance, investigations, auditing, financial oversight, healthcare administration, public administration, risk management, or a related field.
• Experience leading complex initiatives involving multiple programs, divisions, or professional disciplines is…