Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for underserved communities.
Best People, Best Solutions, Best Results
Job Summary:
Owns responsibility for ensuring the optimal performance of the Program Integrity division within enterprise contracts, continuously monitoring and analyzing performance metrics to identify opportunities for improving processes and procedures. Assists and supports Senior Manager - Program Integrity in operations and administration of contracts,



overseeing the day-to-day activities of investigative teams and leading in targeted/strike force reviews and intelligence targeting. Communicates regularly and serves as a liaison with government agencies, regulatory bodies, and other external stakeholders to ensure transparent and compliant company programs.
Essential Functions:
• Directs teams to monitor and ensure compliance with relevant laws, regulations, and organizational policies, working to prioritize and collaborate on investigations and fraud schemes.
• Identifies and evaluates potential risks to program integrity and develops strategies to mitigate these risks.
• Installs best of class measures to maintain and improve the quality of program activities, ensuring they meet established standards.
• Formulates and implements strategies to detect and prevent fraud within programs, including establishing controls and monitoring systems.
• Acts independently to assess existing processes for efficiency, effecti

📌 Manager - Program Integrity (Pontedeume)
🏢 Qlarant
📍 Pontedeume