Fraud Prevention and Enterprise Integrity Officer

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Hiring Agency:

Health & Human Services - Agency 25

Location:

Lincoln NE

Hiring Rate:

$0.000

Job Posting:

JR2026- Fraud Prevention and Enterprise Integrity Officer (Open)

Applications No Longer Accepted On (If no date is displayed job is posted as open until closed):

Job Description:

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.

Salary: Anticipated salary range of $120000 - $150000 commensurate with education and experience if approved.

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

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

Examples of Work

• 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 overpayment 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.

Requirements / Qualifications:

Minimum Qualifications:

• Bachelors 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 required.
• Experience developing and implementing organizational strategies policies or operational initiatives.

Preferred Qualifications:

• Masters degree in public administration business administration health administration accounting finance law criminal justice data analytics or a related field.
• Experience working within government healthcare or other publicly funded programs.
• Experience using data analytics predictive models and performance metrics to identify risk improve decision-making and strengthen operational performance.
• Professional certifications such as Certified Fraud Examiner (CFE) Certified Public Accountant (CPA) Certified Internal Auditor (CIA) Certified Information Systems Auditor (CISA) Accredited Healthcare Fraud Investigator (AHFI) Certified Professional Coder (CPC) or other relevant credentials.

Knowledge/Skills/Abilities

• Knowledge of fraud prevention investigations compliance auditing enterprise risk management internal controls payment integrity and public sector accountability.
• Knowledge of federal and state laws regulations and oversight requirements governing publicly funded programs.
• Ability to analyze complex operational financial and programmatic information and identify emerging risks trends and vulnerabilities.
• Ability to lead multidisciplinary teams that may include investigators auditors analysts clinicians financial professionals compliance staff or other technical experts.
• Ability to build collaborative relationships across divisions while maintaining independent oversight and sound professional judgment.
• Ability to communicate complex findings and recommendations to executive leadership policymakers oversight agencies and external partners.
• Demonstrated leadership skills including the ability to establish strategic priorities lead organizational change and foster a culture of integrity accountability and continuous improvement.

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The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity inclusion and belonging. We recruit hire train and promote in all job classifications and at all levels without regard to race color religion sex. age national origin disability marital status or genetics.