Head of Fraud
Sidecar Health is redefining health insurance. Our mission is to make excellent healthcare affordable and attainable for everyone. We know that to accomplish this lofty mission, we need driven people who will make things happen.
The passionate people who make up Sidecar Health’s team come from all over, with backgrounds as tech leaders, policy makers, healthcare professionals, and beyond. And they all have one thing in common—the desire to fix a broken system and make it more personalized, affordable, and transparent.
Sidecar Health has raised more than $175M from top-tier investors. The company is currently valued at over $1B—and growing quickly. Our membership has increased sharply in the two short years we’ve been on the market, and we’re poised for rapid growth over the coming year.
If you want to use your talents to transform healthcare in the United States, come join us!
About the Role
This role will lead the Fraud, Waste, and Abuse (FWA) program under the leadership of the Chief Compliance Officer and in collaboration with the Chief Operations Officer.
What You'll Do
- Manage risk from a conceptual standpoint, put algorithmic interventions in place to prevent, detect and correct theft from members, vendors and/or employees
- Oversee the data mining of suspicious claims activity (chase alerts), perform background checks on potential offenders, investigate threats that our algorithms detect daily
- Project and manage the mitigation of financial risks
- Build and maintain a FWA program in compliance with regulatory requirements inclusive of Third-Party Liability
- Build and manage a team of investigators and other team members to develop and maintain the program
- Oversee the investigations of potential FWA and report on investigation findings
What You'll Bring
- 8+ years of related experience in fraud, waste, and abuse investigations or equivalent claims auditing experience
- Bachelor's degree in business, management, or health care administration preferred
- Fraud examiner certification preferred
- Proven experience building a compliant FWA program that protects company assets and government resources
- Strategic thinker who can look around corners to identify issues of FWA
- Experience with data analysis techniques
What You'll Get
- Competitive salary, bonus opportunity, and equity package
- Comprehensive Medical, Dental, and Vision benefits
- A 401k retirement plan
- Paid vacation and company holidays
- Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S.
Sidecar Health is an Equal Opportunity employer committed to building a diverse team. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.