Fraud Senior Supervisor (Healthcare)

Location: Glasgow, UK; hybrid working model, 35 hours per week

Company

hirify.global Healthcare, a division of The hirify.global Group, provides global health services and medical, dental, behavioral health, pharmacy, and vision care solutions across more than 30 countries.

What you will do

• Lead the Member Investigation Team responsible for identifying and preventing fraudulent, wasteful, and abusive expenses across hirify.global’s international business.
• Coach investigators, provide case guidance, and ensure compliance with investigation standards and procedures.
• Monitor team KPIs, savings, referrals, reporting accuracy, and the timeliness of claims review, loss prevention, and recovery activities.
• Use business intelligence and data analytics to identify regional claims patterns and work with Data & Analytics to develop FWA rulesets.
• Represent Payment Integrity when engaging with external clients, communicate fraud risks, and manage internal stakeholder relationships.
• Drive strategic initiatives, process improvement, workforce planning, and compliance with legal, regulatory, and contractual requirements.

Requirements

• Experience leading operational teams and managing staff performance.
• Accredited counter-fraud qualification.
• At least five years of experience in health insurance or with an international healthcare provider.
• Experience in operational risk management and internal and external risk and compliance reporting.
• Knowledge of claims coding, regulatory rules, medical policy, medical terminology, and treatment modalities.
• Fluent English, strong communication and negotiation skills, and the ability to collaborate with global teams across varying time zones.

Nice to have

• Medical or paramedical qualification.
• Experience with data analytics tools.
• Fluency in additional foreign languages.

Culture & Benefits

• Global, diverse, and collaborative working environment.
• Exposure to cross-functional teams and strategic projects.
• Learning, development, and internal career growth opportunities.
• Supportive and inclusive culture focused on innovation and continuous improvement.
• Competitive benefits package with location-dependent social benefits.
• Hybrid work and flexible working hours supporting work-life balance.