Auditor - Medicaid

Peraton; United States; On-site; USD 51,000 - 82,000; Full time

Job summary

Peraton is seeking an Auditor for SafeGuard Services to join our SGS team. The role involves applying intermediate subject matter knowledge to audit cost reports and claims, with risk-based audits and progress reporting. You'll work in a telework-friendly environment with Eastern Time Zone flexibility.

Candidates should have 2 years of BS/BA or 6 years HS, healthcare auditing experience, and strong Excel skills. The position offers a salary range of $51,000 to $82,000 and benefits; U.S.

Qualifications

• 2 years with BS/BA; or 6 years with HS Diploma/equivalent
• Typically 2 years of experience in finance, accounting or audit
• Intermediate knowledge of internal audit policies and principles
• Intermediate Medicare/Medicaid or healthcare auditing knowledge
• Intermediate risk assessment and scoping skills
• Strong research and analytical skills
• Excel proficiency with Microsoft Office tools
• U.S. citizenship required

Responsibilities

• Audits cost reports, claims submissions and performs ad-hoc focused audits.
• Identifies inherent and residual risks and conducts risk-based audits.
• Develops understanding of the function to be audited and identifies findings and improvements.
• Provides progress reports and updates of audit findings.
• Participates in projects/audits.
• Provides research and data analysis for moderately complex projects.
• Stays abreast of new audit developments.
• Telework available from Eastern Time Zone

Skills

Analytical skills

Research skills

U.S. citizenship

Education

Bachelor's degree (BS/BA)

HS Diploma or equivalent

Degree in finance, accounting, mathematics

Tools

Microsoft Excel

Microsoft Office

Job description

About Peraton

Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world's leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space, air, and cyberspace. The company serves as a valued partner to essential government agencies and supports every branch of the U.S. armed forces. Each day, our employees solve the most daunting challenges that our customers face. Visit peraton.com to learn how we're keeping people around the world safe and secure.

Program Overview

Performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse in Medicare and Medicaid programs.

About The Role

SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

We are looking to add an Auditor to our SGS team of talented professionals.

What you'll do

The Auditor will apply intermediate level of subject matter knowledge to solve a variety of common business issues. Works on problems of moderately complex scope. Acts as an informed team member providing analysis of information and limited project direction input. Exercises independent judgment within defined practices and procedures to determine appropriate action. Follows established guidelines and interprets policies. Evaluates unique circumstances and makes recommendations.

• Audits cost reports, claims submissions and performs ad-hoc focused audits.
• Identifies inherent and residual risks and conducts risk-based audits.
• Develops an understanding of the function to be audited and uses business knowledge, analytical skills and experience in identifying findings and improvements.
• Works closely with team members to provide ongoing progress reports and updates of audit findings.
• Participates in projects/audits.
• Provides research and data analysis for moderately complex projects.
• Stays abreast of new audit developments.
• Telework available from Eastern Time Zone

Qualifications

Basic Qualifications

• 2 years with BS/BA;or 6 years of experience with a HS Diploma/equivalent
• Typically 2 years of experience in finance, accounting or audit.
• Intermediate knowledge of internal audit policies and operating principles.
• Intermediate understanding of Medicare/Medicaid or healthcare auditing and their revenue cycles.
• Intermediate risk assessment and scoping skills.
• Strong research and analytical skills.
• Strong familiarity with Microsoft Office tools, including intermediate to advanced knowledge of Excel.
• U.S. citizenship required

Desirable Qualifications

• Degree in finance, accounting, mathematics, or related field preferred.
• Intermediate financial and business acumen.
• Basic project management skills.

Details

Target Salary Range: $51,000 - $82,000. This represents the typical salary range for this position. Salary is determined by various factors, including but not limited to, the scope and responsibilities of the position, the individual's experience, education, knowledge, skills, and competencies, as well as geographic location and business and contract considerations. Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay.

Benefits Statement: Peraton offers eligible employees a variety of benefits including medical, dental, vision, life, health savings account, short/long term disability, EAP, parental leave, 401(k), paid time off (PTO) for vacation, and company paid holidays. A full listing of available benefits can be viewed at https://www.careers.peraton.com/benefits.

EEO

Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law.