Fraud Investigations Lead - Remote Team Leadership

Peraton; Herndon (VA); Remote; USD 80,000 - 128,000; Full time

Benefits offered by this job

Telework eligible

Discretionary bonus

Overtime eligibility

Job summary

Peraton is seeking a Fraud Investigations Manager to guide a team of investigators focused on identifying and addressing fraud, waste and abuse within the Medicare program. The role entails directing case development for referrals to law enforcement and providing data-backed support for ongoing investigations.

Leadership is expected to mentor staff, manage resources and budgets, and ensure compliance with applicable regulations.

Qualifications

• 10+ years of experience in investigations, with supervisory or lead roles.
• In-depth knowledge of Medicare program and claims review for fraud indicators.
• Knowledge of Medicare requirements and billing regulations.
• Strong organizational and communication skills.
• US citizenship required.

Responsibilities

• Provide direction to investigators to identify fraud, waste and abuse.
• Oversee case development for referral to law enforcement or others.
• Respond to data requests and support for ongoing casework.
• Establish unit goals, objectives and plans.
• Motivate staff and evaluate performance.
• Plan resources, set priorities and report unit activity.
• Develop and control a budget.
• Recruit and develop staff.
• Lead investigations and lead assessment investigators.
• Oversee workload to meet contractual requirements.
• Telework available from multiple states.

Skills

Leadership

Medicare knowledge

Data analysis

Communication skills

Independent work

Education

Bachelor's degree

Job description

Peraton is seeking a Fraud Investigations Manager to guide a team of investigators focused on identifying and addressing fraud, waste and abuse within the Medicare program. The role entails directing case development for referrals to law enforcement and providing data-backed support for ongoing investigations.

Leadership is expected to mentor staff, manage resources and budgets, and ensure compliance with applicable regulations.