Medicaid Fraud Audit Lead (Remote)

Peraton; Northern (KY); Hybrid; USD 90,000 - 110,000; Full time

Job summary

SafeGuard Services (SGS), a subsidiary of Peraton, seeks a Medicaid Fraud Auditor Team Lead to join our remote team. The role focuses on guiding Medicaid audits, ensuring quality, and mentoring staff within the Northeast jurisdiction. Requires extensive audit leadership experience and Medicaid expertise.

The position emphasizes independent judgment, adherence to audit methodologies, and timely completion of findings, with opportunities to influence program integrity outcomes.

Qualifications

• Minimum 8 years with BS/BA; or 12 years with HS diploma/equivalent.
• Experience leading staff in identifying noncompliance, improper payments, or overpayments.
• Experience auditing Medicaid, Medicare, healthcare, or program integrity.
• US Citizen required.

Responsibilities

• Oversee development and progression of audits from initiation to completion.
• Provide day-to-day oversight for Auditors conducting Medicaid audits.
• Offer technical guidance on Medicaid requirements, methodology, and findings.
• Review workload and perform QC for staff during meetings.
• Monitor staff workloads and audit metrics alignment.
• Mentor team to detect fraud, waste, or abuse.
• Act as a point of contact for manager.

Skills

Audit team leadership

Regulatory knowledge Medicaid/Medicare

Strong communication

Microsoft Office

Staff mentoring

Public sector compliance

Education

Bachelor's degree or higher

High School Diploma or equivalent

Tools

Microsoft Office

Job description

SafeGuard Services (SGS), a subsidiary of Peraton, seeks a Medicaid Fraud Auditor Team Lead to join our remote team. The role focuses on guiding Medicaid audits, ensuring quality, and mentoring staff within the Northeast jurisdiction. Requires extensive audit leadership experience and Medicaid expertise.

The position emphasizes independent judgment, adherence to audit methodologies, and timely completion of findings, with opportunities to influence program integrity outcomes.