Medicaid Fraud Audit Team Lead (Remote)

Bazeta; Northern (KY); Hybrid; USD 66,000 - 106,000; Full time

Job summary

Peraton SafeGuard Services seeks a Medicaid Fraud Auditor Team Lead to oversee Medicaid audits from initiation to completion and mentor auditors. The role ensures audits comply with federal and state requirements, with oversight of workload, findings, and communications.

Remote work is allowed for candidates within the Northeast jurisdictions and related states within the US. Ideal candidates bring 8+ years of relevant auditing experience, strong leadership, and expertise in Medicaid program

Qualifications

• Minimum of 8 years with BS/BA; or 12 years with a HS Diploma/equivalent.
• Experience conducting Medicaid, Medicare, healthcare, compliance, financial, internal, or program integrity audits.
• Experience leading staff in identifying and documenting noncompliance, improper payments, billing irregularities, or potential overpayments.
• Strong written, verbal communication and organization skills.

Responsibilities

• Oversee the development and progression of audits from initiation through completion.
• Provide day-to-day oversight and direction for assigned Auditors conducting Medicaid audits.
• Provide technical guidance and consultation to Auditors regarding Medicaid requirements and audit methodology.
• Review workload and conduct QC for staff.
• Mentor team members to identify previously undetected fraud, waste, or abuse.

Skills

Leadership

Auditing

Regulatory interpretation

Project management

Written communication

Education

BS/BA or HS Diploma

Tools

Microsoft Office

Job description

Peraton SafeGuard Services seeks a Medicaid Fraud Auditor Team Lead to oversee Medicaid audits from initiation to completion and mentor auditors. The role ensures audits comply with federal and state requirements, with oversight of workload, findings, and communications.

Remote work is allowed for candidates within the Northeast jurisdictions and related states within the US. Ideal candidates bring 8+ years of relevant auditing experience, strong leadership, and expertise in Medicaid program