Medicaid Fraud Auditor — Remote Compliance Expert

Peraton; Herndon (VA); Remote; USD 51,000 - 82,000; Full time

Job summary

SafeGuard Services (SGS), a Peraton subsidiary, seeks a Medicaid Fraud Auditor to join our team. The role audits Medicaid programs for compliance and over-payment recovery, applying analytical skills and interviews to gather information. Candidates must reside within the Northeast jurisdiction and be a US citizen.

The position emphasizes independent judgment, documentation, and timely, accurate project delivery, with collaboration as needed.

Qualifications

• 2 years with BS/BA or 6 years with a HS diploma.
• Experience in accounting or closely related business field, law enforcement, health science or related field.
• Knowledge of internal audit/investigative policies and operating principles.
• Understanding of Medicare/Medicaid or healthcare auditing.
• Strong Research and analytical skills.
• Strong familiarity with Microsoft Office tools, including intermediate to advanced knowledge of Excel.
• Must be a US Citizen

Responsibilities

• Conduct audits and reviews of Medicaid programs to ensure compliance and recover over-payments.
• Apply subject matter knowledge to solve common business issues.
• Organize a case file and document all steps taken.
• Provide progress reports and updates on audit status.
• Present issues of concern with data-supported regulatory violations.
• Compose correspondence, reports, and referral summary letters.
• Work independently or in a team and adhere to guidelines.

Skills

Data analysis

Regulatory interpretation

Analytical thinking

Interviewing

Education

BS/BA

HS diploma

Tools

Microsoft Excel

Microsoft Office

Job description

SafeGuard Services (SGS), a Peraton subsidiary, seeks a Medicaid Fraud Auditor to join our team. The role audits Medicaid programs for compliance and over-payment recovery, applying analytical skills and interviews to gather information. Candidates must reside within the Northeast jurisdiction and be a US citizen.

The position emphasizes independent judgment, documentation, and timely, accurate project delivery, with collaboration as needed.