Medicare Fraud Investigator — Remote

Peraton; South Carolina; A distancia; USD 66.000 - 106.000; Jornada completa

Descripción de la vacante

Peraton's SafeGuard Services (SGS) team seeks a Fraud Investigator to join the Medicare program in a telework-friendly role. You will perform high‑level investigations of medical providers, develop cases for action, and coordinate with law enforcement when needed.

You will analyze claims, review records, interview witnesses, and prepare clear reports. Applicants must be a US citizen and able to work with sensitive health information under applicable laws.

Formación

• Investigative experience required.
• Strong communication and organizational skills.
• Proficient PC skills and attention to detail.
• US citizenship required.

Responsabilidades

• Conduct high-level investigations of medical providers.
• Develop cases for action including referrals to law enforcement.
• Interview witnesses and obtain statements.
• Prepare complex investigative reports citing regulations.
• Coordinate with internal and external agencies.
• Maintain confidentiality of health information.

Conocimientos

Investigative experience

Strong communication skills

Strong organizational skills

PC knowledge

US citizenship

Educación

BS/BA degree

HS diploma

Descripción del empleo

Peraton's SafeGuard Services (SGS) team seeks a Fraud Investigator to join the Medicare program in a telework-friendly role. You will perform high‑level investigations of medical providers, develop cases for action, and coordinate with law enforcement when needed.

You will analyze claims, review records, interview witnesses, and prepare clear reports. Applicants must be a US citizen and able to work with sensitive health information under applicable laws.