Medicare Fraud Investigator — Remote Telework

Peraton; Melbourne (FL); Remote; USD 66,000 - 106,000; Full time

Job summary

Peraton SafeGuard Services (SGS) is seeking a Fraud Investigator to perform high‑level, complex investigations of medical service providers, develop cases for enforcement actions, and coordinate with law enforcement, education, overpayment recovery, and referrals. The role requires independent work with minimal supervision and strong investigative, communication, and organizational skills.

Telework is available from South Florida, and candidates must handle health privacy information in

Qualifications

• 5 years with BS/BA; 3 years with MS/MA; 0 years with PhD.
• Investigative experience required.
• Strong investigative skills.
• Strong communication and organization skills.
• Strong PC knowledge and skills.
• U.S. citizenship required.

Responsibilities

• Perform high level complex investigations of medical professional service providers.
• Develop cases for future action, including referrals to law enforcement and overpayment recovery.
• Collaborate with internal resources and external agencies to develop cases and corrective actions.
• Prepare complex investigative reports applying relevant regulations and laws.
• Maintain confidentiality when handling health privacy information.

Skills

Investigative skills

Communication

Organization

PC skills

Education

BS/BA + 5 years

MS/MA + 3 years

Job description

Peraton SafeGuard Services (SGS) is seeking a Fraud Investigator to perform high‑level, complex investigations of medical service providers, develop cases for enforcement actions, and coordinate with law enforcement, education, overpayment recovery, and referrals. The role requires independent work with minimal supervision and strong investigative, communication, and organizational skills.

Telework is available from South Florida, and candidates must handle health privacy information in