Remote Fraud Investigations Manager — Lead Team & Impact

Peraton

Reston (VA)

Remote

USD 80,000 - 128,000

Full time

6 days ago

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Job summary

Peraton is seeking a Fraud Investigations Manager for SafeGuard Services (SGS), a Peraton subsidiary. The role leads a staff of investigators to identify and research potential fraud, waste and abuse, with responsibilities including case development for law enforcement referrals and providing data support for ongoing investigations.

The position requires deep Medicare program knowledge, a proven leadership track record, and the ability to work independently or as part of a team.

Qualifications

10 years of experience with supervisory or lead responsibilities in fraud investigations.
In-depth knowledge of Medicare program rules and provider behavior.
Excellent organizational and communication skills.
U.S. citizenship required.

Responsibilities

Provide direction to investigators to identify and research fraud, waste and abuse.
Oversee development of cases for referral to law enforcement or other entities.
Respond to data requests and support for existing casework.
Establish goals, objectives and plans for the unit.
Motivate staff and evaluate performance.
Plan resources and report unit activity.
Develop, administer, and control a budget.
Recruit and develop staff.
Participate in CMS and Law Enforcement Meetings.
Lead a team of investigations and lead Assessment Investigators.
Oversee workload to meet contractual requirements.
Telework available from MD, DC, PA, NJ, NY, MA, CT, VT, RI, ME, DE, NH.