Remote Fraud Referral Investigator

Peraton; Fort Meade (MD); Remote; USD 65,000 - 90,000; Full time

Job summary

Peraton is seeking a Fraud Referral Specialist for SafeGuard Services (SGS) to support analysis and investigation of referrals and complaints related to fraud, waste, and abuse in government programs. The role involves using multiple tools to assess referrals, develop investigations, and report findings to drive timely follow-up actions.

Responsibilities include researching cases, evaluating referrals, documenting steps, and communicating with providers, law enforcement, and other stakeholders.

Qualifications

• Two years with a Bachelor’s or six years with a HS diploma/equivalent
• At least 2 years of prior experience evaluating complaints or referrals required
• Investigative or analytical experience
• Strong interpersonal, analytical, research, and organizational skills are required
• Excellent verbal and written communications
• Strong PC knowledge and skills
• Strong use of Excel and being able to sort and filter data
• Strong time management and organizational skills required
• Self-driven and motivated
• U.S. citizenship required

Responsibilities

• Perform research and draw conclusions
• Evaluate complaints and referrals for further investigation
• Present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government
• Organize a case file, accurately and thoroughly document all steps taken
• Conduct background investigation on providers within the Medicare program
• Compose correspondence, reports, and referral summary letters
• Educate providers, provider associations, law enforcement, other contractors, and beneficiary advocacy groups on program safeguard matters
• Telework position available from EST, CST, MST time Zones.

Skills

Investigative experience

Analytical skills

Interpersonal skills

Research skills

Organizational skills

Verbal and written communication

Excel skills

Time management

Self-motivated

US citizenship

Education

Bachelor's degree

HS diploma or equivalent

Tools

Excel

Job description

Peraton is seeking a Fraud Referral Specialist for SafeGuard Services (SGS) to support analysis and investigation of referrals and complaints related to fraud, waste, and abuse in government programs. The role involves using multiple tools to assess referrals, develop investigations, and report findings to drive timely follow-up actions.

Responsibilities include researching cases, evaluating referrals, documenting steps, and communicating with providers, law enforcement, and other stakeholders.