Remote Medicaid Auditor & Compliance Investigator

Peraton; Colorado; Hybrid; USD 51,000 - 82,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k)

Paid time off

Job summary

Peraton is seeking a Medicaid Auditor/Investigator for its SafeGuard Services team. This remote position will conduct audits of Medicaid programs to ensure compliance with federal and state requirements and recover over-payments for non-compliance.

The role requires analytical skills, auditing knowledge, and proficiency with Microsoft Excel. You will manage multiple assignments, document findings, and communicate results with stakeholders while working under general supervision.

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 varied Medicaid programs to ensure compliance with federal and state requirements and to recover over-payments for non-compliance.
• Apply intermediate subject matter knowledge to solve common business issues and work on moderately complex problems.
• Independently judge actions within defined practices and procedures and provide analysis and recommendations.
• Identify compliance exceptions, conflicts of interest, improper payments, and improvements.
• Organize case files and document all steps thoroughly.
• Prepare correspondence, reports, and referral summaries; present findings with data to support regulatory violations.

Skills

Research & analytics

Excel

Auditing knowledge

US citizenship

Education

BS/BA or HS with experience

Tools

Microsoft Office (Excel)

Job description

Peraton is seeking a Medicaid Auditor/Investigator for its SafeGuard Services team. This remote position will conduct audits of Medicaid programs to ensure compliance with federal and state requirements and recover over-payments for non-compliance.

The role requires analytical skills, auditing knowledge, and proficiency with Microsoft Excel. You will manage multiple assignments, document findings, and communicate results with stakeholders while working under general supervision.