Remote Medicaid Auditor — Risk-Based Healthcare Audits

Peraton

Reston (VA)

On-site

USD 51,000 - 82,000

Full time

6 days ago
Be an early applicant
Application generator

An application made for this job — a tailored resume and cover letter that speak straight to the posting.

Get past ATS filters

Job summary

Peraton is seeking an Auditor for its SafeGuard Services (SGS) team focused on Medicaid auditing. The role involves evaluating cost reports and claims, performing risk-based audits, and providing data analysis for complex projects.

Telework is available from the Eastern Time Zone, with opportunities to collaborate across the SGS team. Candidates should have 2+ years of related finance/accounting/audit experience or a BS/BA with 2 years, strong Excel skills, and understanding of Medicare/Medicaid

Qualifications

  • 2 years with BS/BA; or 6 years of experience with a HS Diploma/equivalent.
  • Typically 2+ years of related experience in finance, accounting or audit.
  • Intermediate knowledge of internal audit policies and operating principles.
  • Intermediate understanding of Medicare/Medicaid or healthcare auditing and their revenue cycles.
  • Intermediate risk assessment and scoping skills.
  • Strong research and analytical skills.
  • Strong familiarity with Microsoft Office tools, including intermediate to advanced knowledge of Excel.
  • U.S. citizenship required

Responsibilities

  • Audits cost reports, claims submissions and performs ad-hoc focused audits.
  • Identifies inherent and residual risks and conducts risk-based audits.
  • Develops an understanding of the function to be audited and uses business knowledge, analytical skills and experience in identifying findings and improvements.
  • Works closely with team members to provide ongoing progress reports and updates of audit findings.
  • Participates in projects/audits.
  • Provides research and data analysis for moderately complex projects.
  • Stays abreast of new audit developments.
  • Telework available from Eastern Time Zone

Skills

Analytical skills
Research skills
MS Excel
Internal audit knowledge

Education

Bachelor's degree (or 6 years experience with HS diploma)
Finance/Accounting/Mathematics background preferred

Tools

Excel

Job description

Peraton is seeking an Auditor for its SafeGuard Services (SGS) team focused on Medicaid auditing. The role involves evaluating cost reports and claims, performing risk-based audits, and providing data analysis for complex projects.

Telework is available from the Eastern Time Zone, with opportunities to collaborate across the SGS team. Candidates should have 2+ years of related finance/accounting/audit experience or a BS/BA with 2 years, strong Excel skills, and understanding of Medicare/Medicaid

Get your free, confidential resume review.
or drag and drop your file here.
Similar jobs

Similar jobs worth comparing

Remote Medicaid Auditor | Data Analytics & Compliance
Remote Medicaid Auditor | Data Analytics & Compliance

Peraton • United States

On-site
USD 51,000 - 82,000
Auditor - Medicaid
Auditor - Medicaid

Peraton • United States

On-site
USD 51,000 - 82,000
Auditor - Medicaid
Auditor - Medicaid

Peraton • Reston (VA)

On-site
USD 51,000 - 82,000
Remote Nurse Reviewer - Medical Claims & Fraud Detection
Remote Nurse Reviewer - Medical Claims & Fraud Detection

Santa Barbara Cottage Hospital • United States

Remote
USD 66,000 - 106,000
Telework available
Senior Medicaid Auditor - Flexible, Impactful Compliance
Senior Medicaid Auditor - Flexible, Impactful Compliance

Christian Sitters • Jackson (MS)

On-site
USD 60,000 - 95,000
Flexible work environment
Meaningful impact in healthcare
Remote Lead Medicaid Auditor - Standards & Risk
Remote Lead Medicaid Auditor - Standards & Risk

United Trading Group • Salt Lake City (UT)

Hybrid
USD 67,000 - 117,000
Remote Medicaid Long-Term Care Auditor I (EST/CST)
Remote Medicaid Long-Term Care Auditor I (EST/CST)

Gainwell Technologies • Northern (KY)

Hybrid
USD 48,000 - 62,000
Health benefits
401(k) with match
Flexible vacation
+2
Bilingual Medical Reviewer (RN) – Medicaid Claims
Bilingual Medical Reviewer (RN) – Medicaid Claims

Peraton • United States

On-site
USD 66,000 - 106,000
Medical, dental, vision benefits
401(k) plan
Paid time off (PTO)
+2
Medicaid Fraud Review Nurse — Remote Investigator
Medicaid Fraud Review Nurse — Remote Investigator

Peraton • Herndon (VA)

On-site
USD 66,000 - 106,000
Telework available
Senior Medicaid Auditor Flexible & Impactful
Senior Medicaid Auditor Flexible & Impactful

Christian Sitters • Jackson (MS)

Hybrid
USD 85,000 - 120,000
Competitive salary
Flexible work environment
Growing healthcare organization