Remote Medicaid Fraud Audit Team Lead

Peraton; Herndon (VA); Remote; USD 66,000 - 106,000; Full time

Job summary

Peraton seeks a Medicaid Fraud Auditor Team Lead to guide the SGS audit team in Medicaid audits and investigations. This remote role requires residence within the Northeast jurisdictions and US citizenship.

The Team Lead will mentor Auditors, ensure timely audit development, and maintain high-quality documentation in compliance with Medicaid rules. Responsibilities include overseeing audit lifecycles, providing technical guidance, and coordinating with other leads as needed.

Qualifications

• Minimum 8 years with BS/BA; or 12 years with a HS Diploma/equivalent.
• Experience conducting Medicaid, Medicare, healthcare, compliance, financial, internal, or program integrity audits.
• Experience leading staff in identifying and documenting noncompliance, improper payments, billing irregularities, or potential overpayments.
• Strong written, verbal communication and organization skills.
• US Citizen.

Responsibilities

• Oversee development and progression of audits from initiation through completion, including planning, testing, analysis, findings, and reports.
• Provide day-to-day oversight for assigned Auditors and ensure audits are compliant with federal and state Medicaid requirements.
• Offer technical guidance on Medicaid requirements, audit methodology, and findings development.
• Review workload in monthly auditor meetings and assist with prioritizing and QC for staff.
• Monitor staff workloads and resource alignment with audit requirements and metrics.

Skills

Leadership

Audit experience

Communication

Regulatory knowledge

Mentoring

Education

BS/BA or higher

HS Diploma/equivalent

Tools

MS Office

Job description

Peraton seeks a Medicaid Fraud Auditor Team Lead to guide the SGS audit team in Medicaid audits and investigations. This remote role requires residence within the Northeast jurisdictions and US citizenship.

The Team Lead will mentor Auditors, ensure timely audit development, and maintain high-quality documentation in compliance with Medicaid rules. Responsibilities include overseeing audit lifecycles, providing technical guidance, and coordinating with other leads as needed.