Remote Medicaid Fraud Auditor

Peraton; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

SafeGuard Services (SGS), a Peraton subsidiary, seeks a Medicaid Fraud Auditor to review Medicaid programs for compliance and recover over-payments. The role requires research, data analysis, and auditing skills, with strong Excel proficiency. Candidates must reside in the Northeast states listed and be US citizens.

The auditor will conduct varied audits, document findings, and present issues with regulatory references while working remotely as part of SGS’s Medicaid team.

Qualifications

• 2 years with BS/BA or 6 years with HS diploma
• Experience in accounting or closely related business field
• Knowledge of internal audit/investigative policies and operating principles
• Understanding of Medicare/Medicaid or healthcare auditing
• Strong Research and analytical skills
• Intermediate to advanced knowledge of Excel
• Must be a US Citizen

Responsibilities

• Conduct audits and reviews of various Medicaid programs to ensure compliance with federal and state requirements
• Recover over-payments for non-compliance through data analysis and testing
• Handle multiple assignments concurrently and organize billing patterns
• Document all steps thoroughly and maintain case files
• Present issues with data-backed findings and regulatory references
• Work independently or as part of a team and provide status updates
• Participate in meetings and trainings to grow business acumen
• This is a remote position serving the Northeast jurisdiction within specified states

Skills

Auditing

Data analysis

Research skills

Microsoft Excel

Interviews

US citizenship

Education

BS/BA

HS diploma

Tools

Microsoft Office

Job description

SafeGuard Services (SGS), a Peraton subsidiary, seeks a Medicaid Fraud Auditor to review Medicaid programs for compliance and recover over-payments. The role requires research, data analysis, and auditing skills, with strong Excel proficiency. Candidates must reside in the Northeast states listed and be US citizens.

The auditor will conduct varied audits, document findings, and present issues with regulatory references while working remotely as part of SGS’s Medicaid team.