Remote Medicaid Fraud Auditor — Compliance & Recovery

Peraton; Northern (KY); Hybrid; USD 51,000 - 82,000; Full time

Job summary

Peraton is seeking a Medicaid Fraud Auditor for SafeGuard Services (SGS), a remote professional role. You will audit Medicaid programs, analyze data, and identify compliance issues, spending time across multiple assignments while documenting findings.

Strong analytical and Excel skills are essential, as is US citizenship. The position supports reviews of federal and state requirements, with opportunities to present findings and contribute to improvements in healthcare auditing practices within a

Qualifications

• 2 years with BS/BA or 6 years with a HS diploma.
• Experience in accounting or closely related field.
• Knowledge of internal audit/investigative policies and operating principles.
• Understanding of Medicare/Medicaid or healthcare auditing.
• Strong Research and analytical skills.
• Proficiency with Microsoft Office tools, including Excel.
• US Citizenship required.

Responsibilities

• Conduct audits and reviews of Medicaid programs to ensure compliance.
• Perform data analysis and draw conclusions for projects.
• Audit varied Medicaid case-types and claim submissions.
• Document a case file and report findings thoroughly.
• Present issues with regulatory violations and potential fraud schemes.
• Collaborate with team and provide progress updates.

Skills

Research skills

Analytical skills

MS Office proficiency

Education

BS/BA degree

HS diploma

Tools

Microsoft Excel

Job description

Peraton is seeking a Medicaid Fraud Auditor for SafeGuard Services (SGS), a remote professional role. You will audit Medicaid programs, analyze data, and identify compliance issues, spending time across multiple assignments while documenting findings.

Strong analytical and Excel skills are essential, as is US citizenship. The position supports reviews of federal and state requirements, with opportunities to present findings and contribute to improvements in healthcare auditing practices within a