Auditor - Medicaid

Peraton; Virginia, Great Falls Crossing (MN, VA); Remote; USD 66 000 - 106 000; Full time

Job summary

An established industry player is seeking a Medicaid Auditor to join their dynamic team. In this role, you will apply your analytical skills to conduct audits, identify risks, and provide valuable insights into the auditing process. You'll work closely with a talented group of professionals, contributing to projects that make a real impact in the healthcare sector. This position offers the flexibility of telework and the opportunity to be part of a mission-driven organization focused on safeguarding public resources. If you're passionate about making a difference and have a keen eye for detail, this role is perfect for you.

Qualifications

• 5 years of experience required with a Bachelor's degree.
• Intermediate knowledge of Medicare/Medicaid auditing.
• Strong research and analytical skills are essential.

Responsibilities

• Conduct audits on cost reports and claims submissions.
• Identify risks and conduct risk-based audits.
• Provide ongoing progress reports on audit findings.

Skills

Research Skills

Analytical Skills

Intermediate Knowledge of Internal Audit Policies

Risk Assessment Skills

Microsoft Office (Excel)

Education

Bachelor's Degree

Master's Degree

PhD

Tools

Microsoft Office

Job description

Auditor - Medicaid

Job Locations

US

Requisition ID

2025-156295

Position Category

Business Controls

Clearance

No Clearance Required

Responsibilities

SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

We are looking to add a Medicaid Auditor to our SGS team of talented professionals.

What you'll do:

The Auditor applies intermediate level of subject matter knowledge to solve a variety of common business issues. Works on problems of moderately complex scope. Acts as an informed team member providing analysis of information and limited project direction input. Exercises independent judgment within defined practices and procedures to determine appropriate action. Follows established guidelines and interprets policies. Evaluates unique circumstances and makes recommendations.

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 contiguous United States.

Qualifications

Basic Qualifications:

• 5 years with BS/BA; 3 years with MS/MA; 0 years with PhD.
• 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.
• US Citizenship is Required.

Desirable Qualifications:

• Degree in finance, accounting or related field preferred.
• Intermediate financial and business acumen.
• Basic project management skills.

Peraton Overview

Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world's leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space, air, and cyberspace. The company serves as a valued partner to essential government agencies and supports every branch of the U.S. armed forces. Each day, our employees do the can't be done by solving the most daunting challenges facing our customers. Visit peraton.com to learn how we're keeping people around the world safe and secure.

Target Salary Range

$66,000 - $106,000. This represents the typical salary range for this position based on experience and other factors.

EEO

EEO: Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law.