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. Each day, our employees do the can’t be done by solving the most daunting challenges facing our customers. 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/Investigator to our SGS team of talented professionals. This individual will conduct audits and reviews of various Medicaid programs to ensure compliance with federal and state Medicaid program requirements and to recover over-payments for non-compliance. Acts as an informed team member providing analysis of information and limited project direction input. Follows established guidelines and correctly interprets policies. Provides research, interprets laws and regulations, performs data analysis and draws conclusions for projects; Conducts compliance audits of varied Medicaid case-types, audits claim submissions and performs ad-hoc focused audits; organizes and analyzes billing patterns; Develops an understanding of the function to be audited and uses business knowledge, analytical skills, and experience in identifying findings and making recommendations for improvements Identifies compliance exceptions, conflicts of interest, improper payments. Organizes a case file, accurately and thoroughly documents all steps taken; Works independently or at times as part of a team, provides ongoing progress reports and updates on audit status; Presents issues of concern, verified through data, citing regulatory violations, proving schemes or scams to defraud the Government; Works under general supervision and as a member of a team delivering high-quality work; Ensures that projects are timely, complete and accurate. Actively participants at meetings and attends training to further his business acumen. This is a remote position. Experience in accounting or closely related business field, law enforcement, health science or related field. ~ Knowledge of internal audit/investigative policies and operating principles. ~ Understanding of Medicare/Medicaid or healthcare auditing. ~ Strong familiarity with Microsoft Office tools, including intermediate to advanced knowledge of Excel. ~ Must be a US Citizen Intermediate financial and business acumen. Intermediate audit/investigative skills Project management skills. Knowledge of the healthcare industry and medical coding concepts and/or experience analyzing health care claims data is preferred Target Salary Range $Salary is determined by various factors, including but not limited to, the scope and responsibilities of the position, the individual’s experience, education, knowledge, skills, and competencies, as well as geographic location and business and contract considerations. Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay. Peraton offers eligible employees a variety of benefits including medical, dental, vision, life, health savings account, short/long term disability, EAP, parental leave, 401(k), paid time off (PTO) for vacation, and company paid holidays. Application Statements The application period for the job is estimated to be 30 days from the job posting date. During the review of your application, you may be required to participate in an on-camera interview, as well as participate in a process to verify your identity. Use of artificial intelligence (AI) tools of any kind during Peraton interviews is strictly prohibited unless the candidate has obtained prior written authorization. EEO: Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law.