Senior Fraud Investigator - Medicare at Peraton
United States, , USA -
Full Time


Start Date

Immediate

Expiry Date

06 Dec, 25

Salary

66000.0

Posted On

07 Sep, 25

Experience

3 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Fraud Investigations, Healthcare Industry, Thinking Skills

Industry

Information Technology/IT

Description

ABOUT PERATON

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.

BASIC QUALIFICATIONS:

  • 5 years with BS/BA; 3 years with MS/MA; 0 years with PhD
  • Demonstrated experience conducting complex fraud investigations within federal, state, or contractor environments.
  • Prior work with organizations such as MACs, HHS-OIG, FBI, state Attorney General offices, or similar investigative entities.
  • Strong analytical and critical thinking skills, with the ability to interpret and synthesize large volumes of data.
  • Proven ability to mentor and train investigative teams.
  • Knowledge and understanding of the healthcare industry and fraud landscape.
  • U.S. citizenship required
  • Telework available from Southeast Untied States, residency in FL preferred
Responsibilities

ABOUT THE ROLE

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.
SGS is seeking an experienced and highly skilled Senior Fraud Investigator. Ideal candidates will bring advanced investigative expertise with a strong focus on complex healthcare fraud investigations. This role requires individuals who can contribute subject matter expertise, mentor team members, and proactively identify emerging fraud trends in the healthcare sector.

WHAT YOU’LL DO:

  • Conduct and support complex investigations into healthcare fraud, waste, and abuse, leveraging extensive experience with Medicare Administrative Contractors (MACs), federal healthcare contracts, state healthcare fraud investigative units, and/or agencies such as the Attorney General’s Office, HHS-OIG, or FBI.
  • Provide subject matter expertise and guidance to team members, serving as a mentor and resource for developing investigative skills.
  • Utilize an in-depth understanding of the healthcare industry to proactively detect, analyze, and address new fraud schemes and trends.
  • Collaborate with internal teams and external partners to ensure the integrity of healthcare programs and enhance investigative outcomes.
  • Telework available from Southeast Untied States, residency in FL preferred
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